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Medical Director, Complex Care Management (Dallas, TX)

UnitedHealth Group


Location:
Richardson, TX
Date:
03/23/2017
Job Code:
1700411
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Job Details


Medical Director, Complex Care Management (Dallas, TX)(Job Number:692485)
Description

This Medical Director is a member of the Senior Leadership Team (SLT) of the Texas, Optum Complex Care Management team. They will work with SLT to develop and drive the business strategy, growth and clinical operations and help to ensure that the highest level of quality care is being delivered to the residents of our partner nursing homes. This individual will work collaboratively with the sites advanced practice clinicians and will serve as a clinical resource when needed.  As the site Medical Director this position is recognized as the clinical ‘face of the business’ related to the clinical and business communities.  The Medical Director will have responsibilities in the Dallas/Fort Worth and Houston metropolitan areas. 
 
Primary Responsibilities:
  • Achieve sustainable, profitable growth via new business development and growth
  • Promote the clinical and financial value propositions to new business and current partner stakeholders to achieve growth goals
  • Routinely meet with currently collaborating PCP’s
  • Collaborate with business development team to identify potential SNFs / Provider Groups with new membership opportunities
  • Engage and speak with state and local organizations, LTC industry associations, medical society memberships, etc. regarding value and quality outcomes of the models
  • Develop and sustain strong relationships with other medical directors and health care system leaders in market territory
  • Actively engage NP / PA clinical staff with didactic, written and 1:1 education on geriatric syndromes, chronic illness, SNF regulations, and end of life / palliative care
  • Assist in quality of care concern case reviews and corrective action plans
  • Develop and revise clinical practice standards and procedures
  • Fulfill requirements for SNP Model of Care; State; and Federal regulations
  • Leadership role for achievement of targets for market or contract specific STAR; HEDIS measures; and Quality Improvement Programs
  • Lead market review and develop education and operational plans to address pharmacy, acute hospitalization, skilled SNF services, DME, and physician medical expense
  • Provide leadership accountability for ensuring accuracy of all documentation and coding
  • Educate NP / PA staff in use of coding tools and documentation requirements
  • 20-30% day travel within DFW market with occasional travel to Houston market

Job Clinical Analysis & Consulting
Primary Location US-TX-Richardson
Other Location 
Organization Complex Care Management
Schedule Full-time
Number of Openings 1
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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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