Physician - Primary Care Specialist

4 weeks ago

Callahan, United States Conviva Full time
Job Summary

We are seeking a highly skilled and compassionate Physician to join our team at Conviva Care Centers. As a Primary Care Specialist, you will play a vital role in providing proactive, preventive care to seniors, addressing their physical, emotional, and social needs.

Key Responsibilities
  • Evaluate and treat center patients in accordance with standards of care.
  • Follow level of medical care and quality for patients and monitors care using available data and chart reviews.
  • Assist in the coordination of patient services, including but not limited to 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 in setting a tone of cooperation in practice by displaying a professional and approachable demeanor.
  • Completes all medical record documentation in a timely manner working with a quality-based coder to optimize coding specificity.
  • Follows policy and protocol defined by Clinical Leadership.
  • Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues.
  • Participates in potential growth opportunities for new or existing services within the Center.
  • Participates in the local primary care 'on-call' program of Conviva as needed.
  • Assures personal compliance with licensing, certification, and accrediting bodies.
  • Spend 100% of your time clinically focused on direct patient care, inclusive of patient-facing time and general administrative time (charting, meetings, etc.) as it relates to direct patient care.
Requirements
  • Current and unrestricted medical license or willing to obtain a medical license in the state of practice; eligible and willing 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.
Preferred Qualifications
  • Board Certification or Eligible to become certified (ABMS or AOA) in Family Medicine, Internal Medicine or Geriatric Medicine preferred.
  • Active and unrestricted DEA license.
  • Medicare Provider Number.
  • Medicaid Provider Number.
  • Minimum of two to five years directly applicable experience preferred.
  • 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.
About Conviva

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 Humana: Humana 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.

Equal Opportunity Employer

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