Physician - CenterWell - Denham Springs LA - Denham Springs

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Job Information

Humana

Physician - CenterWell - Denham Springs, LA - Denham Springs

in

Bossier City

Louisiana

Description

CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, Missouri, Nevada, North Carolina, South Carolina and Texas. CenterWell Senior Primary Care has a strong emphasis on senior-focused primary care for members of Medicare Advantage health plans and is committed to providing personalized, high-quality primary care combined with an excellent patient experience. CenterWell Senior Primary Care has experience in both the treatment and management of most chronic and acute-care conditions. The practices also provide health education and value-added, well-being services at the centers and around their neighborhoods to help both patients and community members improve their health.

At CenterWell Senior Primary Care, we want to help those in the communities we serve, including our associates, lead their best lives. We support our associates in becoming happier, healthier, and more productive in their professional and personal lives. We promote lifelong well-being by giving our associate fresh perspective, new insights, and exciting opportunities to grow their careers. Our culture is focused on teamwork and providing a positive and welcoming environment for all.

Responsibilities

The Primary Care Physician (PCP) works as a lead in our team-based care environment. We are a value based care provider focused on quality of care for the patients we serve. Our care team consists of doctors, advanced practice professionals, Pharm D, care coach nurses, MAs, behavioral health specialists, quality based coders, referral coordinators and more. Our approach allows us to provide an unmatched experience for seniors. Our model is positioned to provide higher quality care and better outcomes for seniors by providing a concierge experience, multidisciplinary services, coordinated care supported by analytics and tools, and deep community relationships. This robust support allows our PCP to see fewer patients and spend more time with those they do.

MAJOR DUTIES AND RESPONSIBILITIES:

Patient Care

Evaluates and treats center patients in accordance with standards of care.

Follows level of medical care and quality for patients and monitors care using available data and chart reviews.

Assists in the coordination of patient services, including but not limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health care.

Acts as an active participant and key source of medical expertise with the care team through daily huddles.

Helps Regional Medical Director and Center Administrator in setting a tone of cooperation in practice by displaying a professional and approachable demeanor.

Completes all medical record documentation in a timely manner working with a quality- based coder to optimize coding specificity.

Follows policy and protocol defined by Clinical Leadership.

Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues.

Participates in potential growth opportunities for new or existing services within the Center.

Participates in the local primary care 'on-call' program of CenterWell's as needed.

Assures personal compliance with licensing, certification, and accrediting bodies.

Spend 100% of your time clinically focused on direct patient care, inclusive of patient facing time and general administrative time (charting, meetings, etc.) as it relates to direct patient care.

Required Qualifications:

Current and unrestricted medical license or willing to obtain a medical licenses in state of practice; eligible and willing to obtain licenses in other states in the region of assignment, as required  

Graduate of accredited MD or DO program of accredited university

Board Certification or True Board Eligible in Family Medicine, Internal Medicine or Geriatric Medicine with continued certification throughout employment

Excellent verbal and written communication skills

Demonstrate a high level of skill with interpersonal relationships and communications with colleagues/patients

Fully engaged in the concept of 'Integrated team based care' model

Willingness and ability to learn/adapt to practice in a value based care setting

Superior patient/customer service

Basic computer skills, including email and EMR

This role is considered patient facing and is a part of CenterWell's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB

Preferred Qualifications:

Active and unrestricted DEA license

Medicare Provider Number

Medicaid Provider Number

Minimum of two to five years directly applicable experience preferred

Experience managing Medicare Advantage panel of patients with understanding of Best Practice in coordinated care environment in a value based relationship environment.

Knowledge of Medicare guidelines and coverage.

Knowledge of HEDIS quality indicators.

Additional Information

Bilingual a plus

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Scheduled Weekly Hours

40

Company info

Humana Inc.
Website : http://www.humana.com