Senior Behavioral Medical Director - Remote in Nevada

Company: UnitedHealth Group
Location: Henderson
Posted on: November 26, 2022

Job Description:

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm)

Our mission is to help people live healthier lives and to make the health system work better for all.

The Senior Behavioral Medical Director serves as the clinical team leader for HPN/SHL Behavioral membership. They are accountable for the strategic approach to executing our annual business objectives in alignment with the larger organization. They work collaboratively with other functional partners such as Continuity of Care Department, Quality Improvement, State and Legal Compliance, providing medical subject matter expertise. The SMD is also actively involved in the implementation, supervision, oversight and evaluation of the Utilization Management, Care Coordination and Quality of Care programs, develops and implements policies and procedures. The SMD will also monitor the consistency with which Utilization Management criteria are applied; through supervision, case review, training and in consultations with treating providers, making coverage decisions and participates in committee meetings.

If you are located in within the state of Nevada, you will have the flexibility to telecommute as you take on some tough challenges.

Primary Responsibilities:

• Serve as the lead physician for the Behavioral Health plan with direct oversight and accountability for behavioral UM and CM teams and outcomes
• Leadership and oversight of contract adherence
• Develops programs to promote integration of physical and behavioral health services which support continuity and coordination among all network providers
• Contribute and lead the collaboration for Utilization Management, Care Coordination and Quality of Care discussions for HPN/SHL membership
• Monitors behavioral healthcare utilization authorization and claims data for all healthcare services
• Assures that policies adhere to contractual obligations
• Develop targeted education and training for and provide clinical guidance to the Care Advocates
• Performs Clinical Case reviews in conjunction with Clinical and Quality departments
• Consultation with practitioners in the HPN/SHL clinical network
• Participation in clinical workgroups as required
• Chairing and participating in committees
• Collaborates in network provider initiatives and engagement
• Supports cultural awareness and promotes activities related to health equity in an effort to eliminate racial and ethnic disparities
• Travel for state and key stakeholder meetings as needed
  
  You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
  
  Required Qualification
  • Doctor of Medicine or Osteopathy
  • Current license to practice as a physician without restrictions in the state of Nevada or willing to obtain
  • Board certified in Psychiatry
  • Reside in the state of Nevada
  • 2+ years of management experience overseeing multidisciplinary teams
  • Demonstrated understanding of the clinical application of the principles of engagement, empowerment, rehabilitation and recovery
  • Knowledge of discharge planning, transitions of care, post-acute care, and case management
  • Computer and typing proficiency, data analysis and solid organizational skills
  • Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation
    Preferred Qualifications:
    • 5+ years of experience as a practicing psychiatrist post residency with both mental health and substance abuse
    • 2+ years of managed care experience
    • Experience working with community-based programs and resources to address social determinants of health
      
      To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.
      
      Careers at UnitedHealthcare Employer & Individual. We all want to make a difference with the work we do. Sometimes we're presented with an opportunity to make a difference on a scale we couldn't imagine. Here, you get that opportunity every day. As a member of one of our elite teams, you'll provide the ideas and solutions that help nearly 25 million customers live healthier lives. You'll help write the next chapter in the history of health care. And you'll find a wealth of open doors and career paths that will take you as far as you want to go. Go further. This is your life's best work.(sm)
      
      Nevada Residents Only: The salary range for Nevada residents is $293,200 to $324,800. The range and pay mix of base and bonus is variable based upon experience and metric achievement. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.
      
      All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
      
      Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
      
      UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
      
      

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