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Medical Director, House Calls Program

4 months ago

Detroit, United States Oak Street Health Inc. 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 motivated 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/âor quality projects


* 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 www.oakstreethealth.com/diversity-equity-and-inclusion-at-oak-street-health