Physician Pod Leader Home Visits- Grand Rapids
Company: Optum
Location: Grand Rapids
Posted on: August 7, 2022
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Job Description:
Family Practice-Without OB opening in Grand Rapids, Michigan.
This and other physician jobs brought to you by DocCafe
This is a Full-Time Opportunity
$20,000 Sign on bonus for external candidates
Landmark Health was created to transform how healthcare is
delivered to the most medically vulnerable members in our
community. Our medical group provides home-based medical care to
chronically ill patients, many of whom are ill-equipped to navigate
our overwhelming healthcare system.
Because many of our patients are frail and elderly, we deliver care
primarily in the comfort of their home. Our Program is also offered
to eligible patients at no incremental financial cost to them. We
are not a fee-for- service practice; we benefit economically only
if we deliver high-quality patient outcomes and satisfaction. As a
result, our clinical teams can spend quality-time caring for a
smaller number of patients, giving all patients the space, respect,
compassion and care they deserve.
At Landmark, our interdisciplinary teams collaboratively manage our
complex patient panels. These teams are led by Physicians, Nurse
Practitioners, and Physician Assistants, with supporting care
provided by RN Nurse Care Managers, Social Workers, Pharmacists,
Behavioral Health, and other employed team members.
Join Landmark to be part of a growing company full of
purpose-driven, action-oriented, and compassionate team members
working to dramatically transform healthcare for our
communities
Provides medical care and management to members served by Landmark
Health. Works with the Regional Medical Director, Director of
Health Services, Health Plan representatives, and UM staff in the
development and/or implementation of medical management policy,
clinical protocols, utilization management guidelines, and quality
management programs. Dedicated to improving the health and
well-being of members; this position collaborates with existing
PCPs if present, the Landmark multi-disciplinary team, the health
plan Medical Director, and other health professionals, to develop
members' goals of care in all phases of longitudinal.
Primary Responsibilities:
Functions as the day-to-day clinical leader of the
multi-disciplinary team, providing decision support to team members
providing care in the home to Landmark patients
In situations where there is no existing PCP for the patient, the
Landmark Physician will assume responsibility as PCP to drive care
and continuity for this patient
In situations where there is an existing PCP for the patient, the
Landmark Physician helps to co-manage the patient with the PCP and
functions as their extension into the home - the PCP's eye and ears
in the home
Assess patients' needs in their place of residence, including:
Medical
Social
Psychological
Financial
Caregiver support
Environmental safety
Provide 24/7 medical coverage for assigned and covered patients
(this can be as part of a call schedule)
Develop and update care plans and documentation of clinical
encounters in the electronic medical
record as per Landmark's Medical Records Policies
Provide same-day clinical assessment and treatment for pre-crisis
intervention
Participates in management meetings that include, but may not be
limited to:
Weekly case conference reviews
Monthly staff meetings
Schedule Joint Operating Committee meetings
Quarterly Quality Improvement Committee meetings
Continuing education/journal club programs
Performs an initial comprehensive assessment on all newly enrolled
members and at least annually thereafter. Develops a member
management care plan upon enrollment and updates it as needed when
changes in condition warrant or following hospitalization. Meets
with members and/or their legal representatives to review newly
developed or modified care plans; involves the PCP in these
meetings
Calls and communicates directly with patient's PCP in real time to
discuss any changes of condition and potential medication changes.
Plans will be collaboratively decided on with PCP, but if unable to
reach and emergent situation, NP/PA will render appropriate
services and communicate changes at first available opportunity
Completes follow-up and post-hospital assessments according to
documented standard operating procedure
Prescribes appropriate diagnostics and interventions to avoid
unnecessary transfers/acute admissions
Consults with hospital physicians following notification of member
transfer
Collaborates with UM staff and PCPs/facility staff to enable
medical necessity determinations for requested medical services
Educates members and/or their legal representatives in disease
processes affecting members and ways to manage them effectively, as
well as to promote wellness
Addresses and documents advanced care planning and advanced
directive wishes on initial visit and at least annually
thereafter
Implements HEDIS measure campaigns and other quality initiatives as
directed by Regional Medical Director to ensure the highest
standards of care and to promote the improvement of care management
and delivery
Routine caseload during business hours and scheduled on call after
hours / weekends with possibility of home visits for crisis
interventions
Keeps current on relevant medical and nursing research, technology,
and related issues by attending continuing education courses,
professional meetings and journal reviews
In addition to routine history and physical exam in the home, will
be trained and be proficient at such modalities including, but not
limited to:
Insertion of IV
Venipuncture for blood draw
Wound care
Dressing changes
Catheter insertion and management
Demonstrate appropriate medical judgment and appropriate use of
resources with regards to care plans, diagnostic testing and
referrals
Develop strong patient-doctor and caretaker/family-doctor
relationships so as to improve patient compliance with care
plan
Work with the NCM to ensure care plan is meeting the clinical and
psycho-social needs of the patient
Provide timely, evidence-based and appropriate patient care at all
times
Complete and sign all documentation (including from vendors) within
required timeframes
Maintain high levels of patient and family satisfaction
Arrange for transfers and placements to appropriate levels of
care
Perform other duties as assigned
Required Qualifications:
Current, valid, non-sanctioned, non-restricted license to practice
medicine in Michigan
Board Certified or Board Eligible in Internal Medicine, Geriatrics
sub-specialty or Family Practice
Medical Doctorate or Doctorate of Osteopathy
Current Drug Enforcement Agency (DEA) license
2+ years of clinical experience
Ability to meet all Landmark Credentialing Requirements
Extensive experience in providing medical care to geriatrics
patients
Familiarity with Medicare Guidelines
Familiarity with CPT and ICD-9 codes as related to billing
practices
Malpractice profile meets Landmark's risk guidelines
Knowledge of clinical standards of care
Access to reliable transportation; if you are driving a vehicle,
you must comply with all the terms of the Landmark Motor Vehicle
Safety policy
Full COVID-19 vaccination is an essential requirement of this role.
Candidates located in states that mandate COVID-19 booster doses
must also comply with those state requirements. UnitedHealth Group
will adhere to all federal, state and local regulations as well as
all client requirements and will obtain necessary proof of
vaccination, and boosters when applicable, prior to employment to
ensure compliance
Preferred Qualifications:
Awareness about UM standards, NCQA requirements, CMS guidelines,
Milliman guidelines, and Medicaid/Medicare contracts and benefit
systems
Experience with home-based care
Physical Demands:
Regular requirement to sit; use hands to touch, handle or feel
Regular requirement to talk and listen
Occasional requirement to stand; walk and reach with hands and
arms
Occasional requirement to lift and/or move up to 10 pounds
Vision abilities include close vision, peripheral vision, depth
perception and ability to adjust focus
Ability to travel by plane or car
Work Environment:
Noise level is usually moderate
To protect the health and safety of our workforce, patients and
communities we serve, UnitedHealth Group and its affiliate
companies require all employees to disclose COVID-19 vaccination
status prior to beginning employment. In addition, some roles and
locations require full COVID-19 vaccination, including boosters, as
an essential job function. UnitedHealth Group adheres to all
federal, state and local COVID-19 vaccination regulations as well
as all client COVID-19 vaccination requirements and will obtain the
necessary information from candidates prior to employment to ensure
compliance. Candidates must be able to perform all essential job
functions with or without reasonable accommodation. Failure to meet
the vaccination requirement may result in rescission of an
employment offer or termination of employment.
Careers with Optum. Here's the idea. We built an entire
organization around one giant objective; make health care work
better for everyone. So when it comes to how we use the world's
large accumulation of health-related information, or guide health
and lifestyle choices or manage pharmacy benefits for millions, our
first goal is to leap beyond the status quo and uncover new ways to
serve. Optum, part of the UnitedHealth Group family of businesses,
brings together some of the greatest minds and most advanced ideas
on where health care has to go in order to reach its fullest
potential. For you, that means working on high performance teams
against sophisticated challenges that matter. Optum, incredible
ideas in one incredible company and a singular opportunity to do
your life's best work.(sm)
**PLEASE NOTE** The sign on bonus is only available to external
candidates. Candidates who are currently working for a UnitedHealth
Group, UnitedHealthcare or a related entity in a full time, part
time, or per diem basis ("Internal Candidates") are not eligible to
receive a sign on bonus.
Diversity creates a healthier atmosphere: UnitedHealth Group is an
Equal Employment Opportunity/Affirmative Action employer and all
qualified applicants will receive consideration for employment
without regard to race, color, religion, sex, age, national origin,
protected veteran status, disability status, sexual orientation,
gender identity or expression, marital status, genetic information,
or any other characteristic protected by law.
UnitedHealth Group is a drug-free workplace. Candidates are
required to pass a drug test before beginning employment.
Keyphrases: family medicine jobs, family practice jobs, family
practitioner jobs, family medicine specialist jobs
Keywords: Optum, Grand Rapids , Physician Pod Leader Home Visits- Grand Rapids, Healthcare , Grand Rapids, Michigan
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