Company: UnitedHealth Group
Job Title: Passionate, Innovative Medical Director for Evercare
Location: Honolulu, HI United States 96813
Posting Date: 03/24/2008
Job Type: Direct Hire -- Full Time
Compensation Related Information
Compensation: Negotiable
Pay Composition: Base Pay
Relocation: No
Key Responsibilities
Duties and Responsibilities UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health.Evercare offers a variety of services to help people in all phases of long-term care remain self-sufficient and independent for as long as possible. The company is part of Ovations, a family of UnitedHealth Group businesses dedicated to improving the health and well-being of Americans ages 50 and older. Ovations serves one out of every five people eligible for Medicare services and works with public programs like Medicare and Medicaid to provide quality health care services to seniors, low-income individuals and those with disabilities. We need leaders in our organization who are passionate about serving this important population, and who can inspire others to continually reach for higher levels of patient care and satisfaction. Are you one of those leaders? As the site Medical Director, you will: Be providing clinical leadership to the health plan and be accountable for establishing utilization and quality outcomes of the plan membership. Collaborate with the Executive Director, Health Services Director and the entire Clinical team to establish and implement clinical programs to support and meet the business goals. Note: This field is limited to 2,000 characters. The rest of this position description will be found at the beginning of the qualifications field.
Candidate Requirements
Summary of Qualifications Support the Clinical staff in daily review activities and external interaction and communication with network physicians. Conduct daily and ongoing clinical review and evaluation of clinical care and services provided to plan members. Interact, communicate, and collaborate with network and community physicians, hospital leaders, and other vendors regarding clinical care and services for enrollees. Use performance data to guide interactions. Conduct provider telephonic review and discussion, schedule on-site visits, and share tools, information, and guidelines related to quality, cost-effective health care delivery. Regularly have peer-to-peer dialogue to review care coordination issues, develop collaborative intervention plans and share ideas about network management issues. Serve as a clinical resource, coach, and leader for Care Coordination team. Share best practices with other medical directors and clinical leaders from other United Healthcare sites. Participate in weekly Care Coordinatio
Desired Education: Associate's Degree
Relevant Experience: MD: General Practice
MEDICAL ADMINISTRATION
Overnight Travel: 1-10%
U.S. Work Eligibility: H1-Work Visa Holder
Permanent Resident
U.S. Citizen
