Physician Leader - House Calls - Greater Cincinnati Region or Northern Kentucky
Company: UnitedHealth Group
Location: Phoenix
Posted on: June 25, 2022
Job Description:
$20,000 Sign-On Bonus For External Candidates Landmark Health,
part of the Optum and UnitedHealth Group family of businesses, was
created to transform how healthcare is delivered to the most
medically vulnerable members in our community. Our medical group
provides home-based medical care to chronically ill patients, many
of whom are ill-equipped to navigate our overwhelming healthcare
system. Objective Provides medical care and management to members
served by the program and participates in gathering clinical
information for medical necessity determinations for service
requests. Works with the Landmark Health Medical Director, Director
of Health Services, Corporate Director of Health Services, and UM
staff in the development and/or implementation of medical
management policy, clinical protocols, utilization management
guidelines, and quality management programs. Dedicated to improving
the health and well-being of members, this position collaborates
with the PCP, and as needed, the health plan Medical Director and
other health professionals, to develop members' goals of care in
all phases of long-term care. If you are located in Blue Ash, OH,
you will have the flexibility to telecommute as you take on some
tough challenges. Primary Responsibilities:
- Functions as the day to day clinical leader of the
multi-disciplinary team, providing decision support to team members
providing care in the home to Landmark patients
- In situations where there is no existing PCP for the patient,
the Landmark Physician will assume responsibility as PCP to drive
care and continuity for this patient
- In situations where there is an existing PCP for the patient,
the Landmark Physician helps to co-manage the patient with the PCP
and functions as their extension into the home - -the PCP's eye and
ears in the home
- Assess patients' needs in their place of residence, including:
- Medical
- Social
- Psychological
- Financial
- Caregiver support
- Environmental safety
- Provide 24/7 medical coverage for assigned and covered patients
(this can be as part of a call schedule).
- Develop and update care plans and documentation of clinical
encounters in the electronic medical record as per Landmark's
Medical Records Policies
- Provide same-day clinical assessment and treatment for
pre-crisis intervention
- Participates in management meetings that include, but may not
be limited to:
- Weekly case conference reviews
- Monthly staff meetings
- Schedule Joint Operating Committee meetings
- Quarterly Quality Improvement Committee meetings
- Continuing education/journal club programs
- Performs an initial comprehensive assessment on all newly
enrolled members and at least annually thereafter. Develops a
member management care plan upon enrollment and updates it as
needed when changes in condition warrant or following
hospitalization. Meets with members and/or their legal
representatives to review newly developed or modified care plans;
involves the PCP in these meetings
- Calls and communicates directly with patient's PCP in real time
to discuss any changes of condition and potential medication
changes. Plans will be collaboratively decided on with PCP, but if
unable to reach and emergent situation, NP/PA will render
appropriate services and communicate changes at first available
opportunity
- Completes follow-up and post-hospital assessments according to
documented standard operating procedure
- Prescribes appropriate diagnostics and interventions to avoid
unnecessary transfers/acute admissions
- Consults with hospital physicians following notification of
member transfer
- Collaborates with UM staff and PCPs/facility staff to enable
medical necessity determinations for requested medical
services
- Educates members and/or their legal representatives in disease
processes affecting members and ways to manage them effectively, as
well as to promote wellness
- Addresses and documents advanced care planning and advanced
directive wishes on initial visit and at least annually
thereafter
- Implements HEDIS measure campaigns and other quality
initiatives as directed by Regional Medical Director to ensure the
highest standards of care and to promote the improvement of care
management and delivery
- Routine caseload during business hours and scheduled on call
after hours / weekends with possibility of home visits for crisis
interventions
- Keeps current on relevant medical and nursing research,
technology, and related issues by attending continuing education
courses, professional meetings and journal reviews
- In addition to routine history and physical exam in the home,
will be trained and be proficient at such modalities including, but
not limited to:
- Insertion of IV
- Venipuncture for blood draw
- Wound care
- Dressing changes
- Catheter insertion and management
- Demonstrate appropriate medical judgment and appropriate use of
resources with regards to care plans, diagnostic testing and
referrals
- Develop solid patient-doctor and caretaker/family-doctor
relationships so as to improve patient compliance with care
plan
- Work with the NCM to ensure care plan is meeting the clinical
and psycho-social needs of the patient
- Provide timely, evidence-based and appropriate patient care at
all times
- Complete and sign all documentation (including from vendors)
within required timeframes
- Maintain high levels of patient and family satisfaction
- Arrange for transfers and placements to appropriate levels of
care
- Perform other duties as assigned Competencies: To perform the
job successfully, an individual should demonstrate the following
competencies:
- Problem Solving -- Identifies and resolves problems in a timely
manner; gathers and analyzes information skillfully; develops
alternative solutions; works well in group problem solving
situations; uses reason even when dealing with emotional
topics
- Technical Skills -- Assesses own strengths and weaknesses;
pursues training and development opportunities; strives to
continuously build knowledge and skills; shares expertise with
others
- Customer Service -- Manages difficult or emotional customer
situations; responds promptly to customer needs; solicits customer
feedback to improve service; responds to requests for service and
assistance; meets commitments
- Interpersonal Skills -- Focuses on solving conflict; maintains
confidentiality; listens to others; keeps emotions under control
and overcomes resistance when necessary; remains open to new
ideas
- Oral Communication -- Speaks clearly and persuasively in
positive or negative situations; listens and seeks clarification;
responds openly to questions. Must be able to deal with frequent
change, delays, or unexpected events
- Attendance/Punctuality -- Is consistently at work and on time;
ensures work responsibilities are covered when absent; arrives at
meetings and appointments on time
- Initiative -- Volunteers readily; undertakes self-development
activities; seeks increased responsibilities; takes independent
actions and calculated risks; looks for and takes advantage of
opportunities; asks for and offers help when needed; generates
suggestions for improving work and workflow You'll be rewarded and
recognized for your performance in an environment that will
challenge you and give you clear direction on what it takes to
succeed in your role as well as provide development for other roles
you may be interested in. Required Qualifications: To perform this
job successfully, an individual must be able to perform each
essential duty satisfactorily. The requirements listed below are
representative of the knowledge, skill, and/or ability required.
Reasonable accommodations may be made to enable individuals with
disabilities to perform the essential functions.
- Certificates, Licenses, Registrations:
- Medical Doctorate or Doctorate of Osteopathy -
- Board Certified or Board Eligible in Internal Medicine,
Geriatrics sub-specialty or Family Practice
- Current DEA
- Access to reliable transportation; if you are driving a
vehicle, you must comply with all the terms of the Landmark Motor
Vehicle Safety policy
- Education and/or Experience:
- Current, valid, non-sanctioned, non-restricted license to
practice medicine in the state
- Board Certified in Internal Medicine, Geriatrics sub-specialty
or Family Practice [Board Eligible for up to one year if new
grad]
- 2+ years clinical experience, home-based care desired
- Extensive experience in providing medical care to geriatrics
patients
- Familiarity with Medicare Guidelines
- Familiarity with CPT and ICD-9 codes as related to billing
practices
- Knowledge of clinical standards of care
- Ability to meet all Landmark Credentialing Requirements
- Malpractice profile meets Landmark's risk guidelines
- Full COVID-19 vaccination is an essential requirement of this
role. Candidates located in states that mandate COVID-19 booster
doses must also comply with those state requirements. UnitedHealth
Group will adhere to all federal, state and local regulations as
well as all client requirements and will obtain necessary proof of
vaccination, and boosters when applicable, prior to employment to
ensure compliance Preferred Qualification:
- Awareness about UM standards, NCQA requirements, CMS
guidelines, Milliman guidelines, and Medicaid/Medicare contracts
and benefit systems Physical Demands: Below are the physical
requirements which are representative of those that must be met by
the employee to -successfully perform the essential functions of
the job. Reasonable accommodations may be made to enable
individuals with disabilities to perform the essential functions.
- Regular requirement to sit; use hands to touch, handle or
feel
- Regular requirement to talk and listen
- Occasional requirement to stand; walk and reach with hands and
arms
- Occasional requirement to lift and/or move up to 10 pounds
- Vision abilities include close vision, peripheral vision, depth
perception and ability to adjust focus
- Ability to travel by plane or car Work Environment: Below is a
description of the work environment that the employee will
encounter while performing the essential functions of the job
- Noise level is usually moderate **PLEASE NOTE** -The sign on
bonus is only available to external candidates. Candidates who are
currently working for a UnitedHealth Group, UnitedHealthcare or a
related entity -in -a full time, part time, or per diem basis
("Internal Candidates") are not eligible to receive a sign on
bonus. - To protect the health and safety of our workforce,
patients and communities we serve, UnitedHealth Group and its
affiliate companies require all employees to disclose COVID-19
vaccination status prior to beginning employment. In addition, some
roles and locations require full COVID-19 vaccination, including
boosters, as an essential job function. UnitedHealth Group adheres
to all federal, state and local COVID-19 vaccination regulations as
well as all client COVID-19 vaccination requirements and will
obtain the necessary information from candidates prior to
employment to ensure compliance. Candidates must be able to perform
all essential job functions with or without reasonable
accommodation. Failure to meet the vaccination requirement may
result in rescission of an employment offer or termination of
employment. About OptumCare: At OptumCare, we've found that putting
clinicians at the center of care is the best way to improve lives.
Our physician-led organization is one of the most dynamic and
progressive health care organizations in the world, serving over 17
million people through more than 45,000 aligned physicians and
9,000 advanced practice clinicians. You will find our team working
in local clinics, surgery centers and urgent care centers, within
care models focused on managing risk, higher quality outcomes and
driving change through collaboration and innovation. Learn more at
. Would you thrive with OptumCare?
- Do you practice evidence-based medicine?
- Are you seeking a practice focused on patient-centered quality
care, not volume?
- Are you a team player - comfortable delegating and empowering
teams?
- Are you constantly seeking better ways to do things?
- Do you want to be part of something better? Careers with Optum.
-Here's the idea. We built an entire organization around one giant
objective; make health care work better for everyone. So when it
comes to how we use the world's large accumulation of
health-related information, or guide health and lifestyle choices
or manage pharmacy benefits for millions, our first goal is to leap
beyond the status quo and uncover new ways to serve. Optum, part of
the UnitedHealth Group family of businesses, brings together some
of the greatest minds and most advanced ideas on where health care
has to go in order to reach its fullest potential. For you, that
means working on high performance teams against sophisticated
challenges that matter. Optum, incredible ideas in one incredible
company and a singular opportunity to do -your life's best
work.(sm) *All Telecommuters will be required to adhere to
UnitedHealth Group's Telecommuter Policy. Diversity creates a
healthier atmosphere: UnitedHealth Group is an Equal Employment
Opportunity/Affirmative Action employer and all qualified
applicants will receive consideration for employment without regard
to race, color, religion, sex, age, national origin, protected
veteran status, disability status, sexual orientation, gender
identity or expression, marital status, genetic information, or any
other characteristic protected bylower 48 law. UnitedHealth Group
is a drug-free workplace. Candidates are required to pass a drug
test before beginning employment.
Keywords: UnitedHealth Group, Phoenix , Physician Leader - House Calls - Greater Cincinnati Region or Northern Kentucky, Healthcare , Phoenix, Arizona
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