Humana - Lake Park, FL

posted 3 days ago

Full-time - Mid Level
Lake Park, FL
5,001-10,000 employees
Insurance Carriers and Related Activities

About the position

The Primary Care Physician (PCP) at Conviva plays a crucial role in a team-based care environment, focusing on providing high-quality, value-based care to senior patients. This position emphasizes a collaborative approach, where the PCP leads a multidisciplinary care team to ensure comprehensive support for patients' physical, emotional, and social wellness. The PCP is responsible for evaluating and treating patients, coordinating care services, and maintaining high standards of medical practice, all while ensuring compliance with relevant regulations and policies.

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 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 CenterWell as needed.
  • Assures personal compliance with licensing, certification, and accrediting bodies.
  • Spends 100% of time clinically focused on direct patient care, inclusive of patient facing time and general administrative time.

Requirements

  • Current and unrestricted medical license or willing to obtain a medical license in the 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.
  • 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.

Nice-to-haves

  • Board certification or eligible to become certified (ABMS or AOA) in Family Medicine, Internal Medicine or Geriatric Medicine preferred.
  • Active and unrestricted DEA license.
  • Medicare 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.

Benefits

  • Guaranteed base salary + bi-annual incentive
  • Health insurance effective on your first day of employment
  • CME Allowance/Time
  • Occurrence Based Malpractice Insurance
  • Relocation and sign-on bonus options
  • 401(k) with Employer Match
  • Life Insurance/Disability
  • Paid Time Off/Holidays
  • Minimal Call
© 2024 Teal Labs, Inc
Privacy PolicyTerms of Service