The Physician focuses on outpatient medicine, continuity of care, health maintenance, and disease prevention. Keeps a medical history and medical records. Refers the patient to specialists as needed. Begins to influence departments strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments.
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 anactive participant and key source of medical expertise with the care team through daily huddles.
Helps RegionalMedical Director and Center Administrator in setting a tone of cooperationin practice by displaying a professional and approachable demeanor.
Completes allmedical record documentation in a timely manner working with a quality- based coder to optimize coding specificity.
Follows policy and protocol defined byClinical 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 licenseorwilling to obtain a medical licenses instate 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 caremodel
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 roleis consideredpatient facing and is a part ofour 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 experiencepreferred
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
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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. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.$203,400 - $299,500 per yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, Humana) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
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 or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
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