HOME CHRONIC CARE PHYSICIAN

at USA Medical Staff (view profile)
Published September 21, 2022
Location Philadelphia, Pennsylvania
Category Physician - Family Practice  
Job Type Full Time  

Description

Please get in touch for all the information relating to this fantastic opportunity!

Extremely competitive salary range!

2313612

We are currently seeking additional Physicians to join our growing comprehensive Health Risk Assessment, Complex Care Program and Chronic Care Management teams as we further extend our operations serving a variety of Medicare Advantage, Medicaid, and Commercial clients.

 

 

Duties & Responsibilities:

 

General duties:

  • Function as day-to-day clinical leader, providing decision support to nurse practitioners and collaborating with the multidisciplinary team
  • Perform preventive visits daily to optimize chronic conditions, assess home environment, and develop proactive care plans
  • Educating patients and/or patient’s family on chronic medical conditions, preventative care, and medication adherence compliance;
  • Perform urgent care visits in the home and telephonically to avoid unnecessary ED transfers and hospital admissions
  • Leverage the support of care team such as: nurse care manager, behavioral health, social work, and pharmacy to meet patients’ medical, biopsychosocial, and financial needs
  • Assume responsibility as home based PCP in some cases where there is no PCP and in other cases co-manage the patient with the PCP and serve as an extension of clinical care into the home
  • Coordinate with other physicians across the continuum of care, including hospitalist, specialists, PCP’s (in some cases), and SNF providers to smooth transitions and prevent readmissions
  • Perform Telehealth visits at times when needed
  • Complete appropriate and thorough clinical documentation of acute and chronic health issues  through patient encounter in EMR system;
  • Complete EMR documentation in a timely manner; Ensuring all appropriate consent forms are signed and dated; Interpreting laboratory data and diagnostic testing when available to assist in diagnosis of medical conditions;
  • Performing ADL and fall risk assessments; cognitive impairment, depression, and nutritional health screening; BMI measurement; medication reconciliation;
  • Participating in frequent telephonic clinical meetings and web-based trainings; however, provider will occasionally be required to attend on-site training for which the provider will be reimbursed;
  • Complete chart reviews for advanced practice providers as determined by market Participating in quality processes such as medical documentation audits and quality projects;
  • Serving as a mentor or coach to advance practice providers in ongoing quality and performance improvement processes;
  • Improving provider relations through direct communication, knowledge of appropriate evidence-based clinical information, and the fostering of positive collegial relationships;
  • Performing other duties as assigned by the practice manager or medical director.
  • Perform HRA (health risk assessments) on patient panel
  • Interpreting laboratory data and diagnostic testing when available to assist in diagnosis of medical conditions;

 

Care Management duties:

  • Performing home visits with patients enrolled in Alegis Care’s Complex Care Program. Initial visits are comprehensive evaluations with subsequent visits targeting risk factors for disease exacerbations and hospitalizations;
  • Collaborating with the multidisciplinary team which may include: patients’ PCPs and health plan case managers;
  • Sharing after hour on-call coverage with other providers on the team;
  • Working with telephonic/office  nurse care coordinators and case managers;
  • Working with telephonic social workers (practice dependent);
  • Working with office medical assistants;
  • Having the ability and the experience to prescribe medications, order labs or diagnostic testing, and recommend sub-subspecialty referrals and collaborating with the community PCP if appropriate.

 

Knowledge, Skills, Abilities and Requirements:

  • Board Certification in Internal Medicine or Family Medicine;
  • Geriatric Medicine subspecialty training or experience preferred;
  • DEA license and State Controlled Substance license upon hire;
  • Experience with electronic medical records is required.  Also required is proficiency with various computer based applications such as Microsoft Office;
  • Must have valid state driver’s license, be able to drive your car, provide your own vehicle, and have proof of adequate automobile insurance;
  • Highly motivated, self-directed professional with strong organizational skills and comfortable working independently on a daily basis;
  • Strong background/interest in primary care and preventative medicine;
  • Excellent clinical assessment and analytical skills;
  • Effective leadership and interpersonal skills; facilitates problem resolution and maintains a professional demeanor in difficult situations;
  • Excellent verbal and written communication skills;
  • Proven ability to perform comprehensive, adult and geriatric  physical exams;
  • Demonstrated ability to identify, diagnose and document acute and chronic disease in adults  ;
  • Demonstrated ability to recognize conditions, characteristics, and behaviors that place seniors at risk
  • Proven ability to pursue feedback, continuing education and professional development;
  • Candidate must be willing to  travel up to a 30-60  miles radius from their home zip code;
  • Proof of yearly influenza vaccination, Hepatitis B vaccination, and TB testing required. Covid Vaccine Status

 

Certifications:

  • Board Certified (MD or DO) in Internal Medicine or Family Medicine
  • Must have current BLS certification
  • Must have active/unrestricted license in state of position opening
  • Must be able to be credentialed by Medicare, Medicaid, and other Private Insurance Companies
SKILLS AND CERTIFICATIONS [note: bold skills and certification are required]
Board Certified MD or DO in Internal Medicine or Family Practice
DEA License and State Controlled Substance license upon hire
Active Unrestricted license in PA
Security Clearance Required: No
Visa Candidate Considered: No
Full-time
Benefits - Full
Relocation Assistance Available - Possible for ideal candidate
Commission Compensation - No
Bonus Eligible - No
Overtime Eligible - No
Interview Travel Reimbursed - No
CANDIDATE DETAILS
5+ to 7 years experience
Seniority Level - Other
Management Experience Required - No
Minimum Education - Other
Willingness to Travel - Always
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