9 days old

Behavioral Medical Director California

San Diego, CA 92101
  • Job Code
    889360

For those who want to invent the future of health care, here's your opportunity. We're going beyond counseling services and verified referrals to behavioral health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm)

 

The Behavioral Medical Director position is responsible for providing oversight to and direction of the Utilization Management Program and performing peer reviews as necessary. This individual will interact directly with Psychiatrists, Behavioral Health Providers, and other clinical professionals who consult on various processes and programs. 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 and consultations with providers and other community based clinicians, including general practitioners and will work collaboratively with the Health Plan Medical Director, Clinical, Network and Quality staff. At Optum, our clinical vision drives the team to improve the quality of care our consumers receive. 

 

Primary Responsibilities:

  • Ensuring delivery of cost effective quality care that incorporates recovery, resiliency and person-centered services
  • Responsible for Level of Care guidelines and utilization management protocols
  • Responsible for oversight and management, along with the Clinical 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

 

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

 

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Posted: 2020-10-15 Expires: 2020-11-14

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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Behavioral Medical Director California

UnitedHealth Group
San Diego, CA 92101

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