Medical Director LTSS/DSNP Clinical Programs - New Mexico

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

The physician serving in this role works with the medical director to provide geriatric expertise to the care coordination team. The geriatrician participates in interdisciplinary care teams (ICTs), reviewing individual member care plans and person-centered goals. The geriatrician provides guidance to the utilization management, care management and quality department staff to support the complex needs and care of older adults. This position is based in New Mexico.

If you are located in the state of New Mexico, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

• Reviews individual member care plans and provides suggestions to better meet the member needs
• Interacts with the member’s PMP and other providers to collaborate on the member’s care coordination
• Provides training to care coordinators, service coordinators and utilization management staff on specific topics related to our older members
• Develops, implements, and monitors quality initiatives
• Participates in quality-of-care reviews to make sure care standards are in keeping with best practices for care of older adults and vulnerable individuals
• Provides guidance to utilization management decision makers on case reviews
• Helps utilization management, care management and quality department staff understand the complex needs and care of older adults and make person-centered decisions
• Maintains patient well-being and independent functioning
• Partners with other members of the ICTs, including, but not limited to, pharmacy, behavioral health, transition coordination team members and long-term services and supports (LTSS) and Dual Special Needs Program providers

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:

• Active Board Certification in Family Practice, Internal Medicine, or Geriatrics
• Active/unrestricted New Mexico Medical Licensure and must reside in New Mexico
• 10+ years of clinical practice with older adults (age 60 and older)

*All employees working remotely will be required to adhere to UnitedHealth Group’s 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.