Physician Leader House Calls - Lansing , MI
Company: UnitedHealth Group
Location: Lansing
Posted on: November 22, 2022
Job Description:
$80,000 -Student Loan Repayment or $20,000 -Sign-on Bonus for
individuals who have not previously participated in this
program.
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*This is a Full-Time Opportunity!*
Eaton County MI - House Calls -
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Combine two of the fastest-growing fields on the planet with a
culture of performance, collaboration and opportunity and this is
what you get. Leading edge technology in an industry that's
improving the lives of millions. Here, innovation isn't about
another gadget, it's about making health care data available
wherever and whenever people need it, safely and reliably. There's
no room for error. Join us and start doing -your life's best
work.(sm)
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Landmark Health 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. - - -Landmark Intro Dr. John
Broderick
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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.
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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.
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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
communities
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Provides medical care and management to members served by Landmark
Health. 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; this position 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.
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-**Work Schedule: Mon-Fri from 8am-5pm ET with additional on-call
responsibilities**
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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 strong 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 assigned
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Competencies:
- 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 workflow
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You'll be rewarded and recognized for your performance in an
environment that will challenge you and give you clear direction on
what it takes to succeed in your role as well as provide
development for other roles you may be interested in.
Required Qualifications:
- Current, valid, non-sanctioned, non-restricted license to
practice medicine in Michigan
- Board Certified or Board Eligible in Internal Medicine,
Geriatrics sub-specialty, Emergency Medicine, -or Family
Practice
- Ability to meet all Landmark Credentialing
Requirements
- Medical Doctorate or Doctorate of Osteopathy
- Board Certified or Board Eligible in Internal Medicine,
Geriatrics sub-specialty or Family Practice
- Current DEA
- 2+ years of clinical experience, home-based care
- 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 policy
- Full COVID-19 vaccination is an essential requirement of this
role. Candidates located in states that mandate COVID-19 booster
doses must also comply with those state requirements. UnitedHealth
Group will adhere to all federal, state and local regulations as
well as all client requirements and will obtain necessary proof of
vaccination, and boosters when applicable, prior to employment to
ensure compliance
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Preferred Qualification:
- Awareness about UM standards
- NCQA requirements
- CMS guidelines
- Milliman guidelines
- Medicaid/Medicare contracts and benefit systems
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Physical 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 car with insurance
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Work Environment:
- Noise level is usually moderate
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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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Careers 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)
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**PLEASE NOTE** Employees must be in an active regular status.
Employees must remain in role for a minimum of 12 months from the
date of hire/rehire/transfer.--- If an employee leaves Home and
Community, the student loan repayments will cease. The employee
must remain in an Advanced Practice Clinician or Physician role
within Home and Community for 36 months to receive the full benefit
of the student loan repayments. -
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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.
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UnitedHealth Group is a drug-free workplace. Candidates are
required to pass a drug test before beginning employment.
Keywords: UnitedHealth Group, Lansing , Physician Leader House Calls - Lansing , MI, Healthcare , Lansing, Michigan
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