Physician Leader - Value Based House Calls

Hartford, CT

full-time
Outpatient

Responsibilities

As a Physician (M.D. or D.O.), your duties will be to: * Function as a day-to-day clinical leader, providing decision support to Advanced Practice Providers (APPs) 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 specialists, Social Workers, Pharmacists, and Dieticians 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

  • Must be board certified at the time of hire or able to obtain board certification during the eligible timeframe (5 years following completion of residency or other training) – preference for Internal Medicine, Family Medicine, or Emergency Medicine
  • Doctor of Medicine (M.D.) or Doctor of Osteopathy (D.O.) from an accredited educational institution
  • DEA registration
  • Experience managing complex, polychronic patients and comfort with high acuity – working with geriatric patients is a plus
  • Dedication to transforming care for the sickest and frailest in a marginalized population


Posted December 23, 2021