Geriatric Medicine
3 months ago
Evernorth Home Based Care (ENHB), a division of The Cigna Group, is the premier home-based healthcare provider and medical services company. We are an innovative, multi-specialty practice experiencing tremendous growth nationwide.
**Duties & Responsibilities:**
General duties:
- 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
- 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;
- Perform HRA (health risk assessments) on patient panel
- Interpreting laboratory data and diagnostic testing when available to assist in diagnosis of medical conditions;
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;
- 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.
**Knowledge, Skills, Abilities and 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
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