Optum
Provide remote clinical review and advisory services to hospital clients, promoting efficient and cost-effective inpatient care through collaboration with case managers and attending physicians. Ensure adherence to regulatory standards and CMS policies, manage length of stay, meet quality metrics, and participate in a multidisciplinary team. Work hours are evenings with shared weekend and holiday coverage.
Company Overview
Industry: Healthcare Technology
Company Size: 500-1,000 employees
Founded: 2015
Headquarters: San Francisco, CA
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Key Contacts
Contact information not available
About the Company
Leading healthcare technology company focused on improving patient outcomes through innovative digital solutions. We're transforming the way healthcare is delivered with cutting-edge technology and data-driven insights. Our platform serves over 10,000 healthcare professionals and has processed millions of patient interactions.
Recent News & Updates
Remote Physician Advisor- part time
Coverage spans from 6 pm- 3 am EST M-Fr One Monday off per 4-week cycle replaced by SA or SU 6 pm-3 am with set schedules based on business needs to provide adequate staffing of all shifts. There is a shared responsibility for weekend and Holiday coverage by all Physician Advisors.
You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities
- Promote efficient and effective clinical care of hospitalized patients delivered in a timely, appropriate and cost-effective fashion as guided by evidenced based medicine and regulatory requirements via review of clinical documentation, collaborative telephonic communication and other interactions with hospital client Case Managers and Attending Physicians
- Promote payor and provider adherence to all applicable regulatory standards and CMS policy regarding inpatient admissions, observation/outpatient status, and the appropriate status for continued hospital stays
- Provide in-depth clinical expertise in the management of specific patient populations to effectively manage length of stay for hospital clients by discussing documented concern and plan of care with treating physicians as it relates to utilization review
- Meet performance and quality metrics while incorporating feedback from quality improvement reports and providing exceptional customer service
- Function as a vital aspect of a team consisting of other Physician Advisors, Nurses, Administrative Assistants, Clinical Relationship Managers, and Team Leaders with prompt responses to requests for assistance from any members of that team
- Performing all applicable administrative tasks, staying abreast of internal policies/procedures, regulatory changes and updates within the business segment, and completing mandatory UHG and Optum Physician Advisor Solutions Learn Source and education modules
- Make engagement an area of focus and priority with commitment to the organization, colleagues and team members, as well as our clients
Required Qualifications
- MD or DO
- Current, unrestricted medical license in state of residence
- Demonstrated ability to build rapport with medical staff and hospital leadership
- Proven solid computer skills and working knowledge of EMRs
- Ability to work remotely between the hours of 6 pm- 3 am EST, M-F with weekend rotation
- Board Certified/Eligible
- 3+ years of experience in a hospital-based practice setting
- Proven solid organization and communication skills
- Proven problem-solving skills
- Demonstrated team player mentality
- Proven solid clinical knowledge base
- Proven superior documentation skills
- Demonstrated computer proficiency
- Ability to have meaningful and informed conversations with Case Managers and Attending Physicians
- All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
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