Area Medical Director - CenterWell - Houston TX

Profile

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.

JOB SUMMARY

The Area Medical Director serves as a health-care professional and capable of handling a variety of health-related problems. The Area Medical Director requires a solid understanding of how organization capabilities interrelate across multiple clinics/centers.

Responsibilities

The Area Medical Director has similar job duties as a Physician, namely focusing on outpatient medicine, continuity of care, health maintenance, and disease prevention. The Area Medical Director is also responsible for administrative oversight and outcomes for clinical providers designated to their area. Keeps a medical history and medical records. Refers the patient to specialists as needed. Decisions are typically related to identifying and resolving complex technical and operational problems within clinics/centers.

The Area Medical Director will spend 50% of their time clinically focused on direct patient care, with the remaining time dedicated to administrative duties related to oversight of clinical provision of care in their area.

Associate/Area Medical Director (AMD) supports the Regional Medical Director (RMD) in overseeing the Market Clinical-Administrative functions

Essential Functions

Clinician's PTO management in collaboration with Center administrator, including holiday schedules and as determined by the organization.

Management of CME time and reimbursement requests.

Service recovery reports (Patient complaints)

Guidance to individual clinicians about patient terminations, in collaboration with compliance.

Supervise/manage assigned clinicians at site level.

Manage behavioral concerns pertaining to assigned clinicians

Provider on-boarding as determined by on boarding procedure.

Provider off-boarding as determined by off boarding procedure.

Provide support to on site clinicians with logjams and workflow issues.

Check in with clinicians at their site routinely.

Oversight of provider quality and development of workflows to help close gaps in quality

Schedule at least one half day at clinic site for onsite visit per week

Support clinicians with schedule templates, coverage, daily issues

Assist with panel management

Oversight of quality of assigned team members

Meet with Regional CAs and other AMD at least monthly

May be assigned to organizational committees as needed, to attend and represent the clinical perspective of the market

Assist in Ongoing Chart Review monitoring

Assist with recruitment and interviewing as requested.

Desktop coverage as necessary

In collaboration with RMD, complete performance reviews as required (90 day, yearly, etc.).

Serve as a mentor to help guide clinicians as needed

Participate as backup on call

Lead all provider monthly meeting if RMD is not available, with adequate notice from RMD to allow for preparation.

Assist in organizing team building activities

Maintain regular clinic hours for a percentage of FTE as determined with Regional Medical Director, as detailed on the clinical job description.

Serve as a community representative for CenterWell Senior Primary Care in media and press activities

May involve supervision of mid-level providers

Performs other duties as assigned.

Required Qualifications

Current and unrestricted medical license in Texas or willing to obtain a medical license in Texas prior to employment, and 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 Eligibility 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 Senior Primary Care'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

#physiciancareers

Scheduled Weekly Hours

40

Company info

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