Physician - Family Practice (Non-OB)
4 weeks ago
Join Our Team as a Family Practice Physician
Key Responsibilities:
- Manage and enhance the health of patients with complex and chronic medical conditions.
- Lead and collaborate with a multidisciplinary team, including social work, case management, behavioral health, pharmacy, and nutrition, to develop comprehensive plans of care.
- Craft effective transitional care plans and maintain oversight of patients throughout the continuum of care, including discharges from hospitals, emergency rooms, and skilled nursing facilities.
- Communicate effectively with different care facilities to ensure smooth discharges to lower levels of care or returning patients to our Medical Center.
- Treat acute exacerbations of chronic diseases within the facility, such as CHF, dehydration, and respiratory conditions, recognizing when referrals for higher-level care are necessary.
- Provide same-day or next-day urgent appointments for patients returning from hospitals or in need of intensified care management or social work services.
- Monitor patients' health closely to minimize emergency room visits and hospital admissions.
- Implement the Patient-Centered Medical Home (PCMH) model of care, ensuring that specialist care is utilized appropriately and effectively.
- Educate patients on chronic disease management and the importance of advanced directives when relevant.
- Adhere to evidence-based practices and the guidelines of the PCMH model.
Qualifications:
- Licensed Physician within the practice state.
- Board certified in Family Practice or Internal Medicine.
- Current BLS certification.
- Passion for serving underserved communities.
- Ability to foster positive relationships within a collaborative team environment.
- Experience and proficiency in using Electronic Medical Records (EMR).
- Strong problem-solving skills with a creative approach.
Preferred Qualifications:
- Experience in population health management.
- Background working with medically and psycho-socially complex patient populations.
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