Physician Leader - Arkansas
Company: UnitedHealth Group
Location: Bentonville
Posted on: September 14, 2023
Job Description:
$30,000 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.Because many of our patients are frail and elderly, we
deliver care primarily in the comfort of their home. Our Program is
also offered to eligible patients--at no incremental financial cost
to them.--We are not a fee-for- service practice; we benefit
economically only if we deliver high-quality patient outcomes and
satisfaction. As a result, our clinical teams can spend
quality-time caring for a smaller number of patients, giving all
patients the space, respect, compassion and care they deserve.At
Landmark, our interdisciplinary teams collaboratively manage our
complex patient panels. These teams are led by Physicians, Nurse
Practitioners, and Physician Assistants, with supporting care
provided by RN Nurse Care Managers, Social Workers, Pharmacists,
Behavioral Health, and other employed team members.Join Landmark to
be part of a growing company full of purpose-driven,
action-oriented, and compassionate team members working to
dramatically transform healthcare for our
communitiesThe--Physician--provides medical care and management to
members served by Landmark Health. The Physician works with the
Regional Medical Director, Director of Health Services, Health Plan
representatives, 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, the
Physician collaborates with existing PCPs if present, the Landmark
multi-disciplinary team, the health plan Medical Director, and
other health professionals, to develop members' goals of care in
all phases of longitudinal.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 Exceptional 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 assignedCompetencies:
- 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
- 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 workflowRequired Qualifications:
- Current, valid, non-sanctioned, non-restricted license to
practice medicine in the state
- Board Certified or the ability to become board certified in
Internal Medicine, Geriatrics sub-specialty, Emergency Medicine,
Palliative, or Family Practice [Board Eligible for up to one year
if new grad]
- Medical Doctorate or Doctorate of Osteopathy
- Current Drug Enforcement Agency (DEA) license
- 2+ years of clinical experience
- Ability to meet all Landmark Credentialing Requirements
- 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
- Malpractice profile meets Landmark's risk guidelines
- Knowledge of clinical standards of care
- Access to reliable transportation; if you are driving a
vehicle, you must comply with all the terms of the Landmark Motor
Vehicle Safety policyPreferred Qualifications:
- Awareness about UM standards, NCQA requirements, CMS
guidelines, Milliman guidelines, and Medicaid/Medicare contracts
and benefit systems
- Experience with home-based carePhysical Demands:
- 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 carWork Environment:
- Noise level is usually moderateCareers 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)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 by law.UnitedHealth Group is
a drug-free workplace. Candidates are required to pass a drug test
before beginning employment.
Keywords: UnitedHealth Group, Rogers , Physician Leader - Arkansas, Healthcare , Bentonville, Arkansas
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