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Community Health Partner - Woodlawn, MD, United States - Sage Health
Description
POSITION SUMMARY:
The Cardiologist partners with our team-based care model to support our value-based care provider focused on quality of care for the patients we serve.
Our care team consists of physicians, advanced practice professionals, medical assistants, behavioral health support, quality-based coders, referral coordinators and more.
Our approach allows us to provide an unmatched experience for seniors.Our model is positioned to provide higher quality care and better outcomes for seniors by providing concierge experience, multidisciplinary services, coordinated care supported by analytics and tools, and deep community relationships.
This robust support allows our PCP to see fewer patients and spend more time caring for patients.PRIMARY RESPONSIBILITIES:
Evaluates and treats center patients in accordance with standards of care.
Assists in the coordination of patient services, including but not limited to specialty referrals when appropriate, cardiology subspecialists and vascular surgeons, etc.
Acts as an active participant and key source of medical expertise with the care team.Partners with the primary care physicians and nurse practitioners in a tone of cooperation in practice by displaying a professional and approachable demeanor.
Completes all medical record documentation daily working with a quality- based coder to optimize comprehensive documentation.Follows policy and protocol defined by Clinical Leadership.
Meets with primary care physicians (including nurse practitioners) and market medical director and about quality of care, review of outcome data, and medical records issues.
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.
Support our longitudinal care model for heart failure with focus on disease management and prevention.Support readmission reduction initiatives for heart failure and CAD.
Create a practical framework for upstream stroke prevention.
Help coordinate care for CKD stage 5 patients needing AV graft placement prior to initiating hemodialysis.
Interpret and document in detail test results to determine how effectively the heart and or cardiovascular system is functioning i.e., Echocardiograms, stress test, etc.
Coordinate with PCP.Coordinate patient care with cardiology subspecialist i.e., interventional, EP, Thoracic, etc.
REQUIRED QUALIFICATIONS:
Graduate of accredited MD or DO program of accredited university.
Current and unrestricted medical license or willing to obtain a medical license in state of practice; eligible and willing to obtain licenses in other states in the region of assignment, as required.
Board Certification Cardiology Active and unrestricted DEA license Medicare Provider Number Medicaid Provider Number Demonstrate a high level of skill with interpersonal relationships and communications with colleagues/patients.
Fully engaged in the concept of 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. If selected for this role, you will be required to be screened for TB
PREFERRED QUALIFICATIONS
Knowledge of HEDIS/STARS
Knowledge of CAHPS and HOS
Experience working in medically underserved/culturally diverse communities.
Experience working with an electronic health record.
Experience working in Medicare Advantage Global Risk Models
ADDITIONAL INFORMATION:
No Call
No weekend
No pediatrics
Physical Requirements Primary Duty
Percent of Time Performing Duty
Visual Acuity YES 75-100%
Hearing YES 75-100%
Standing YES 75-100%
Walking YES 75-100%
Lifting/Pulling/Pushing YES 75-100%
Sitting NO 0-24%
Reports To:
Network Manager Sage Health will adhere to all federal, state, and local regulations and client requirements. It will obtain necessary proof of vaccination and boosters, when applicable, before employment to ensure compliance.
