Provides direct patient care in accordance with evidence-based treatment guidelines in a Patient Centered Medical Home model. The physician delivers well care and works with the team to manage chronic disease, while keeping patients and families informed and engaged in healthcare decisions. The role includes counseling and education on wellness, illness prevention, and health maintenance, as well as referrals for specialty care and condition-related education. The physician uses disease registries to identify care gaps and out-of-range values, and works with support services and care managers to improve patient health metrics. The role contributes to improving access through process improvement, same-day appointments, and extended availability, and supports more efficient office care delivery. It also involves accurate and timely documentation in accordance with coding guidelines, CMS, HIPAA, and other governmental regulations; supporting Patient Centered Medical Home benchmarks and NCQA certification; participating in clinical integration and care transitions; and following up after inpatient discharge. The physician is expected to act fiscally responsibly, deliver value to patients, attend meetings and events, and perform other duties as assigned.
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Job Type
Full-time
Career Level
Senior
Education Level
Ph.D. or professional degree