Medical Director

1 month ago

Maricopa, United States SCAN Healthplan Full time

Work Mode: Field based in Maricopa County

About SCAN

SCAN Group is a not-for-profit organization dedicated to tackling the most pressing issues facing older adults in the United States. SCAN Group is the sole corporate member of SCAN Health Plan, one of the nation's leading not-for-profit Medicare Advantage plans, serving more than 270,000 members in California, Arizona, and Nevada. SCAN has been a mission-driven organization dedicated to keeping seniors healthy and independent for more than 40 years and is known throughout the healthcare industry and nationally as a leading expert in senior healthcare. SCAN employees are a group of talented, passionate professionals who are committed to supporting older adults on their aging journey, while also innovating healthcare for seniors everywhere. Employees are provided in-depth training and access to state-of-the-art tools necessary to do their jobs, as well as development and growth opportunities. SCAN takes great pride in recognizing our team members as experts in their fields and rewarding them for their efforts. If you are interested in becoming part of an organization that is innovating senior healthcare visit www.thescangroup.org, www.scanhealthplan.com, or follow us on LinkedIn, Facebook, and Twitter.

The Job

With a focus on delivering comprehensive, high quality person-centered care across the health care continuum, the Medical Director will provide clinical leadership and oversight of program team members and serve as an active medical provider.

You Will

Leadership:

* Directly manage a multi-disciplinary team of nurse practitioners and physicians to ensure coordinated and high quality care delivery.
* Track and analyze clinical performance metrics related to health outcomes and utilization rates. Use this data to identify areas for improvement and implement strategies to enhance overall care quality.
* Participate in community stakeholder meetings and address any issues related to care provided to their residents.
* Provide education and guidance to other clinical team members related to geriatrics, complex care, and palliative care.
* Actively participate in provider meetings and quality improvement initiatives aimed at improving patient outcomes.

Patient Care:

* Provide primary medical care services to patients residing in their place of residence
* Collaborate with program nurse practitioners and other interdisciplinary team members to manage complex patients by conducting in-person and virtual patient rounds in tandem with other team members.
* Participate in a telephonic on-call program to support team members after hours and weekends.
* Provide immediate support to team members to urgent care needs for members such as change in medical condition or goals of care discussions.

Documentation and Compliance:

* Maintain accurate and up-to-date electronic medical records (EMRs) and other relevant documentation.
* Adhere to regulatory requirements, and coding/documentation standards, guidelines, and quality measures set forth by Medicare and other relevant authorities.

Actively supports the achievement of SCAN's Vision and Goals.

Other duties as assigned.

Your Qualifications

* Doctoral Degree M.D. required.
* Unrestricted State Medical License required.
* Geriatrics/Palliative care experience
* 5+ years of related experience as a physician, preferably with home-based visits, geriatrics, chronic disease management, and hospice and/or palliative care.
* Experience with virtual care/telehealth preferred.
* Knowledge of the treatment of complex chronic diseases, such as dementia, diabetes, heart failure, and COPD.
* Ability to identify team needs and coordinate with other resources/programs appropriately.
* Knowledge of HCC and ICD-10 coding and documentation.
* Knowledge of wound care and management.
* Knowledge of CMS guidelines and Medicare Advantage Managed Care.
* Comfortable with initiating goals of care and end of life discussions.
* Strong interpersonal skills and change agent mindset needed to build relationships with healthcare team and patients.
* Cultural competence and sensitivity required, multilingual skills preferred.
* Knowledge of and ability to maintain HIPAA requirements.
* Adaptable and open to change and problem-solving.
* Knowledge of and/or ability to learn basic technological skills (Word, Excel, PowerPoint, Outlook, EMR) and open to new technology.

What's in it for you?

* Base salary range: $213,100.00 to $341,000.00 annually
* An annual employee bonus program
* Robust Wellness Program
* Generous paid-time-off (PTO)
* Eleven paid holidays per year, plus 1 additional floating holiday
* Excellent 401(k) Retirement Saving Plan with employer match and contribution
* Robust employee recognition program
* Tuition reimbursement
* An opportunity to become part of a team that makes a difference to our members and our community every day

We're always looking for talented people to join our team Qualified applicants are encouraged to apply now

At SCAN we believe that it is our business to improve the state of our world. Each of us has a responsibility to drive Equality in our communities and workplaces. We are committed to creating a workforce that reflects our community through inclusive programs and initiatives such as equal pay, employee resource groups, inclusive benefits, and more.

SCAN is proud to be an Equal Employment Opportunity and Affirmative Action workplace. Individuals seeking employment will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law. A background check is required.

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