Miami, FL

Remote Physician Advisor - Telecommute

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)



Remote Physician Advisor Telecommute - WORK FROM HOME



Full Time and Part Time Hours available



Basic Function



To provide medical necessity and compliance reviews for our client hospitals.



You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.



Primary Responsibilities:




  • Promote efficient and effective clinical care of hospitalized patients delivered in a timely, appropriate and cost-effective fashion as guided by evidenced based medicine and regulatory requirements via review of clinical documentation, collaborative telephonic communication and other interactions with hospital client Case Managers and Attending Physicians

  • Promote payor and provider adherence to all applicable regulatory standards and CMS policy regarding inpatient admissions, observation/outpatient status, and the appropriate status for continued hospital stays

  • Provide in-depth clinical expertise in the management of specific patient populations to effectively manage length of stay for hospital clients by discussing documented concern and plan of care with treating physicians as it relates to utilization review

  • Meet performance and quality metrics while incorporating feedback from quality improvement reports and providing exceptional customer service

  • Function as a vital aspect of a team consisting of other Physician Advisors, Nurses, Administrative Assistants, Clinical Relationship Managers, and Team Leaders with prompt responses to requests for assistance from any members of that team

  • Performing all applicable administrative tasks, staying abreast of internal policies/procedures, regulatory changes and updates within the business segment, and completing mandatory UHG and Optum Physician Advisor Solutions LearnSource and education modules

  • Make engagement an area of focus and priority with commitment to the organization, colleagues and team members, as well as our clients



Qualified candidates will be self-motivated and capable of working independently and within a team.



Hours



Full time and Part time availability



Coverage spans from 8am-330am EST with set schedules based on business needs to provide adequate staffing of all shifts. There is a shared responsibility for weekend and Holiday coverage by all Physician Advisors.





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 Qualifications:




  • Degree: MD or DO with Medical Licensure Mandatory; Board Certification preferred

  • MD or DO

  • Current, unrestricted medical license in state of residence

  • Demonstrated ability to build rapport with medical staff and hospital leadership

  • Solid computer skills and working knowledge of EMRs



Preferred Qualifications:




  • 3+ years of experience in a hospital-based practice setting

  • Clinical practice of 3-5 years post residency preferred.

  • Board Certified / Eligible

  • Solid clinical knowledge base

  • Solid organization and communication skills

  • Problem solving

  • Team player mentality

  • Superior documentation skills

  • Demonstrated computer proficiency

  • Ability to have meaningful and informed conversations with Case Managers and Attending Physicians





To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies now require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles require full COVID-19 vaccination 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 with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)



Colorado, Connecticut or Nevada Residents Only: The salary range for Colorado residents is $113,500 to $218,100. The salary range for Connecticut / Nevada residents is $113,500 to $218,100. 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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