Medical Director, House Calls Program

6 days ago

Lansing, Michigan, United States Oak Street Health Full time

Title:
Medical Director, House Calls Program (MSO)

Program Overview

@HOME delivers high-quality primary care to Medicare patients in their home. The @HOME program takes a team-based approach to providing outstanding patient care to the population attributed to Oak Street Health's Managed Service Organization (MSO). Our Care Teams - consisting of a Provider, Medical Assistant/Scribe (CIS/MA), Behavioral Health Specialist (BHS) and Mobile Operations Coordinator (MOC) - build individual relationships across a panel of about 75 patients, seen monthly. The Care Team is responsible for delivering excellent, high-touch primary care, and coordinating the care of our patients throughout the healthcare delivery system.

Role Description


The House Calls Medical Director leads the market clinical teams in providing the best patient care and a great place to work.

At Oak Street, success isn't completing the visit or hitting an R.V.U. target.

Success is high quality care:
(1) appropriate hospital admissions, (2) excellent preventive care/chronic disease management, and (3) a great patient experience

In other words:
success at Oak Street is helping our patients be happy, healthy, and home.

Together with the Practice Manager dyad partner, the @Home Medical Director embraces these goals tightly, envisions the means to achieve them, and leads the market in pursuit of these ends.

The @Home Medical Director has mission-critical leadership responsibilities, including setting an example for how thoughtful in-home primary care is practiced, serving as a formal mentor, coach, and advisor to market providers, and leading critical program-wide strategic initiatives.

Provider Management and Development
Model clinical excellence, compassionate patient-centered care, care model adherence, and success in metrics
Hire, train, supervise, coach, mentor and manage providers (Nurse Practitioners and Behavioral Health Specialist), including:
Coaching on data-driven practices to keep patients happy, healthy, and out of the hospital using the @Home 6 Things approach
Optimize hospice utilization and care
Sharing data and helping providers understand it
Ensuring accurate coding and documentation
Owning provider performance reviews

Ensure teams are providing great clinical care to high frailty patients according to defined pathways within the patient's home, including relentless follow-through with home health, specialists, social workers, hospitals, SNFs, and specialists
Understand, teach and implement clinical guidelines at both the individual provider and market level
Ensure teams are providing an Unmatched Patient Experience, ensuring patients are delighted with the level of care they receive, and providing service recovery as needed
Ensure market operations are running smoothly and safely on a daily basis, including ensuring there is adequate staffing each day, arranging coverage for any call-offs or scheduled PTO, ensuring scheduling and billing processes are executed efficiently, ensuring that all Standard Operating Procedures are followed

Drive results for patients in Oak Street Health's care model by ensuring that standard meetings, huddles and best practices for preventive care are being followed.

Support the care team in achieving a variety of patient experience, clinical outcomes and team member experience metrics
Lead the implementation of operational initiatives, including training the team on new initiatives and workflows.
Assess and address root causes when goals are not reached. Lead the execution of continuous improvement initiatives
Use Oak Street Health's proprietary software, reporting systems and chosen EMR to monitor completion of a variety of tasks and workflows
Leadership and Culture

Build dyad relationship with Practice Manager to lead the market and make collaborative decisions that support the best interests of patients and care teams and drive success for the market
Build relationships with care teams. Acknowledge and celebrate successes of care team members and communicate opportunities for improvement
Create and maintain a culture of coaching up and growth of providers and care teams. Collaborate with the Practice Manager, as needed.
Listen to feedback from care team members and address concerns with constructive problem-solving
Conduct performance reviews and discuss provider goals and help develop plans to achieve these goals

Cascade both programmatic information to care team members as well as escalate care team concerns and ideas to program leadership.

Advocate for program, care teams, and patients
Support a positive, Oaky culture of joy in practice
Be an ambassador to corporate and center-based field leadership by building relationships with regional leadership to grow program awareness, scope and coverage
Lead and drive cross market projects, as assigned
Act as an ambassador in the local social/community organizations, as needed
Other duties as assigned

What are we looking for m

otivated leaders with:

Required:
M.D., D.O., or APRN
Board certification in Internal Medicine or Family Medicine required for M.D. or D.O. Board certification in Family, Adult, or Gerontology for APRN.
Proficient PC skills
US work authorization
Someone who embodies being Oaky

Strongly Preferred:

3+ years of experience in outpatient practice preferred
Fellowship training in Geriatrics, other professional degrees (e.g., M.B.A., J.D., M.P.H.), and prior executive roles welcomed but not required
Experience in clinical leadership roles, leading and coaching providers to be the best they can be for their patients and their colleagues
Experience using a metrics-driven approach to the provision of medical care and/
Experience successfully driving teams towards achievement of metrics
Experience with Google Suite

Other Skills:
Commitment to older adults and to low-income patients
Awareness of their leadership skills and potential for impact and eager to share those with a fast-growing, energetic team on the leading edge of healthcare innovation
Ability to drive a team culture that is collaborative, patient-centric and oriented toward driving results for our current patients and growing our impact with new patients while making it a Great Place to Work for our teams
A passion for mentorship and team development
A flexible and positive attitude, including being comfortable with ambiguity
A proactive and adaptable working style - able to cover tasks as they arise and regularly make independent decisions regarding competing priorities
A problem-solving orientation and eagerness to identify process gaps and implement practical solutions. Impeccable judgment and maturity
Ability to remain calm in the midst of the storm, guiding others to smart, effective solutions
Able to handle confidential information with discretion
What Does Being Oaky Look Like?

Radiating positive energy
Assuming good intentions
Creating an unmatched patient experience
Driving clinical excellence
Taking ownership and delivering results
Being relentlessly determined
Why Oak Street Health?


Oak Street Health is on a mission to rebuild healthcare as it should be, providing personalized primary care for older adults on Medicare, with the goal of keeping patients healthy and living life to the fullest.

Our innovative care model is centered right in our patients' communities, and focused on the quality of care over volume of services.

We're an organization on the move With over 150 locations and an ambitious growth trajectory, Oak Street Health is attracting and cultivating team members who embody oaky values and passion for our mission.

Oak Street Health Benefits

Mission-focused career impacting change and measurably improving health outcomes for Medicare patients

Paid vacation, sick time, and investment/retirement 401K match options
Health insurance, vision, and dental benefits
Opportunities for leadership development and continuing education stipends
New centers and flexible work environments
Opportunities for high levels of responsibility and rapid advancement

Oak Street Health is an equal opportunity employer. We embrace diversity and encourage all interested readers to apply.

Learn more at
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