Responsibilities:
Evaluates and treats center patients in accordance with standards of care.
Follows level of medical care and quality for patients and monitors care using available data and chart reviews.
Assists in the coordination of patient services, including but not limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health care.
Acts as an active participant and key source of medical expertise with the care team through daily huddles.
Helps Regional Medical Director and Center Administrator in setting a tone of cooperation in practice by displaying a professional and approachable demeanor.
Completes all medical record documentation in a timely manner working with a quality- based coder to optimize coding specificity.
Follows policy and protocol defined by Clinical Leadership.
Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues.
Participates in potential growth opportunities for new or existing services within the Center.
Participates in the local primary care on-call program of Conviva as needed.
Assures personal compliance with licensing, certification, and accrediting bodies.
Spend 100% of your time clinically focused on direct patient care, inclusive of patient facing time and general administrative time (charting, meetings, etc.
) as it relates to direct patient care.
Required Qualifications:
Current and unrestricted medical license or willing to obtain a medical licenses in state of practice; eligible and willing to obtain licenses in other states in the region of assignment, as required
Graduate of accredited MD or DO program of accredited university
Excellent verbal and written communication skills
Demonstrate a high level of skill with interpersonal relationships and communications with colleagues/patients
Fully engaged in the concept of Integrated team based care model
Willingness and ability to learn/adapt to practice in a value based care setting
Superior patient/customer service
Basic computer skills, including email and EMR
This role is considered patient facing and is a part of our Tuberculosis (TB) screening program.
If selected for this role, you will be required to be screened for TB
Preferred Qualifications:
Board Certification or Eligible to become certified (ABMS or AOA) in Family Medicine, Internal Medicine or Geriatric Medicine preferred
Active and unrestricted DEA license
Medicare Provider Number
Medicaid Provider Number
Minimum of two to five years directly applicable experience preferred
Experience managing Medicare Advantage panel of patients with understanding of Best Practice in coordinated care environment in a value based relationship environment
Knowledge of Medicare guidelines and coverage
Bilingual is a plus
Knowledge of HEDIS quality indicators
Additional Information:
Guaranteed base salary + quarterly bonus
Excellent benefit package health insurance effective on your first day of employment
CME Allowance/Time
Occurrence Based Malpractice Insurance
401(k) with Employer Match
Life Insurance/Disability
Paid Time Off/Holidays
Minimal Call
• physiciancareers
• LI-JT1
Scheduled Weekly Hours
40Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting.Description of Benefits
Humana, Inc.Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability .
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