Inpatient Care Management Medical Director - Hawaii - Telecommute

Kahului, HI

full-time
Outpatient

Primary Responsibilities:

  • Participate in telephonic outreach for collaboration with treating providers. This will include discussion of evidence-based guidelines, opportunities to close clinical quality/service gaps, and care plan changes that can impact health care expenses
  • Responsible to collaborate with operational and business partners on clinical and quality initiatives at the site and customer level to address customer expectations
  • Is grounded in the use and application of evidence-based medicine (EBM) such as the Milliman Care Guidelines
  • Chair periodic market oversight meetings with the outward facing Chief Medical Officers, network contractors, nurse management and other internal managers
  • Maintain proficiency in all required software and platforms

Required Qualifications:

  • MD or DO with an active, unrestricted medical license in the state of Hawaii
  • Current Board Certification in an ABMS or AOBMS specialty
  • 5+ years of clinical practice experience
  • Technical proficiency in computer software and systems
  • Excellent written and oral communication skills
  • If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or a similar UnitedHealth Group-approved symptom screener. Employees must comply with any state and local masking orders. In addition, when in a UnitedHealth Group building, employees are expected to wear a mask in areas where physical distancing cannot be attained

Preferred Qualifications:

  • Clinical experience within the past 2 years
  • 2+ years managed care, Quality Management experience and/or administrative leadership experience
  • Residence in Hawaii


Posted June 5, 2021