- Utilize data tools to report, monitor, and improve quality and utilization
- Conduct retrospective reviews of hospitalizations and dialysis treatment episodes to ensure Monogram's care management services are effectively rendered
- Oversee clinical strategies, evidence-based clinical care guidelines, and care management programs for effectiveness and efficiency
- Reduce unnecessary episodes of care, including hospital readmissions
- Prepare clinical care reports in a timely fashion
- Apply evidence-based criteria to determine appropriate care and lead case rounds with nurse practitioners and care managers
- Analyze data to build member care plans and ensure care goals are achieved
- Identify quality of care issues for health plan clients
- Oversee the execution of care management within the Atlanta market
- Achieve clinical metrics and goals for delivering improved health outcomes at a lower total cost of care.
- Must be board certified in IM or FM
- MDs must be licensed in Mississippi and live there
- MDs will be responsible for quality outcomes for health plan members in the state of Georgia
- Must have experience in evidence-based clinical care
- Must have experience in CKD, ESRD, and polychronic care
- Must have experience with Medicaid and Medicare, quality improvement, risk adjustment, and medical utilization management
- Must have strong management skills
- Competitive salary + 10% Annual Bonus
- Comprehensive medical, dental, vision, life, disability, and full malpractice coverage
- Flexible paid leave and vacation policy
- 401(k) plan with matching contributions
- CME dues and subscriptions
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Internal Medicine Physician - Columbia, United States - Monogram Health
Description
Position:
Internal Medicine Physician
Monogram Health is seeking an IM or FM Physician for a hybrid tele-health position in Mississippi. Monogram serves patients with CKD, ESRD, and polychronic conditions. MDs work from their home office via tele-health.
Monogram MDs are quality driven physicians who are dedicated to improving the well-being, quality of life, and health outcomes for all our patients.
Roles and Responsibilities
Monogram Health is a next-generation, value-based chronic condition risk provider serving patients living with chronic kidney and end-stage renal disease and their related metabolic disorders.
Monogram's innovative, in-home approach utilizes a national nephrology practice powered by a suite of technology-enabled clinical services, including case and disease management, utilization management and review, and medication therapy management services that improve health outcomes while lowering medical costs across the healthcare continuum.
By focusing on increasing access to evidence-based care pathways and addressing social determinants of health, Monogram has emerged as an industry leader in championing greater health equity and improving health outcomes for individuals with chronic kidney and end-stage renal disease.
At Monogram Health we believe in fostering an inclusive environment in which employees feel encouraged to share their unique perspectives, leverage their strengths, and act authentically.