Regional High Risk Care Medical Director
Found in: Lensa US P 2 C2 - 2 weeks ago
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One Medical is a primary care solution challenging the industry status quo by making quality care more affordable, accessible and enjoyable. But this isn’t your average doctor’s office. We’re on a mission to transform healthcare, which means improving the experience for everyone involved - from patients and providers to employers and health networks. Our seamless in-office and 24/7 virtual care services, on-site labs, and programs for preventive care, chronic care management, common illnesses and mental health concerns have been delighting people for the past fifteen years.
In February 2023 we marked a milestone when One Medical joined Amazon. Together, we look to deliver exceptional health care to more consumers, employers, care team members, and health networks to achieve better health outcomes. As we continue to grow and seek to impact more lives, we’re building a diverse, driven and empathetic team, while working hard to cultivate an environment where everyone can thrive.
The Medicare Population Health Programs Team is seeking a full time Medical Director to join our High Risk Care team in a National role supporting high risk programs for the (West/ Central - WA, AZ, CO) regions. The Regional High Risk Care Medical Director - (West/ Central) will serve as a key member of the High Risk Care team, playing a critical role in guiding the clinical management of our high risk/high need patients across markets. This role reports to the National Medical Director and VP, Medicare Population Health Programs.
Position Highlights:
Accountable for market outcomes of admissions per thousand and readmission rate, as well as market-based program outcomes related to Part B, RAF, and Quality
Attend and collaborate on high risk care team meetings (huddles, care coordination rounds) to guide clinical plan of care
Collaborate with high risk team NPs and NP Medical directors on complex needs and clinical escalations, including calls to Specialists and hospitalists
Collaborate monthly with market NPs on high cost patients, utilization review, intake reviews. Perform periodic chart review for clinical quality improvement
Collaborate on the transitions management program for hospitalized and recently discharged patients, working with a RNs and the social resource team, as well as the Tele-Assist Team
Review admissions and utilization data to identify patients for program inclusion in transitions and high risk care programs
Clinical case review for transitions and specialist opportunities. Partner with the Network team around referral patterns, integrated program opportunities, and high-utilization patients
Partner with market and district clinical leaders on program outcomes and performance, leveraging their interface with markets to reinforce implementation and uptake of other MPHP strategies and programs
Partner with MPHP leadership on program initiatives in market
Support education of senior health clinicians on high risk care related topics
Provide virtual coverage for high risk care team patients as needed based on acuity and PTO needs
Direct care for high risk patients through high risk and post-discharge visits (avg 1 day/ wk)
Qualifications:
Must be a licensed physician (MD/DO) with an active license in at least one market (AZ/CO/WA). Willing and able to complete licensing in additional markets by start of role or within 3 months of being in role
Board certification in Internal Medicine or Family Medicine. Additional board certification in Geriatrics or Palliative Care preferred
Must reside within Phoenix, Denver, or Tacoma regions to be able to round with existing high risk care teams and interface with local practices. Willing to travel as needed to additional markets
Minimum of 7 years experience with direct clinical practice, with preference for prior high risk, in home experience or other complex, value-based care settings
Minimum of 4 years experience with progressive leadership
Experience with team based care, excellent collaboration skills
Deep experience with high risk, complex care
Able to teach and model Geriatric and Palliative-focused care
Availability during market time zones. Flexibility around work schedule
One Medical is an equal opportunity employer, and we encourage qualified applicants of every background, ability, and life experience to contact us about appropriate employment opportunities.
One Medical participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. Please refer to the E-Verification Poster (English /Spanish ) and Right to Work Poster (English /Spanish ) for additional information.
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