Requisition Number: 2336688 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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization 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 Utilization Management Program and performing peer reviews as necessary. This individual will interact directly with and offer clinical, procedural, or administrative recommendations to psychiatrists and other behavioral health providers, medical physicians and nurses, clinical professionals, and/or state agencies who care for members, or consult on various processes and programs. The 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. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: - Collaborate with the Utilization Management and Care Management teams to ensure delivery of cost-effective quality care that incorporates recovery, resiliency and person-centered services - Partner with the internal UM and CM teams, Health Plan, NJ state and the Providers - Responsible for Level of Care guidelines and utilization management protocols - 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. Required Qualifications: - Doctor of Medicine or Osteopathy - Current license to practice as a physician without restrictions in the state of New Jersey - 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 - Familiar with Substance Use Disorders, ASAM and treatment modalities including MAT (Medication Assisted Treatment) - Computer and typing proficiency, Microsoft Outlook and Teams, and data analysis - Currently reside in the state of New Jersey Preferred Qualifications: - 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 designed to aid the State Medicaid population *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Compensation for this specialty generally ranges from $268,000 - $414,000. Total cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. We comply with all minimum wage laws as applicable. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. 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. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more – in our careers and in our communities. Job Description Summary: This position is responsible for processing referral requests for all providers practicing within the clinic module and ensuring that when needed, referral/authorization numbers are obtained for these services. Access to specialty and ancillary testing services is a key component for the treatment of our patients and the satisfaction of our referring providers. The responsibilities of this position are extremely important in meeting or exceeding customer satisfaction. Essential Functions: - Notifies insurance companies of services being rendered, and obtains any necessary authorizations, ensuring notification and verification is complete for each referral - Obtains and verifies any necessary additional demographic and/or billing information - Assists in identifying authorization issues and ensures that insurance information has been accurately obtained. - Works daily queues according to department directives to ensure all payer-specific authorization requirements are met and authorizations successfully obtained while consistently meeting department productivity standards. - Provides quality customer service to all patients and customers through prompt and courteous professional communication. - Interfaces with physician practice associates to ensure all necessary documentation is obtained for purposes of pursuing a successful authorization approval. - Documents accurately into the Electronic Medical Record (EMR) system all actions, interactions, and authorizations surrounding the insurance process for each patient. - Other duties as assigned Responsibilities And Duties: 1. 40 % : Search electronic medical records to obtain the required clinical information needed for medical authorization. Provides all necessary information medical records, scripts, et c to payer. 2. 30 % -Reviews, Obtains & Processes all diagnostic/specialty/miscellaneous referral and authorization requests for both provider and facility. 3. 20 % Handles calls from internal and external sources where prioritization and time sensitive action is required. 4. 10 % -Communicates with all involved, payer, provider, patient as appropriate and as per protocol. Provides a standard of excellence as it relates to customer service and satisfaction for all customers. Minimum Qualifications: High School or GED (Required) Additional Job Description: - Prior experience in obtaining healthcare pre-authorizations - Working knowledge of ICD-10 and CPT classification systems - Working knowledge of Anatomy & Physiology, and Medical Terminology - Experience in a physician practice or hospital setting with patient registration, front desk, and insurance knowledge required - Experience with third party payors required - Detailed oriented, self-motivated, a continuous learner with an interest in process improvement, and team player - Ability to navigate multiple computer screens and browsers quickly and accurately - Strong communication skills & professional demeanor - Able to learn and work in a remote work setting while maintaining departmental productivity and accuracy standards Work Shift: Day Scheduled Weekly Hours : 40 Department Corporate Pre Access Join us! ... if your passion is to work in a caring environment ... if you believe that learning is a life-long process ... if you strive for excellence and want to be among the best in the healthcare industry Equal Employment Opportunity OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment Remote Work Disclaimer: Positions marked as remote are only eligible for work from Ohio.

Role Description The Medical Intake Coordinator is responsible for the medical registration of new patients and collaborating with multidisciplinary team members to communicate patient health information that requires treatment planning and/or further medical consultation. The schedule for this position will be Monday through Friday, 9am-5pm CST. - Manages the medical registration process of patients entering the healthcare facility - Provides administrative support to the Nursing Department and Psychiatry Department - Collects and documents intake information such as medication and health history - Communicates and collaborates with the nursing team regarding intake information - Collects and documents vital signs, height, weight - Drafts medical documentation and lab orders under the direction of the psychiatry provider - Transcribes medical information to patient’s charts & communicates pertinent information to the treatment team - Maintains confidentiality in matters related to patient, family, and client facility staff - Provides supplementary assistance with infection control and prevention measures - Manages medication, medical supply, and equipment inventory - Initiates Prior Authorizations for medications and diagnostic tests - Participates in professional development activities - Performs all other duties within the scope of training as assigned by the Director of Nursing Qualifications - Exceptional interpersonal and therapeutic communication skills - Robust organizational and time management skills, with noteworthy attention to detail - Team player with adaptiveness and agility - Working knowledge of medical terminology and computer literacy (highly preferred) - Medical Assistant (preferred) - Current CPR certification (preferred) - Working knowledge of pharmaceuticals (preferred) - Experience in mental health care (preferred) Requirements - Often required to walk; use hands to finger, handle, or feel; and reach forward with hands and arms - Occasionally required to sit and stoop, kneel, or crouch - The employee must be able to lift and/or move up to 25 pounds Compensation $20 — $23 USD Benefits - Comprehensive medical/dental/vision plans - 401k program with company matching - Generous PTO (including competitive parental leave after 1 year of employment) - Continuous training through CEU seminars and volunteering opportunities Company Description Compass Health Center is a recognized leader in crisis-level mental health, bringing passion, connection, and patient-centered care to the Partial Hospitalization and Intensive Outpatient space (PHP/IOP). Based in Chicagoland, we serve hundreds of patients every day, ranging from ages 5 through adulthood, in our onsite facilities or through our flourishing virtual programming. Compass fills a critical gap between outpatient and inpatient care through an intermediate level of Behavioral Healthcare. A few more things we want you to know: our values are super important to us, and hopefully will be to you, too. Cultural humility, teamwork, continuous improvement, connection, patient-centered care, passion, innovation, and agility should be your power sources. Joining Compass is an opportunity to feel fulfilled through a joint mission towards healing our communities.

Requisition Number: 2338819 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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. We are currently seeking an Inpatient Care Management Medical Director to join our Optum team. This team is responsible for conducting acute level of care and length of stay reviews for medical necessity for our members being managed within the continuum of care. Our clients include local and national commercial employer, Medicare, and state Medicaid plans. The Medical Directors work with groups of nurses and support staff to manage inpatient care utilization at a hospital, market, regional or national level. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. 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 InterQual care guidelines and criteria review - Occasionally, may participate in periodic market oversight meetings with the outward facing Chief Medical Officers, network contractors, nurse management and other internal managers - Participate in rotational holiday and call coverage - Maintain proficiency in all required software and platforms Although the Optum ICM Medical Director's work is typically concentrated in a region, they are part of a national organization and team, and collaborate with peers, nurse managers, and non-clinical employees from across the country. In response to customer needs and expectations, Optum is continuously modifying its programs and approaches. Although not a primary job function, Medical Directors with the interest in doing so often can be involved with change design and management. 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: - MD or DO with an active, unrestricted medical license - Current Board Certification in an ABMS or AOA specialty - 3+ years of clinical practice experience post residency - Technical proficiency in computer software and systems - Private home office and access to high-speed Internet - Participate in rotational holiday and call coverage Preferred Qualifications: - 2+ years of managed care, Quality Management experience and/or administrative leadership experience - UM experience - Clinical experience within the past 2 years *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. Compensation for this specialty generally ranges from $248,500 - $373,000. Total cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. We comply with all minimum wage laws as applicable. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. Application Deadline:This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. 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. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.