Optum Utilization Review Jobs in Chicago, IL (NOW HIRING)

$100,000.00 Sign on Bonus for external candidates

Optum NV is seeking a Physician to join our team in Las Vegas, NV Optum is a clinician-led care organization that is changing the way clinicians work and live.

As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone.

At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together.

The Neighborhood Physician provides primary care for high-acuity Medicare Advantage patients within a dedicated panel, functioning as the primary care provider of record. This role partners with an interdisciplinary team to manage complex, high-utilization patients through a combination of clinic-based and home-based care. Care is delivered in a referral-based model, focused on reducing hospitalizations, improving outcomes, and supporting longitudinal care management.

The physician collaborates with advanced practice clinicians, case management, and social work to address medical and psychosocial needs, while supporting quality initiatives including HEDIS, RAF accuracy, and patient experience.

Primary Responsibilities:
*    Manage a panel of complex Medicare patients as the PCP, overseeing all aspects of care. 
*    Provide care in clinic and home settings as appropriate, with APC support for field-based visits.
*    Collaborate with interdisciplinary team (APCs, RN case managers, social workers) to optimize care plans and transitions. 
*    Review and coordinate care for high-risk patients, including post-discharge follow-up and chronic disease management.
*    Partner with clinical quality teams to meet HEDIS, RAF, and documentation standards.
*    Maintain accurate, timely documentation in the EMR.
*    Participate in team meetings and contribute to care model development and workflow optimization.
*    Provide clinical guidance and collaboration with APCs (independent practice model; not supervisory except where required).

Highlights:

*    Flexible scheduling: 5x8 or 4x10 option; open to reduced FTE.
*    Average volume: ~13-18 patients per day depending on schedule, with extended visit times for new patients. 
*    Split coverage across two clinic locations 
*    No call requirements

We offer an attractive base salary, sign on bonus, bonus plan, and comprehensive fringe benefits package, including medical, dental, and life insurance, STD/LTD, professional liability, matching 401K, relocation costs, 23 days of PTO, one week paid CME with $4500 allowance, and nine paid holidays. Differential for supervision of extenders. 
Top reasons to live in Las Vegas:
*    300+ days of sunshine, annual average temperature of 70 degrees, beautiful desert flowers and red rock canyons.
*    The best of superstar shows, concerts, sporting events, restaurants and shopping available 365 days a year!
*    NO STATE INCOME TAX, affordable housing, wonderful recreation available: Red Rock Canyon, Lake Mead, Grand Canyon, Colorado River, Lake Powell, Mt. Charleston (11,000 ft elevation) are all nearby; Las Vegas is situated a short distance from 10 Scenic National Parks; Las Vegas is also a Golfers Paradise with 40+ neighborhood and championship courses
What makes an Optum Career different:

*    Be part of a best-in-class employee experience that enables you to practice at the top of your license  
*    We believe that better care for clinicians equates to better care for patients 
*    We are influencing change collectively on a national scale while still maintaining the culture and community of our local care organizations 
*    Practice medicine autonomously, with the support, not restrictions, of a sustainable and thriving national health care organization
Compensation & Benefits Highlights:
*    Med/Den/Vis, STD, LTD, United Health stock options
*    Continuing Medical Education allowance with time off
*    Professional Liability Insurance 
*    Excellent PTO package
*    Generous retirement program including employer funded contributions (401K)

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, Board Certified/Eligible in Internal Medicine or Family Medicine
*    Active Nevada medical license and DEA (or ability to obtain)

Preferred Qualifications:
*    Experience managing complex, high-acuity or medically frail populations preferred
*    Strong clinical judgment with ability to manage complexity independently
*    Team-based care collaboration and communication
*    Comfort with value-based care, quality metrics, and documentation accuracy
*    Interest in longitudinal care management and population health

Compensation for this specialty generally ranges from $237,500 - $384,000. 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.

OptumCare 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.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.