Homebased Medical Care Physician Leader - Atlanta, GA
Location: Atlanta, Georgia
Internal Number: 120403244
$20,000 Sign-on Bonus for External Candidates
Landmark Health, part of the Optum and UnitedHealth Group family of businesses, 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.
Position in this function provides medical care and management to patients served by Homebased Medical Care (HbMC). Dedicated to improving the health and well-being of patients, this position collaborates with existing PCPs, the HbMC interdisciplinary team, and other health professionals, to develop and realize patients’ goals of care in all phases of longitudinal care.
Functions as the day-to-day clinical leader of the interdisciplinary team, providing decision support to team patients providing care in the home to HbMC patients
If there is no existing PCP recorded or currently practicing in the area or network, then the HbMC Physician Pod Leader will assume medical care duties of the PCP to provide care and continuity for the patient. HBMC will continue to work with the health plan and medical community to find and assign a PCP of record
In situations where there is an existing PCP for the patient, the HbMC 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:
Develop and update care plans and documentation of clinical encounters in the electronic medical record as per HbMC’s Medical Records Policies.
Provide same-day clinical assessment and treatment (urgent visits).
On a rotational basis, provide after-hours medical coverage for assigned and covered patients
Participates in clinical management meetings that include, but may not be limited to:
Weekly case conference reviews
Monthly staff meetings
Scheduled Joint Operating Committee meetings
Quarterly Quality Improvement Committee meetings
Continuing education/journal club programs
Provide medical care to a longitudinal panel of patients, including the following activities:
Performs an initial comprehensive assessment on all newly enrolled patients and at least annually thereafter. Develops a patient management care plan upon enrollment and updates it as needed when changes in condition warrant or following hospitalization. Meets with patients 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 in an emergent situation, or PCP not responsive to collaboration request, the physician 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 clinically appropriate interventions. o Consults with hospital physicians following notification of patient transfer
Educates patients and/or their legal representatives in disease processes affecting patients 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
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
Catheter insertion and management
Implements HEDIS measure campaigns and other quality initiatives as directed by Regional/Market Medical Director to ensure the highest standards of care and to promote the improvement of care management and delivery
Keeps current on relevant medical research, technology, and related issues by attending continuing education courses, professional meetings and journal reviews
Demonstrate appropriate medical judgment and appropriate use of resources with regards to care plans, diagnostic testing and referrals
Develop solid patient-doctor and caretaker/family-doctor relationships to improve patient compliance with care plan
Work with the patients of the interdisciplinary team 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
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions
Certificates, Licenses, Registrations:
Medical Doctorate or Doctorate of Osteopathy
Current, valid, non-sanctioned, non-restricted license to practice medicine in the state or multiple states corresponding with the needs of the assigned and covered patients
Board Certified or Board Eligible with preference in Internal Medicine, Geriatrics or Palliative Medicine sub-specialty, Family Practice or Emergency Medicine
Education and/or Experience:
Extensive experience in providing medical care to geriatrics and/or seriously ill patients
Knowledge of clinical standards of care
Familiarity with Medicare Guidelines
Familiarity with CPT and ICD-10 codes as related to billing practices
Malpractice profile meets Optum’s risk guidelines
Ability to meet all HbMC Credentialing Requirements
Access to reliable transportation required; if you are driving a vehicle, you must comply with all the terms of the Optum Motor Vehicle Safety policy
Full COVID-19 vaccination is an essential job function 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. Candidates must be able to perform all essential job functions with or without reasonable accommodation
2+ years of clinical experience, home-based care
Awareness about UM standards, NCQA requirements, CMS guidelines, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems
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
At OptumCare, we’ve found that putting clinicians at the center of care is the best way to improve lives. Our physician-led organization is one of the most dynamic and progressive health care organizations in the world, serving over 17 million people through more than 45,000 aligned physicians and 9,000 advanced practice clinicians. You will find our team working in local clinics, surgery centers and urgent care centers, within care models focused on managing risk, higher quality outcomes and driving change through collaboration and innovation. Learn more at www.workatoptum.com.
Would you thrive with OptumCare?
Do you practice evidence-based medicine?
Are you seeking a practice focused on patient-centered quality care, not volume?
Are you a team player - comfortable delegating and empowering teams?
Are you constantly seeking better ways to do things?
Do you want to be part of something better?
**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.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers 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.
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.