Specific Duties and Responsibilities:
Complex Clinical Care: Focuses on the management and improvement of health for patients with multiple complex and chronic medical conditions. Able to work with and lead a team (with social work, case management, behavioral health, pharmacy, nutrition, etc.), process feedback, and be open to discussing and implementing plans of care from other members of the team. Develop strong transitional care plans and able to help keep track of paneled patients along the whole continuum of care including discharges from the hospital, ER, skilled nursing facilities/nursing homes, and home care. Communicate and interact with alternate levels of care facilities (hospital, ER, skilled nursing facilities) to facilitate appropriate discharge to a lower level of care or back to the Absolute CareMedical Center. Familiar with inpatient medicine and the discharge process to help facilitate discharges. Treat acute exacerbations of chronic conditions within the Absolute Carecenter, i.e. Lasix for CHF, IVF for Dehydration/Renal Failure, IV antibiotics for various infections, Nebulizer/Solumedrol for COPD/Asthma etc. Possess a comfort level and the knowledge to differentiate when exacerbation can be treated within Absolute Careand when a higher level of care needed. 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. Vigilant in keeping track of patients and their disease processes to prevent ER visits, admissions to the hospital, and readmissions. Understand the PCMH model of care as pertains to specialist care, only utilizing this higher level of care as needed, and not a substitute for a well-trained primary care physician with evidence based clinical skills. Educate members on chronic disease progression and the need for advanced directives where applicable. Practices evidenced based medicine and in accordance with the PCMH model of care.
Candidate Qualifications:- Licensed Physician in the state of Practice
- Board certified in Internal Medicine or Family PracticeBLS certification required
- Mission-Driven to serve the underserved
- Work without ego, and thoughtfully build successful relationships with team members and our partners
- Ability to work as part of a multidisciplinary team with constant collaboration within and across provider teams
- Experience and comfort utilizing EMRProblem-solving and the ability to be creative in those solutions
Preferred qualifications:
Experience in population health management Experience in working with psycho-socially and medically complex patient population
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.
- Direct reports
- NoneAll Employees are expected to maintain the security and privacy of all information that is owned by Absolute
Care or maintained on behalf of the company's patients, employees, and business partners. Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time. This description reflects management's assignment of essential functions, it does not proscribe or restrict the tasks that may be assigned. This job description is subject to change at any time.
