Physician - Telecommute in Warwick, RI
Company: UnitedHealth Group
Location: Warwick
Posted on: May 7, 2022
Job Description:
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.ObjectiveProvides 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.If you are located in Warwick, RI, you
will have the flexibility to telecommute* as you take on some tough
challenges.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 solid 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 assignedCOMPETENCY:
- Problem Solving - Identifies and resolves problems in a timely
manner; gathers and analyzes information skillfully; develops
alternative solutions; works well in group problem solving
situations; uses reason even when dealing with emotional
topics
- Technical Skills - Assesses own strengths and weaknesses;
pursues training and development opportunities; strives to
continuously build knowledge and skills; shares expertise with
others
- Interpersonal Skills - Focuses on solving conflict; maintains
confidentiality; listens to others; keeps emotions under control
and overcomes resistance when necessary; remains open to new
ideas
- Oral Communication - Speaks clearly and persuasively in
positive or negative situations; listens and seeks clarification;
responds openly to questions. Must be able to deal with frequent
change, delays, or unexpected events
- Attendance/Punctuality - Is consistently at work and on time;
ensures work responsibilities are covered when absent; arrives at
meetings and appointments on time
- Initiative - Volunteers readily; undertakes self-development
activities; seeks increased responsibilities; takes independent
actions and calculated risks; looks for and takes advantage of
opportunities; asks for and offers help when needed; generates
suggestions for improving work and workflowYou'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:
- Medical Doctorate or Doctorate of Osteopathy
- Current, valid, non-sanctioned, non-restricted license to
practice medicine in the state
- Board Certified in Internal Medicine, Geriatrics sub-specialty
or Family Practice [Board Eligible for up to 1 year if new
grad]
- Board Certified or Board Eligible in Internal Medicine,
Geriatrics sub-specialty or Family Practice
- Current DEA
- 2+ years of clinical experience, home-based care desired
- 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
- Knowledge of clinical standards of care -
- Malpractice profile meets Landmark's risk guidelines
- Ability to meet all Landmark Credentialing Requirements
- 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 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 accommodationPreferred
Qualifications:
- Awareness about UM standards, NCQA requirements, CMS
guidelines, Milliman guidelines, and Medicaid/Medicare contracts
and benefit systems 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 carWork Environment:
- Noise level is usually moderateTo 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 employmentCareers 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)*All Telecommuters
will be required to adhere to UnitedHealth Group's Telecommuter
Policy.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.UnitedHealth Group is a
drug-free workplace. Candidates are required to pass a drug test
before beginning employment.
Keywords: UnitedHealth Group, Warwick , Physician - Telecommute in Warwick, RI, Healthcare , Warwick, Rhode Island
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