Pod Leader Physician

Company: Landmark Health
Location: Cerritos
Posted on: May 6, 2022

Job Description:

Provides medical care and management to members served by Landmark Health. - Provides supervisory oversight of advance practice practitioners through a formalized chart review program. Works with the Market Medical Director to ensure proper clinical oversight of APPs. - Dedicated to improving the health and well-being of members; this position collaborates with existing PCPs if present, the Landmark multi-disciplinary team, and other health professionals, to develop members' goals of care in all phases of longitudinal. -Works with Market medical director, not RMD anymore.#LI-SM1

• Collaborating physicians are contracted with Landmark Health to perform services as required by applicable state law and licensing rules, for certain Nurse Practitioners employed by or who otherwise provide services on behalf of Landmark Health.
• The provisions of the substantive clinical collaboration between Physician and any such NP will be set forth in a Collaboration Agreement to be mutually agreed upon and entered into between Physician and the NP, which Collaboration Agreement will be consistent with Landmark Health's established clinical protocols and collaborative relationship expectations.
• Collaborative physicians will conduct a review and audit of patient charts on a regular schedule for quality assurance, regulatory compliance, and to ensure the patients receive the care and treatment they need.
• Evaluations and check-in between the Physician and NP concerning patient care and the collaborative relationship shall also occur on a regular schedule, not to be less than required by applicable laws and regulations.
• Collaborative physician may also assess patients' needs in their place of residence, including:
  • Medical
  • Social
  • Psychological
  • Financial
  • Caregiver support
  • Environmental safety
  • Provides patient care through a partnership with nurses and physician assistants overseeing the care provided by the nurse practitioner (NP), or physician's assistant (PA).
  • 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.
  • If clinically necessary, and if APP unavailable to do so, 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.
  • Prescribes appropriate diagnostics, interventions, referrals, or medications necessary to avoid unnecessary and preventable transfers/acute admissions. Educates members and/or their legal representatives in disease processes affecting members and ways to manage them effectively, as well as to promote wellness.
  • Keeps current on relevant medical and nursing research, technology, and related issues by attending continuing education courses, professional meetings, and journal reviews.
  • 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 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.
  • Landmark Health agrees to pay an hourly rate, established at fair market value for the services provided. The Physician will submit a timesheet that tracks the collaborative practice oversight and mentorship for each NP for which the relationship has been established.
  • Perform other duties as assigned.To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. -Education and/or Experience:
    • Current, valid, non-sanctioned, non-restricted license to practice medicine in the state
    • Board Certified in Internal Medicine, Emergency Medicine, Geriatrics sub-specialty or Family Practice [Board Eligible for up to one year if new grad]
    • Ability to meet all Landmark Credentialing Requirements
    • 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.
    • Minimum of two (2) years clinical experience, home-based care desired.
    • Knowledge of clinical standards of care.
    • Awareness about UM standards, NCQA requirements, CMS guidelines, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems are helpful.Certificates, Licenses, Registrations:
      • Medical Doctorate or Doctorate of Osteopathy required
      • Board Certified or Board Eligible in Internal Medicine, Geriatrics sub-specialty or Family Practice
      • Current DEA
      • Current state Driver's license without restrictions and with good driving record.We are now part of Optum and the United Health Group family of businesses, backed by the resources of a global health organization working to help people live healthier lives and to help make the health system work better for everyone. -As part of our hiring process, upon accepting an offer, candidates will be required to complete a 9-panel drug test. Due to our partnership with the Medicare Advantage program, our drug testing policies are consistent with Federal law. -Please be aware that Landmark Health does not solicit money or offer payment for job applications, nor do we ask candidates to email or submit any personal information over unsecured channels.Landmark Health requires all new hires and employees to report their COVID-19 vaccination status.

Keywords: Landmark Health, Cerritos , Pod Leader Physician, Other , Cerritos, California