AbsoluteCare is seeking a dynamic, mission-driven clinical leader to put the principles of team-based collaborative care and population health into action for our medically complex & socially vulnerable members. AbsoluteCare is designed to care for society’s most complex patients under innovative value-based care arrangements. Our patients have typically been underserved by the traditional health care system, resulting in frequently bouncing between emergency rooms, hospitals, and specialists. Our health care teams break the status quo by transforming our members’ experience to improve quality of life and overall health outcomes while reducing high costs of unnecessary utilization. This exceptional care is provided by an integrated team of primary care providers, complex care managers, nurses, medical assistants, behavioral health clinicians, and community health workers. We offer complex, coordinated medical care with our onsite infusion center, full pharmacy, and lab & imaging suites. We also address the social determinants of health, addressing housing instability, food insecurity, and social isolation.
The Lead Physician provides direct clinical care to a panel of members. They guide clinicians on best practices on delivering value-based care. Additionally, they work closely with our Medical Director to provide clinical leadership to our providers, Nurses, Behavioral Health specialists, and Medical Assistants.
There are 4 key areas for responsibility for the Lead Physician:
- Provide excellent primary care to a panel of members, leading your pod interdisciplinary care team
- Coach fellow providers in how to provide excellent primary care / urgent care / or community care to their members, and effectively lead their interdisciplinary care teams. Mentor care teams during population health huddle to achieve their quality and utilization goals.
- Alongside the Medical Director, the Lead Physician is the clinical leader in the center. They address questions from and provide clinical guidance to nurses, MAs, and fellow providers about clinical cases as they arise.
- The Lead Physician is core part of the center and market’s leadership team. They are accountable for driving the market toward successfully achieving its quality, utilization and engagement goals. Alongside the medical director, they partake in leadership meetings, and will also be AbsoluteCare’s ambassador to community based organizations, hospital systems, and payer partners.
Duties and Responsibilities
- Provide Primary Care services to panel of members.
- Work in a team environment (with social work, care management, behavioral health, nursing, pharmacy, nutrition, etc.), process feedback, and facilitate discussion and implementing plans of care from other members of the team.
- Coach and mentor physicians and Advance Practice Providers.
- Treatment of acute exacerbations of chronic conditions onsite.
- Accept same day/next day or urgent appointments for patients from home or discharged from the hospital/ER/skilled nursing facility in need of intensified physician or case management/social work services to ensure acute episode has resolved and the patient is not admitted/readmitted.
- Possess a comfort level and the knowledge to differentiate when exacerbation can be treated within AbsoluteCare and when a higher level of care is needed.
- Work with Medical Director to forge partnerships with academic programs and community-based organizations to enhance provision of services to members.
- Vigilant in keeping track of patients and their disease processes to prevent ER visits, admissions to the hospital, and readmissions.
- Practice evidenced based medicine and in accordance with the PCMH model of care.
- Able to keep track of and successfully obtain specified quality metric goals.
- Perform other duties as required consistent with chronic care and disease management services provided to patients.
- Implement plans of care in collaboration with the patient, their family and other team members.
- Develop strong transitional care plans and able to keep track of paneled patients along the whole continuum of care including hospital discharges, ER, skilled nursing facilities and home care.
- Track and successfully obtain specified quality metric goals.
- Use technology and the electronic health record to the highest capability to increase quality initiatives and efficiency within the practice.
- Participate in multi-disciplinary meetings and recommends treatment initiatives designed to keep patients healthy or resolve ongoing clinical issues.
- Provide on-call coverage for the office in rotation with other providers.
- Develop clinical protocols and pathways to upskill all clinical support staff to practice top of license
- Other duties as assigned.
Minimum Qualifications
- Active, unrestricted medical license in the state of employment.
- 5+ years of clinical experience and administrative experience leading interdisciplinary teams.
- Experience working for a clinic, community-based organization & inpatient unit.
- Experience with training and mentoring.
- Excellent interpersonal communication skills.
- Strong problem solving, project management and organization skills.
- Independent self-starter and critical thinker interested in population health, healthcare utilization management, and the ongoing development of our care model.
Working conditions
This job operates in a professional office environment. This role routinely uses general office equipment. Often wear a special uniform, such as a lab coat or surgical scrubs, protective or safety attire, such as gloves and masks. Exposed to the diseases and infections of patients daily. May share workspace with other technicians and staff. Will be required to travel to any of our centers or corporate office based upon company needs.
Physical requirements
- Ability to communicate clearly and exchange accurate information constantly.
- Ability to remain stationary for long periods of time.
- Constantly operates computer, keyboard, copy and fax machine, phone, and other general office equipment.