Behavioral Medical Director
1 month ago
The
Behavioral Medical Director
position is responsible for providing oversight to and direction of the Clinical Management Program. This individual will be part of a team of Optum Psychiatrists and will work closely with community Behavioral Health Providers. The Behavioral Medical Director is part of a leadership team that manages development and implementation of evidence-based treatments and medical expense initiatives and will also advise leadership on health care system improvement opportunities. They are responsible for maintaining the clinical integrity of the program, including timely peer reviews, appeals, consultations, and Medical-Behavioral Integration activities. The responsibilities include working collaboratively with the Health Plan Medical Director, Clinical (Utilization Management and Care Coordination), Network and Quality staff. At Optum, our clinical vision drives the team to improve the quality of care our consumers receive.
If you reside North Carolina, you will have the flexibility to work remotely* as you take on some tough challenges.
Primary Responsibilities:
Ensuring delivery of cost-effective quality care that incorporates recovery, resiliency and person-centered services
Level of Care guidelines and utilization management protocols
Oversight and management, along with the Executive Director and Clinical Program Director, utilization review, management, and care coordination activities
Provide clinical oversight to the clinical staff, oversee the management of services at all levels of care in the benefit plan
Keep current regarding Evidence Based Practices and treatment philosophies including those that address Recovery and Resilience
Attend onsite meetings as needed
Required Qualifications:
Doctor of Medicine or Osteopathy
Current license to practice as a physician without restrictions in the state of North Carolina
Currently reside in North Carolina
Board certified in Psychiatry
Demonstrated understanding of the clinical application of the principles of engagement, empowerment, rehabilitation, and recovery
Knowledge of post-acute care planning such as home care, discharge planning, case management, and disease management
Computer and typing proficiency, data analysis and organizational skills
Willing or ability to minimal travel as needed for meetings
Preferred Qualifications:
Board certification in Child and Adolescent Psychiatry; Addiction experience/training a plus
3+ years of experience as a practicing psychiatrist post residency
Managed care experience
Experience in public sector delivery systems and experience in state specific public sector services
Experience working with community based programs and resources designed to aid the State Medicaid population
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
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