Evaluating Clinician

The Fedcap Group•New York, NY

About The Position

The Evaluating Clinician works with the Medical Director and QHPs to follow up on initial evaluations and assessments. This role involves performing subsequent special consultations when indicated by assessment and initial medical evaluation, adhering to established protocols.

Requirements

New York State licensed doctor (MD) with training in internal medicine, family practice, physical medicine and rehabilitation, or in other medical disciplines as designated by HRA who reviews the Clinical Assessments/Clinical Reassessments immediately following their completion when indicated
Experience managing large scale projects and driving change initiatives, including as-is process mapping and the design and rollout of new processes and standard operating procedures

Responsibilities

Ensure that Comprehensive Assessments to establish and/or maintain collaborative relationships with the health provider community, on behalf of the WeCARE Program
Perform medical evaluation and assessments which include: Medical history/prior WeCARE history, Physical examination, Review of prior WeCARE documentation (when applicable), Review clinical documentation provided by the individual (when available), Medical, mental health, substance use, vocational, educational, social history, etc.
Perform Sequential Evaluation
Execute best practices, adopt information technology updates, incorporate predictive analytics into patient care flow redesign decisions; and respond to operations issues when they are prioritized with urgency
Create participant-specific report(s) listed below after conducting medical evaluations
Conduct the sequential evaluation process as defined by the SSA (Social Security Administration)
Outline diagnoses
Assist in determining the individual’s Functional Capacity Outcome (FCO)
Conduct Medical evaluation when the FCO cannot be determined on the basis of the Clinical Assessment or Clinical Re- assessment
Identify operational issues and facilitate corresponding process improvements in close collaboration with Medical Director
Ensure that medical services are delivered within HRA guidelines