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Job Details

Physician - PiPC - Beaumont Texas

Company name
Humana Inc.

Location
Beaumont, TX, United States

Employment Type
Full-Time

Industry
Healthcare

Posted on
Mar 27, 2021

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Profile

Description

Primary Care Physician

Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. It's about living life fully. At Partners in Primary Care (Partners), we want to help people everywhere, including our associates, lead their best lives. At Partners, we're seeking innovative people who want to make positive changes in their lives, the lives of our patients, and the healthcare industry as a whole.

JOB SUMMARY:

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.

Responsibilities

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 Partners in Primary Care 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 Eligibility in Family Medicine, Internal Medicine, Geriatric Medicine or American Board of Physician Specialties (ABPS) 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 Partner'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

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