Behavioral Medical Director - Remote
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best.
Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities.
Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring.
Connecting. Growing together.
The Behavioral Medical Director position is responsible for providing oversight to and direction of the Clinical Management Program supporting members in the commercial and Medicare Advantage space in Michigan state.
This individual will be part of a team of Optum Psychiatrists and will work closely with community Behavioral Health Providers.
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.
The responsibilities include working 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.
Youll enjoy the flexibility to work remotely
from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities :
- Ensuring delivery of cost-effective quality care that incorporates recovery, resiliency, and person-centered services
- Level of Care guidelines and utilization management protocols
- Oversight and management, along with the Clinical Director and Clinical Program Director, utilization review, case 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
Youll 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 :
- Doctor of Medicine or Osteopathy
- Current license to practice as a physician without restrictions in the state of Michigan; or be willing to obtain MI licensure
- Board certified in Psychiatry
- Knowledge of post-acute care planning such as home care, discharge planning, case management, and disease management
- Demonstrated understanding of the clinical application of the principles of engagement, empowerment, rehabilitation, and recovery
- Computer and typing proficiency, data analysis and organizational skills necessary
Preferred Qualifications :
- Board certification in child and adolescent psychiatry or addiction
- 3+ years of experience as a practicing psychiatrist post residency
- Managed care experience
- Experience in public sector delivery systems and experience in state specific public sector services
- Experience working with community-based programs and resources
- Minimal travel as required
Careers with Optum. Our objective is to make health care simpler and more effective for everyone. With our hands at work across all aspects of health, you can play a role in creating a healthier world, one insight, one connection and one person at a time.
We bring together some of the greatest minds and ideas to take health care to its fullest potential, promoting health equity and accessibility.
Work with diverse, engaged and high-performing teams to help solve important challenges.
California, Colorado, Connecticut, Nevada, New York, Rhode Island, or Washington Residents Only : The salary for California, Colorado, Connecticut, Nevada, New York, Rhode Island, or Washington residents is $248,582 to $338,965.
Salary Range is defined as total cash compensation at target. The actual 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, youll find a far-reaching choice of benefits and incentives.
All employees working remotely will be required to adhere to UnitedHealth Groups Telecommuter Policy
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone.
We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life.
Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes.
We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
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.
Related Jobs
Behavioral Medical Director - Remote
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best.
Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities.
Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring.
Connecting. Growing together.
The Behavioral Medical Director position is responsible for providing oversight to and direction of the Clinical Management Program supporting members in the commercial and Medicare Advantage space in Michigan state.
This individual will be part of a team of Optum Psychiatrists and will work closely with community Behavioral Health Providers.
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.
The responsibilities include working 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.
Youll enjoy the flexibility to work remotely
from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities :
- Ensuring delivery of cost-effective quality care that incorporates recovery, resiliency, and person-centered services
- Level of Care guidelines and utilization management protocols
- Oversight and management, along with the Clinical Director and Clinical Program Director, utilization review, case 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
Youll 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 :
- Doctor of Medicine or Osteopathy
- Current license to practice as a physician without restrictions in the state of Michigan; or be willing to obtain MI licensure
- Board certified in Psychiatry
- Knowledge of post-acute care planning such as home care, discharge planning, case management, and disease management
- Demonstrated understanding of the clinical application of the principles of engagement, empowerment, rehabilitation, and recovery
- Computer and typing proficiency, data analysis and organizational skills necessary
Preferred Qualifications :
- Board certification in child and adolescent psychiatry or addiction
- 3+ years of experience as a practicing psychiatrist post residency
- Managed care experience
- Experience in public sector delivery systems and experience in state specific public sector services
- Experience working with community-based programs and resources
- Minimal travel as required
Careers with Optum. Our objective is to make health care simpler and more effective for everyone. With our hands at work across all aspects of health, you can play a role in creating a healthier world, one insight, one connection and one person at a time.
We bring together some of the greatest minds and ideas to take health care to its fullest potential, promoting health equity and accessibility.
Work with diverse, engaged and high-performing teams to help solve important challenges.
California, Colorado, Connecticut, Nevada, New York, Rhode Island, or Washington Residents Only : The salary for California, Colorado, Connecticut, Nevada, New York, Rhode Island, or Washington residents is $248,582 to $338,965.
Salary Range is defined as total cash compensation at target. The actual 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, youll find a far-reaching choice of benefits and incentives.
All employees working remotely will be required to adhere to UnitedHealth Groups Telecommuter Policy
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone.
We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life.
Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes.
We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
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.
Medical Technologist/CLS - Medical Technologist
Medical Technologist / CLS - Medical Technologist
San Diego, CA Up to $1714.50 / Week Jul 17, 2023 to Oct 15, 2023
Job Number
Job Number BH 1188292
Highlights
- Location San Diego, CA
- Pay Rate Up to $1714.50 / Week
- Start Date Jul 17, 2023 to Oct 15, 2023
- Duration 13 Week
- Number of Positions 1
- Remote Position Type On-Site Work Only
- Shift Type Rotation
- Discipline Medical Technologist / CLS
Skills
- Medical Technologist
Diagnostic Medical Sonographer I
Under indirect supervision, performs a variety of diagnostic medical sonograms (such as abdominal and OB / Gynecology ultrasound examinations) utilizing complex ultrasound equipment and transducers.
Essential Responsibilities :
- Diagnostic Imaging 2008 Department Goals :
- Quality :
- Improve complete to sign Diagnostic Imaging Report Turnaround Time for outpatients. The Vandever Files Targeted Unit-Based Team (T-UBT) will be developing the metrics for this goal.
- Suggested areas of focus : Workflow / Processes, Inter-departmental Communication Resources,and Staffing.
- Service / Care Experience :
- Improve telephone response time to meet the established regional TSF (telephone service factor) standard of 80% of incoming calls answered within 2 minutes.
- Suggested areas of focus : Service, Staffing, Workflow / Processes, and Staff Education.
- Efficiency / Affordability :
- Support the Bend-the-Trend program by reducing NPR expenses by greater than 5%. The department Non-payroll Action Team will be developing the metrics for this goal.
- All managers and staff responsible for ordering have received NPR formulary with recommendations for using Corporate Express brand items in lieu of name brands.
- Access :
- Improve ultrasound access.
- Customer Service :
- Is responsive to the needs of others by maintaining a professional behavior toward members and coworkers and creating a positive image for the department, as demonstrated by : Willingness to take the initiative to resolve member issues.
Handling a high number of member contacts. Dealing with customer complaints in a positive way. Providing compassionate service.
Treating coworkers with respect and appreciation. Fostering teamwork and thinking positively.
- Models and reinforces ethical behavior in self and others in accordance to the Principles of Responsibility; adheres to organizational policies and guidelines;
- supports compliance initiatives; maintains confidences; admits mistakes; conducts business with honesty; shows consistency in words and actions;
follows through on commitments.
- Identifies the impact of cultural diversity and lifestyle choices on patient condition and makes accommodations for such differences.
- Demonstrates competency and understands the overall operational functions of the department to include all reception duties and cashier functions.
Observes regional radiation and department safety policies.
Age Specific Criteria Demonstrates an understanding of the cognitive, physical, emotional and chronological maturation process in delivery of services to patients of the age group served.
Able to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his or her age-specific needs and to provide the care needed in accordance with department policy.
Neonatal Pediatric Adolescent Adult Geriatric. Adjusts technical factors relative to the requirements of the study and the physical maturation of the patient.
Modifies patient positioning techniques relative to the patient's physical and cognitive abilities. Always takes special care in handling, positioning and / or restraining infants and geriatric patients to avoid injury or excessive radiation exposure.
- Demonstrates competence and understands the overall operational function of the department to include scheduling of patient appointments by telephone, mail, or in person utilizing RIS.
- Demonstrates competence in the operation of diagnostic ultrasound equipment, realtime and mobile, to obtain quality diagnostic images.
Consistently selects correct technical factors relative to the requirements of the study and the patient's age and body habitus.
Consistently selects equipment settings and appropriate transducers in accordance with department protocols and patient body habitus.
Consistently processes hard copy images properly, utilizing automated equipment. Properly and consistently follows specific infection control techniques relative to ultrasound imaging (e.
g., cold sterilization of probes, use of condoms on endocavity probes, etc.). Routinely manipulates transducer appropriately to obtain the desired images.
Exercises good clinical judgment. Consults with the radiologist or other clinician for purposes of clarifying orders. Selects alternate or additional views appropriately relative to the patient's condition.
Does not attempt to perform an exam in any case in which it cannot be performed safely and / or properly. Consistently demonstrates the ability to differentiate between normal and abnormal anatomy.
Documents clinical activities in a timely, comprehensive and accurate manner. Completes and initials the standard consultation form and the Radiology Processing Record accurately and immediately following each procedure.
Routinely documents patient history relative to previous surgery, childbirth and other conditions which could affect the ultrasonic image of internal organs.
- Organizational Rules, Policies, and Procedures :
- Observes all applicable regional, medical center, and department policies and procedures.
- Quality of Service :
- Maintains standards of professional behavior established to enhance quality of service. Greets members promptly and courteously with eye contract and a pleasant expression and tone of voice.
Informs members of reason for any delays or anticipated delays in their care. Treats all patients in accordance with the Patient's Bill of Rights.
Conducts only work related conversations when members are waiting for service.
- Communication :
- Demonstrates good communication skills. Communicates verbally in a clear and concise manner. Demonstrates courteous and appropriate telephone skills.
Speaks English in the presence of patients except as required to interpret for non English speaking patients. In writing, communicates accurately, completely, and legibly, and routes such communication appropriately and in a timely manner.
- Professional Maturity :
- Demonstrates professional maturity in all interactions with patient and staff. Strives to maintain good working relationships and rapport with patients, other members of the department and the health care team.
Is flexible and cooperative about schedule changes made to maximize productivity and efficiency. Responds appropriately to constructive criticism from supervisors and peers.
Functions independently within defined scope of position.
- Productivity :
- Meets productivity norms achieved by peers within the department or the Region.
- Equipment, Supplies, and Work Area :
- Maintains equipment, supplies and work area in accordance with department guidelines. Keeps equipment and work area clean at all times.
Routinely handles equipment with care to avoid damage. Reports equipment malfunctions to supervisory staff promptly.
Basic Qualifications :
Experience
- One (1) year of experience as a Diagnostic Medical Sonographer in a major medical center.
- Per the National Agreement, current KP Coalition employees have this experience requirement waived.
Education
Graduate of a Commission on Accreditation of Allied Health Education Programs (CAAHEP) accredited ultrasound program or a graduate from a Diagnostic Medical Sonography program with current ARDMS certification.
License, Certification, Registration
- Current American Registry of Diagnostic Medical Sonographers (ARDMS) certification to include registries of physics, abdomen, and Obstetrics / Gynecology.
- CPR (BLS-C, AHA approved course) - must be obtained during the probationary period.
Additional Requirements :
Competency in components of sonography as listed : routine abdomen; abdomen doppler; small parts; thyroid and obstetrics / gynecology.
Preferred Qualifications :
- Two (2) years experience as a Diagnostic Medical Sonographer in a major medical center.
- Experience with Acuson Sequoia, Philips iu-22 and Clickview ultrasound reporting package.
Notes :
- This is a designated backfill position.
- Shifts, hours, and / or locations may vary based on operational need.
PrimaryLocation : California,San Diego,San Diego Medical Center
HoursPerWeek : 40
Shift : Variable
Workdays : Mon, Tue, Wed, Thu, Fri, Sat, Sun
WorkingHoursStart : 11 : 00 AM
WorkingHoursEnd : 07 : 30 PM
Job Schedule : Full-time
Job Type : Standard
Employee Status : Regular
Employee Group / Union Affiliation : B09 OPEIU Local 30
Job Level : Individual Contributor
Job Category : Imaging & Radiology
Department : San Diego Medical Center - Sonography-Day - 0806
Travel : Yes, 75 % of the Time
Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status.
Medical Scheduler
Referral Specialist!
LHH Recruitment Solutions is currently seeking a full-time referral specialist for a client in San Diego, CA on a contract-to-hire basis.
The client requires the representative to streamline the referral process, enhance patient care coordination, and ensure that patients receive the appropriate medical attention and services they need.
This position is in San Diego, CA and it is an on-site position!!
Responsibilities :
- Examine patient medical records and assess the need for a referral based on the physician's recommendations or the patient's condition.
- Evaluate the patient's medical needs and match them with the appropriate specialists or healthcare facilities based on their expertise, location, availability, and insurance coverage.
- Initiate the referral process by contacting the referral provider or facility and ensuring that all necessary paperwork and medical information are provided.
- Work with the insurance company to obtain authorization for the referral and ensure that the necessary documentation and pre-approval requirements are met.
- Schedule appointments for the patient with the preferred healthcare provider, considering the patient's preferences and the availability of the specialist.
- Maintain regular communication with patients, keeping them informed about the referral process, appointment details, and any necessary follow-up instructions.
- Ensure that all relevant medical information and test results are shared with the referring physician or primary care provider, ensuring seamless continuity of care.
- Maintain accurate records of all referrals, including documentation of the referral process, authorization details, appointment dates, and outcomes.
- Work closely with healthcare providers, including primary care physicians, specialists, hospitals, and other healthcare facilities, to coordinate and facilitate the referral process efficiently.
- Stay informed about changes in healthcare policies, insurance requirements, and referral guidelines to ensure compliance and provide accurate information to patients and healthcare providers.
Qualifications :
- High school diploma / GED is required.
- 1+ years of experience in a call center, preferred.
- 1+ years of experience in healthcare, preferred.
- Experience working in a fast-paced environment, required
Compensation : $20-$24
$20-$24
Job Type : Contract to hire
Contract to hire
Schedule :
Monday Friday, 8 : 30a 5p
Benefit offerings include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and 401K plan.
Our program provides employees the flexibility to choose the type of coverage that meets their individual needs. Available paid leave may include Paid Sick Leave, where required by law;
any other paid leave required by Federal, State, or local law; and Holiday pay upon meeting eligibility criteria.
Travel Medical Laboratory Scientist
Axis Medical Staffing is seeking an experienced Medical Laboratory Scientist for an exciting Travel Allied job in San Diego, CA.
Shift : Inquire Start Date : 07 / 24 / 2023 Duration : 13 weeks
1 RANKED TRAVEL NURSING COMPANY IN THE NATION BY BLUEPIPES Description
Ready for your next adventure? Axis Medical Staffing, one of the leading Travel Nursing Companies in the nation, has an immediate Day / Night shift Clinical Lab Scientist opening in San Diego, California.
Job Summary
- Specialty : Clinical Lab Scientist
- City : San Diego
- State : California
- Start Date : 07 / 24 / 2023
- End Date : 10 / 22 / 2023
- Shift Hours : Day / Night
- Active and Unencumbered State License
- At least 2 years of current experience
Who you d be working for?
Since 2004, Axis Medical Staffing has excelled in connecting adventurous travel nurses with amazing opportunities throughout the country, setting us apart from the rest.
We re not a small, inexperienced company; in fact, we offer a vast range of nationwide travel nursing contracts, rivaling even the largest corporate "big box" staffing agencies.
Our passion lies in helping our travelers achieve their career goals while delivering an unforgettable travel nursing experience.
Rock Star Status
- BluePipes Names Axis the #1 Travel Nursing Agency in 2022
- BetterNurse.org names Axis the Best Travel Nursing company in 2022
- VeryWell Health recognizes Axis as having the best customer service in 2022
- Highway Hypodermics Ranks Axis as the #2 Best Travel Nursing Company in 2022
- Inc. 5000 Recognizes Axis Medical Staffing as a fastest growing company in 2022
- Many more recognitions on our site! Check it out.
Perks of being an Axis Rock Star
- Competitive Compensation Paid Weekly
- Personalized Housing Options
- Comprehensive & Affordable Health Insurance
- Pet Friendly We pay for pet deposits!
- Company matching 401k with immediate vesting
- State license and Travel reimbursement
- Single point of contact recruiter
- Referral program
At Axis, you re more than just a number. With a dedicated single point of contact, join our team and enjoy an unparalleled, personalized experience. Apply today!
Axis is an Equal Opportunity Employer
About Axis Medical Staffing :
We Don't Work with Just Anybody, We Work with Frickin' Rock Stars!
RANKED AS THE TOP TRAVEL NURSING COMPANY IN THE NATION FOR 2022 BY BLUEPIPES
So why Axis?
Well, sometimes it's easier to describe ourselves as what we're not. We're not your average corporate big box staffing company.
We're not sleazy business people in bad suits pushing around resumes, lying or overselling contracts. We're not a tiny, inexperienced company either, we have the same amount of nationwide positions as those giant corporate staffing companies.
We've been placing top talent in adventurous travel contracts since 2004 and we can prove we're different from the rest.
Benefits :
- Industry Leading Compensation Packages
- Medical, Dental, Vision
- Company Matching 401k & Immediate Vesting
- Direct Deposit, Online Pay Access & Weekly Pay
- Completion Bonus Opportunities
- Paid Personalized Housing Options
- Housing Stipend
- State License Reimbursement
- Dedicated Recruiter
- Pet Friendly
If you're tired of being a number, and want to travel like a Rock Star, then hit us up and let's chat. We'd love to have you as part of the Axis Family!