Humana Physician - PIPC Henderson in Henderson, Nevada
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, Medical Assistants, 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 support allows our Primary Care Physicians to see fewer patients and spend more time with those they do.
MAJOR DUTIES AND RESPONSIBILITIES:
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
Current unrestricted medical license in the state of Nevada or ability to obtain NV Medical License
Graduate of an accredited MD or DO program
Board Certification or Eligibility in Family Medicine, Internal Medicine or Geriatric Medicine with continued certification throughout employment
This role is considered patient facing and is a part of Partners in Primary's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.
JOB RELATED EXPERIENCE:
Minimum of two to five years directly applicable experience preferred
Excellent communication skills; written and verbal, demonstrate a high level of skill with interpersonal relationships and communications with colleagues/patients; fully engaged in the concept of “Integrated team based care”
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
Experience managing Medicare Advantage patients with understanding of Best Practice in a coordinated care/value based relationship environment
Knowledge of Medicare guidelines and coverage
Knowledge of HEDIS quality indicators
Scheduled Weekly Hours
Mission: At Humana, our cultural foundation is aligned to helping members achieve their best health by delivering personalized, simplified, whole-person healthcare experiences. Recognizing healthcare needs continue to evolve for each person, for each family and for each community, Humana continuously creates innovative solutions and resources that help people live their healthiest lives on their terms –when and where they need it. Our employees are at the heart of making this happen and that’s why we are dedicated to building an organization of dynamic talent whose experience and passion center on putting the customer first.
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