Physician Associate Medical Director Monmouth County, NJ Wall
Location: Wall, New Jersey
Internal Number: 119947363
Full Time Home Based Position
$10,000 Sign-on Bonus for individuals who have not previously participated in this program.
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.
The Associate Medical Director (AMD) provides direct and indirect medical care and population health management to patients served by the Homebased Medical Care team. This role reports directly to the Market Medical Director. This role also provides clinical and operational oversight to a team of physicians and advanced level practitioners assigned to them. The AMD also acts as a leader for the zone’s physician Pod leader, APPs and other interdisciplinary team patients, all accountable for serving a patient population and/or geography within a market
The AMD directs and helps build the capacity of a team of providers in a zone to manage a population of complex patients, and is responsible for achieving clinical outcomes, optimizing utilization/costs, and ensuring high patient satisfaction within that zone. This position is a blend of direct and indirect patient care and administrative duties.
Direct & Indirect Patient Care:
Provide direct patient care to HbMC patients not less than one full day per week (or 20%-25% FTE) in face-to-face visits
Complete comprehensive chart reviews and ride alongs of providers in their respective zone in order to ensure high quality care of patients
Participate in the market on call schedule and provide telephonic on-call coverage that require telephonic triage based on market needs
Support advanced level practitioners with in-person or telephonic clinical consultations
Provide real time supervision of Urgentivist Extenders (paramedics or RNs/LPNs/LVNs) as needed
Review reports and data to improve population health for patients within their zone and patient panel
Provide clinical leadership, oversee quality and execute clinical operations within a defined zone
Oversee the application of specific measurements of quality and ensure that all providers consistently meet thresholds
Remain current in the knowledge of geriatrics, utilization management, quality management, managed care principals and new clinical developments and technologies
Participate in the continuous assessment and improvement of the quality of care provided to patients
At the direction of the Market Medical Director participate in the resolution of medically related grievances
Team Performance Management:
Supervise Physician POD leaders and advanced practice practitioners (APP) directly reporting to AMD, including conducting regular 1:1s, proactively providing performance feedback, reviews and mentorship, overseeing provider education, in-service training, and orientation
Serve as a Collaborating Physician to assigned Nurse Practitioners as required under the laws of the applicable state
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.
Medical Doctorate or Doctorate of Osteopathy required
Current, valid, non-sanctioned, non-restricted license to practice medicine in the state or multiple states corresponding with the needs of the assigned and covered patients
Board Certified or Board Eligible in Internal Medicine, Geriatrics or Palliative, or other Internal Medicine sub-specialty - Family Practice or Emergency Medicine
Participate in rotating call schedule
Ability to meet all HbMC Credentialing Requirements
Extensive experience in providing medical care to geriatrics and/or seriously ill patients
Familiarity with Medicare Guidelines
Familiarity with CPT and ICD-10 codes as related to billing practices
Malpractice profile meets Optum’s risk guidelines
Minimum of two (2) years clinical experience, home-based care desired
Knowledge of clinical standards of care
Awareness about UM standards, NCQA requirements, CMS guidelines, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems is helpful
Current in the knowledge of geriatrics, palliative medicine, utilization management, quality management, managed care principals and new clinical developments and technologies
Have experience in leading teams of physicians and mid-level providers in delivering high-quality, cost-effective care
Experience in recruiting and hiring medical talent along with continuous supervision of the medical care delivered
Ability to analyze staffing needs sufficient to care for the patient panel
Experience in coaching patients of the health care team to provide excellent care or, if needed, determine deficiencies in care and formulate a plan for improvement
Certificates, Licenses, Registrations:
Access to reliable transportation required; if you are driving a vehicle, you must comply with all the terms of the Optum Motor Vehicle Safety policy
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
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