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Medical Director, OptumCare CCM - Atlanta

UnitedHealth Group

Norcross, GA
Job Code:
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Job Details

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. 

Primary Responsibilities:
  • 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
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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