Physician - House Calls in Brooklyn

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 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 Physician, 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

Must be board certified at the time of hire.

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