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Physician – Home-based Medical Care –
4 months ago
This position will cover Norfolk to Virginia Beach, VA
Landmark Health was created to transform how healthcare is delivered to the most medically vulnerable members in our community. Our medical group provides home-based medical care to chronically ill patients, many of whom are ill-equipped to navigate our overwhelming healthcare system.
Do you want to make a difference in healthcare?
Because many of our patients are frail and elderly, we deliver care primarily in the comfort of their home. Our Program is also offered to eligible patients at no incremental financial cost to them. We are not a fee-for- service practice; we benefit economically only if we deliver high-quality patient outcomes and satisfaction. As a result, our clinical teams can spend quality-time caring for a smaller number of patients, giving all patients the space, respect, compassion and care they deserve.
At Landmark, our interdisciplinary teams collaboratively manage our complex patient panels. These teams are led by Physicians, Nurse Practitioners, and Physician Assistants, with supporting care provided by RN Nurse Care Managers, Social Workers, Pharmacists, Behavioral Health, and other employed team members.
Primary Responsibilities:
Functions as the day to day clinical leader of the multi-disciplinary team, providing decision support to team members providing care in the home to Landmark patientsIn situations where there is no existing PCP for the patient, the Landmark Physician will assume responsibility as PCP to drive care and continuity for this patientIn situations where there is an existing PCP for the patient, the Landmark Physician helps to co-manage the patient with the PCP and functions as their extension into the home the PCP s eye and ears in the homeAssess patients needs in their place of residenceProvide 24/7 medical coverage for assigned and covered patients (this can be as part of a call schedule)Develop and update care plans and documentation of clinical encounters in the electronic medical record as per Landmark s Medical Records PoliciesProvide same-day clinical assessment and treatment for pre-crisis interventionParticipates in management meetings that includePerforms an initial comprehensive assessment on all newly enrolled members and at least annually thereafter. Develops a member management care plan upon enrollment and updates it as needed when changes in condition warrant or following hospitalization. Meets with members and/or their legal representatives to review newly developed or modified care plans; involves the PCP in these meetingsCalls and communicates directly with patient s PCP in real time to discuss any changes of condition and potential medication changes. Plans will be collaboratively decided on with PCP, but if unable to reach and emergent situation, NP/PA will render appropriate services and communicate changes at first available opportunityCompletes follow-up and post-hospital assessments according to documented standard operating procedurePrescribes appropriate diagnostics and interventions to avoid unnecessary transfers/acute admissionsConsults with hospital physicians following notification of member transferCollaborates with UM staff and PCPs/facility staff to enable medical necessity determinations for requested medical servicesEducates members and/or their legal representatives in disease processes affecting members and ways to manage them effectively, as well as to promote wellnessAddresses and documents advanced care planning and advanced directive wishes on initial visit and at least annually thereafterImplements HEDIS measure campaigns and other quality initiatives as directed by Regional Medical Director to ensure the highest standards of care and to promote the improvement of care management and deliveryRoutine caseload during business hours and scheduled on call after hours / weekends with possibility of home visits for crisis interventionsKeeps current on relevant medical and nursing research, technology, and related issues by attending continuing education courses, professional meetings and journal reviews In addition to routine history and physical exam in the home, will be trained and be proficient at such modalities including, but not limited to:Insertion of IVVenipuncture for blood drawWound careDressing changesCatheter insertion and managementDemonstrate appropriate medical judgment and appropriate use of resources with regards to care plans, diagnostic testing and referralsDevelop strong patient-doctor and caretaker/family-doctor relationships so as to improve patient compliance with care planWork with the NCM to ensure care plan is meeting the clinical and psycho-social needs of the patientProvide timely, evidence-based and appropriate patient care at all timesComplete and sign all documentation (including from vendors) within required timeframesMaintain high levels of patient and family satisfactionArrange for transfers and placements to appropriate levels of carePerform other duties as assignedRequired Qualifications:Current, valid, non-sanctioned, non-restricted license to practice medicine in the State of VirginiaBoard Certified in Internal Medicine, Geriatrics sub-specialty, Emergency Medicine or Family Practice [Board Eligible for up to one year if new grad]Medical Doctorate or Doctorate of OsteopathyCurrent DEAExperience in providing medical care to geriatrics and/or seriously ill patients2+ years of clinical experienceAccess to reliable transportation requiredPreferred Qualifications:2+ years clinical experienceFamiliarity with Medicare GuidelinesFamiliarity with CPT and ICD-9 codes as related to billing practicesHome-based Medical Care ExperienceAwareness about UM standards, NCQA requirements, CMS guidelines, Milliman guidelines, and Medicaid/Medicare contracts and benefit systemsKnowledge of clinical standards of careCareers with Optum. Here s the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world s large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life s best work.(sm)Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
