Become a part of our caring community and help us put health first
Humana's Primary Care Organization is one of the largest and fastest growing value-based care, senior-focused primary care providers in the country, operating multiple centers across eight states under two brands: CenterWell & Conviva. Our Clinics offer a team-based care model where our physicians lead a multi-disciplinary care team supporting patient's physical, emotional, and social wellness.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 CenterWell 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. Required Qualifications:Current and unrestricted medical license or willing to obtain a medical license in 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.This role is considered patient facing and is a part of our Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.Preferred Qualifications:Bilingual in Spanish and English is a plus.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 and Medicaid 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.Additional Information:Guaranteed base salary + bi-annual incentive.Excellent benefit package – 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.#LI-CS2
Scheduled Weekly Hours: 40
Pay Range: The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $199,400 - $298,300 per year. This job is eligible for a bonus incentive plan based upon company and/or individual performance.
Description of Benefits: Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Equal Opportunity EmployerIt is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or veteran status.
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