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  • Home Care Physician - Bloomfield - The Cigna Group

    The Cigna Group
    The Cigna Group Bloomfield

    3 weeks ago

    Default job background
    Description

    Job Title: Home-Based Clinical Leader

    Summary:

    This is a unique opportunity to lead our comprehensive care team in improving patient outcomes and reducing healthcare costs. As a Home-Based Clinical Leader, you will oversee the delivery of high-quality care to patients with complex needs, collaborating with nurse practitioners, multidisciplinary teams, and community PCPs.

    Duties & Responsibilities:

    • 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.

    Care Management Duties:

    • Performing home visits with patients enrolled in ENHB'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.

    Requirements:

    • Board Certification (MD or DO) in Internal Medicine or Family Medicine;
    • Must have active/unrestricted license in Alabama
    • Geriatric Medicine subspecialty training or experience preferred;
    • DEA license and State Controlled Substance license upon hire;
    • Must have current BLS certification
    • Candidate must be willing to travel up to a 30-60 mile radius from their home zip code ;
    • Must have valid state driver's license, be able to drive your car, provide your own vehicle, and have proof of adequate automobile insurance;
    • Must be able to be credentialed by Medicare, Medicaid, and other Private Insurance Companies
    • Experience with electronic medical records is required.
    • Proficiency with various computer based applications such as Microsoft Office;
    • 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
    • Proof of yearly influenza vaccination, Hepatitis B vaccination, and TB testing required.
    • If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

    Benefits:

    We offer a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays.

    Estimated Salary Range: $184,100 - $306,900 USD / year


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