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Licensed Chiropractor (Part -Time) - Case Manager - Telecommute from California

UnitedHealth Group


Location:
San Diego, CA
Date:
09/05/2017
2017-09-052017-10-04
Job Code:
1752240
Apply on the Company Site
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Job Details


Licensed Chiropractor (Part -Time) - Case Manager - Telecommute from California(Job Number:716492)
Description

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm)

 

OptumHealth, a UnitedHealth Group company, is the industry's leading physical medicine company. Our services include chiropractic management, physical therapy management, complementary medicine networks, and consumer health and wellness solutions. OptumHealth focuses on data, education, and communication to lead practitioners to a best practice, evidence-based environment. By demonstrating our unique ability to improve the quality of care and provide significant cost savings to customers, OptumHealth has experienced steady growth, and we're ready to share it with you.  

 

 This is a part-time position and looking for someone to work 3-4 hours per day, Monday - Friday during normal business hours for a total of 15 – 20 hours per week.  This is a telecommute/work from home position from anywhere in California.

We're looking for a Part - Time Licensed Chiropractor to join us in this rewarding opportunity!  Identifying providers and helping them to work towards a best practice scenario, you would enjoy plenty of exciting clinical challenges, an excellent benefits package, and solid growth potential. 

 

The role of a Part - Time Licensed Chiropractor, Case Manager entails review of clinical submissions (utilization review) and may require the applicant to obtain multiple chiropractic licenses. The role additionally entails peer to peer intervention and discussion with field chiropractors in an effort to ensure current best evidence clinical applications of care in an effort to assist the member/patient in receiving high quality evidence based care.

Primary Responsibilities:

  • Working with and contacting assigned providers via telephone to present our clinical support program
  • Educating providers regarding healthcare alternatives and applicable benefits
  • Making determinations of medical necessity for managed indemnity and PPO insured individuals
  • Focusing on the complexity, intensity and expected outcomes of the services implemented (not just on diagnosis or claim expenditure)
  • Assessing and complying with the members’ benefit plan design and customer-specific account instructions, as well as liability issues and federal and state mandates
  • Providing network education, negotiation and review of services rendered by non - network providers
  • Determining the case management plan's effectiveness in reaching desired outcomes and goals
  • Maintaining positive working relationships with team members, providers, and physicians

 


Job Physical Medicine
Primary Location US-CA-San Diego
Other Location US-CA-Alameda, US-CA-San Jose, US-CA-Palm Springs, US-CA-Anaheim, US-CA-Sacramento, US-CA-Oakland, US-CA-Los Angeles, US-CA-San Francisco, US-CA-Irvine, US-CA-Cypress
Organization Optum Ops-Specialty Networks
Schedule Part-time
Number of Openings 1
Apply on the Company Site

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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