Medical Director, OptumCare CCM - Atlanta(Job Number:702227)
This full-time Medical Director works within OptumCare part of Complex Care Management segment of Optum Health. The cornerstone of the OptumCare programs is field-based, nurse practitioner-centric care management of high-risk health plan members. The product portfolio includes long-term care residents of nursing homes, post-acute patients in nursing homes, and community-dwelling health plan members, all of whom have multiple chronic conditions and are at high-risk for inpatient admissions.
- Provide clinical support for Care nurse practitioners (NPs), physicians assistants (PAs), nurses and non-clinical support staff in a manner conducive to teamwork
- Orient primary care physicians (PCPs) and assess appropriateness of their working in the Optum clinical models
- Develop and maintain strong collaborative relationships with network and non-network primary care physicians via both telephonic and in-person meetings
- Educate Optum clinical staff on clinical management and end-of-life conversations, both in the office and field settings.
- Communicate and collaborate with other departments, including Sales, Business Development/Network and Provider Relations, to grow and sustain the business.
- Serve as a clinical resource, coach and leader at both the clinical management and NP/PA levels.
- Actively participate as a key member of the clinical team in regular meetings and projects focused on communication, feedback, problem-solving, process improvement, staff training and evaluation and sharing of program results
- Work with the clinical leadership to achieve Star/HEDIS/Quality benchmarks
- Oversee Medical Expense Management program
- Provide leadership accountability for accurate diagnostic coding and supporting documentation
- Represent the organization at medical society meetings, long-term care industry associations, and state and local organizations
Job Clinical Analysis & Consulting
Primary Location US-GA-Norcross
Organization Complex Care Management
Number of Openings 1