Primary Care Physician

ChenMed•North Miami, FL

9d•Onsite

About The Position

ChenMed, a physician-led and mission-driven, primary care organization, is currently one of the most successful full-risk Medicare Advantage providers in the nation and has a vision to be America’s leading primary care provider, transforming care of the neediest population. Our mission is to honor seniors with affordable VIP care that delivers better health. In order to achieve our vision and deliver our mission, we need the best primary care providers that are seeking to fulfill purpose and personal opportunity and join the ChenMed family. The Primary Care Physician (PCP) in our organization demonstrates: • Accountability for outcomes: The PCP demonstrates accountability for outcomes, strong clinical care, and cost-effectiveness for each patient in their panel of up to 450 patients. They understand that they can strongly influence the patient’s outcomes by building a trusting relationship and helping them change behaviors. • Coaching for health: The PCP acts as a health coach, rather than just a consultant for sickness, by helping patients set short and long-term health goals, partners with the patient to work toward the goals, and frequently follows up on those goals on the path to improved health for their patients. • Simplifying for action: The PCP simplifies and prioritizes appropriately so that behavior change is more actionable, both for the patient in helping them achieve their goals, and when leading their care teams towards their performance goals. We are an outcomes-focused, value-based organization and for their panel of patients, the following metrics are regularly measured to help PCP’s become successful and reach partnership status: patient admissions/thousand, using between 18-21 appointment slots per day (each new patient count for 2 slots, follow-up patients 1 slot), CGCAHPS (patient experience), clinical gaps closures, and medical cost measures. Each PCP will have goals for these metrics and will be expected to work towards those targets with their center and market leadership as well as their care teams. Culture is very important in the medical centers and because PCP’s are leaders in our organization and centers, they are expected to help champion a positive culture of love, accountability, and passion along with center leadership. The PCP will be required to demonstrate the ability to function both independently and in collaboration with other health care professionals. The PCP will work closely with the applicable managers and medical directors to ensure compliance with guidelines along with participating in risk and quality management programs, clinical meetings and other meetings as required that promote patient health and company goals. The PCP will adhere to strict departmental goals/objectives, standards of performance, regulatory compliance, quality patient care compliance, and policies and procedures. ESSENTIAL JOB DUTIES/RESPONSIBILITIES: The PCP independently provides care for patients with acute and chronic illnesses encountered in the older adult patient. The PCP will take full accountability for patient care and outcomes and will appropriately seek consultation from specialists when needed, though will still stay involved in, and be responsible for, the detailed care of the patient. It is expected that the PCP will engage with the hospitalist whenever one of their patients is in the hospital (regardless of whether the hospitalist works for ChenMed or not). The PCP is responsible for assessment, diagnosis, treatment, management, education, health promotion and care coordination and documentation for patients with acute and complex chronic health needs. The PCP leads their care team consisting of care promoter (medical assistant), care facilitator, and care coordinator for patients able to come to the office. For patients that are unable to come to the office—in hospital, SNF, LTC or homebound, PCP will engage with the transitional care team and others including case managers, acute and transitional-care physicians, and other resources that may be available depending on the market. PCP will have an active role in the management of their center and will help cover for other providers who may be out for various reasons. It is also expected that each PCP will take an active role as needed in recruiting patients for the center and additional providers for the company. Supervises, collaborates with, participates with, or functions within a practice or collaborative agreement with an Advanced Practice Practitioner (APP) and remains accountable for the actions of the APP while employed with the company. Performs other duties as assigned and modified at manager’s discretion.

Requirements

Availability and Accessibility for patients to build trust.
Open and available for walk-in visits and answering phone calls and messages in a timely manner.
Provide care that they would want for a family member or for themselves to each patient at every interaction.
Remain updated on evidence-based medicine, and recognize that factors outside of traditional medicine, like lifestyle and nutrition, have a large impact on patient health outcomes.
Stay up to date on clinical, nutritional, and lifestyle-based interventions to improve outcomes.
Willingness to continuously work to develop and improve leadership skills.
Willingness to work with the care teams towards achieving high quality outcomes and quality measures.
Always looking for ways to continuously and systematically improve their practice of medicine and the operations of their center.
Competently and compassionately influence their patients, their teams, and themselves to achieve the best outcomes.
Adequately care for themselves physically, mentally, socially and spiritually.
Proficient in Microsoft Office Suite products including Word, Excel, PowerPoint and Outlook, plus a variety of other word-processing, spreadsheet, database, e-mail and presentation software as used in the company.
Ability and willingness to travel locally as needed in their market, if applicable, nationally for initial training (2 weeks) and then occasionally regionally and nationally for recruiting or training purposes.
Fluency in English, verbal and written.
Requires use and exercise of independent judgment.

Nice To Haves

Jobs in some centers that require fluency in other languages.

Responsibilities

Accountability for outcomes, strong clinical care, and cost-effectiveness for each patient in their panel of up to 450 patients.
Act as a health coach, helping patients set short and long-term health goals, partnering with the patient to work toward the goals, and frequently following up on those goals.
Simplify and prioritize appropriately so that behavior change is more actionable for the patient and when leading their care teams.
Champion a positive culture of love, accountability, and passion along with center leadership.
Function both independently and in collaboration with other health care professionals.
Work closely with applicable managers and medical directors to ensure compliance with guidelines.
Participate in risk and quality management programs, clinical meetings and other meetings as required.
Adhere to strict departmental goals/objectives, standards of performance, regulatory compliance, quality patient care compliance, and policies and procedures.
Independently provide care for patients with acute and chronic illnesses encountered in the older adult patient.
Take full accountability for patient care and outcomes and appropriately seek consultation from specialists when needed.
Engage with the hospitalist whenever one of their patients is in the hospital.
Responsible for assessment, diagnosis, treatment, management, education, health promotion and care coordination and documentation for patients with acute and complex chronic health needs.
Lead their care team consisting of care promoter (medical assistant), care facilitator, and care coordinator for patients able to come to the office.
Engage with the transitional care team and others including case managers, acute and transitional-care physicians, and other resources for patients unable to come to the office.
Take an active role in the management of their center and help cover for other providers.
Take an active role as needed in recruiting patients for the center and additional providers for the company.
Supervise, collaborate with, participate with, or function within a practice or collaborative agreement with an Advanced Practice Practitioner (APP) and remain accountable for the actions of the APP.
Perform other duties as assigned and modified at manager’s discretion.