Physician - Value Based Care Specialist
5 hours ago
We are seeking a highly skilled and compassionate Primary Care Physician to join our team at Conviva Care Centers. As a key member of our care team, you will play a vital role in delivering high-quality, patient-centered care to our seniors.
Responsibilities- Evaluate and treat patients in accordance with established standards of care.
- Follow established levels of medical care and quality for patients, monitoring care through data analysis and chart reviews.
- Assist in coordinating patient services, including specialty referrals, hospital and SNF coordination, durable medical equipment, and home health care.
- Act as an active participant and key source of medical expertise with the care team through daily huddles.
- Help Regional Medical Director and Center Administrator set a tone of cooperation in practice by displaying a professional and approachable demeanor.
- Complete all medical record documentation in a timely manner, working with a quality-based coder to optimize coding specificity.
- Follow policy and protocol defined by Clinical Leadership.
- Meet with RMD about quality of care, review of outcome data, policy, procedure, and records issues.
- Participate in potential growth opportunities for new or existing services within the Center.
- Participate in the local primary care 'on-call' program of Conviva as needed.
- Assure personal compliance with licensing, certification, and accrediting bodies.
- Current and unrestricted medical license or willingness to obtain a medical license in the state of practice.
- Eligibility and willingness to obtain licenses in other states in the region of assignment, as required.
- Graduate of an accredited MD or DO program of an accredited university.
- Excellent verbal and written communication skills.
- Demonstrate a high level of skill with interpersonal relationships and communications with colleagues/patients.
- Fully engaged in the concept of 'Integrated team-based care' model.
- Willingness and ability to learn/adapt to practice in a value-based care setting.
- Superior patient/customer service.
- Basic computer skills, including email and EMR.
- Board Certification or Eligible to become certified (ABMS or AOA) in Family Medicine, Internal Medicine, or Geriatric Medicine.
- Active and unrestricted DEA license.
- Medicare Provider Number.
- Medicaid Provider Number.
- Minimum of two to five years directly applicable experience.
- Experience managing Medicare Advantage panel of patients with understanding of Best Practice in coordinated care environment in a value-based relationship environment.
- Knowledge of Medicare guidelines and coverage.
- Bilingual is a plus.
- Knowledge of HEDIS quality indicators.
Conviva Care Centers provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment, and more.
As part of Humana's Primary Care Organization, which includes CenterWell Senior Primary Care, Conviva's innovative, value-based approach means each patient gets the best care, when needed most, and for the lowest cost.
We go beyond physical health - addressing the social, emotional, behavioral, and financial needs that can impact our patients' well-being.
About HumanaHumana Inc (NYSE: HUM) is committed to putting health first - for our teammates, our customers, and our company.
Through our Humana insurance services, and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it.
These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
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