Physician: House calls in Albany, NY
Company: Landmark Health
Location: Pittsfield
Posted on: January 11, 2021
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Job Description:
Landmark Health is a high growth, entrepreneurial, home-based
provider team that is transforming healthcare by serving the
extensive needs of the most chronically ill in our communities.
Physicians lead a multidisciplinary team and serve on the
frontlines delivering preventive and urgent medical care in the
homes of complex, frail, and vulnerable patients. Through the
integration of technology, a highly innovative care delivery model,
and multidisciplinary clinical teams, Landmark delivers health
management capabilities at scale for the frailest and most
clinically complex segments of the population the 3-5% of members
that account for 20-30% of all national healthcare expenses
annually. JOB DUTIES & RESPONSIBILITIES As a Physician, your duties
will be to: Function as day-to-day clinical leader, providing
decision support to nurse practitioners and directing the
multidisciplinary team Perform 4-6 preventive visits daily to
optimize chronic conditions, assess home environment, educate
patients and caregivers, and develop proactive care plans Perform
urgent care visits in the home to avoid unnecessary ED transfers
and hospital admissions Leverage the support of nurse care manager,
behavioral health, social work, pharmacy, and dietician to meet
patients medical, biopsychosocial, and financial needs In
situations where there is no existing PCP for the patient, assume
responsibility as PCP to drive care and continuity for patients In
situations where there is an existing PCP for the patient, help to
co-manage the patient with the PCP and serve as an extension of
clinical care into the home Coordinate with other physicians across
the continuum of care, including PCP, hospitalist, and SNF
providers to smooth transitions and prevent readmissions Coordinate
and offer medical direction to community-based organizations
touching the lives of our patients, including housing and caregiver
agencies, health plan contracted social work services, home health,
adult day health centers, and behavioral health QUALIFICATIONS
Board Certified /Preferably Internal Medicine, Family Medicine, or
Emergency Medicine Doctor of Medicine M.D. or Doctor of Ostepathy
D.O. from an accredited educational institution DEA registration
Experience managing complex, polychronic patients and comfort with
high acuity Dedication to transforming care for the sickest and
frailest in a marginalized population Eagerness to work with a
diverse and multidisciplinary team
Keywords: Landmark Health, Pittsfield , Physician: House calls in Albany, NY, Healthcare , Pittsfield, Massachusetts
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