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The Primary Care Physician (PCP) is a licensed/Board Certified/Board Eligible trained professional in internal or family medicine who plays a key role as part of the clinical operations team providing direct patient care and providing assessments primarily in the ambulatory health care center setting, or occasionally in acute care, nursing homes, skilled nursing facilities (SNF) and home settings depending on the nature of the assignment.
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For patients that are unable to come to the office—in hospital, SNF, LTC or homebound, PCP will engage with the transitional care team and others including case managers, acute and transitional-care physicians, and other resources that may be available depending on the market.
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The PCP is responsible for assessment, diagnosis, treatment, management, education, health promotion and care coordination and documentation for patients with acute and complex chronic health needs.
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The PCP independently provides care for patients with acute and chronic illnesses encountered in the older adult patient. ChenMed, a physician-led and mission-driven, primary care organization, is currently one of the most successful full-risk Medicare Advantage providers in the nation and has a vision to be America’s leading primary care provider, transforming care of the neediest population.
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In order to achieve our vision and deliver our mission, we need the best primary care providers that are seeking to fulfill purpose and personal opportunity and join the ChenMed family. The PCP leads their care team consisting of care promoter (medical assistant), care facilitator, and care coordinator for patients able to come to the office.
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Our mission is to honor seniors with affordable VIP care that delivers better health. Self-Care — A PCP can take the best care for their patients when they are adequately caring for themselves.
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Accountability for outcomes: The PCP demonstrates accountability for outcomes, strong clinical care, and cost-effectiveness for each patient in their panel of up to 450 patients. The PCP will adhere to strict departmental goals/objectives, standards of performance, regulatory compliance, quality patient care compliance, and policies and procedures.
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We’re growing rapidly as we seek to rescue more and more seniors from inadequate health care. Simplifying for action: The PCP simplifies and prioritizes appropriately so that behavior change is more actionable, both for the patient in helping them achieve their goals, and when leading their care teams towards their performance goals.
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Each PCP will have goals for these metrics and will be expected to work towards those targets with their center and market leadership as well as their care teams. The PCP will be required to demonstrate the ability to function both independently and in collaboration with other health care professionals.
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Service Orientation — PCP’s provide care that they would want for a family member or for themselves to each patient at every interaction. The PCP will take full accountability for patient care and outcomes and will appropriately seek consultation from specialists when needed, though will still stay involved in, and be responsible for, the detailed care of the patient.
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We’re different than most primary care providers. This requires a willingness to work with the care teams towards achieving high quality outcomes and quality measures. Quality — Our patients deserve the highest quality of care.
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It is expected that the PCP will engage with the hospitalist whenever one of their patients is in the hospital (regardless of whether the hospitalist works for ChenMed or not). We’re ChenMed and we’re transforming healthcare for seniors and changing America’s healthcare for the better.
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The responsibilities include but are not limited to: geriatric assessment, medical history, physical exam, diagnosis and treatment, development of the plan of care, health education, specialty referrals, case management referrals, follow-up and clear documentation according to ChenMed standards for quality, service, productivity and teamwork.
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Coordinates as needed with the transitional care team, hospital, skilled nursing facility, post-acute, utilization management, and home-based services for the market. Directs patient care for the region's patients including the following: cardiovascular disease, device checks, vascular disease evaluations, cardiovascular-related procedures, interpretations of echocardiograms and Holter monitors for coordination with hospitalists/interventionalists, and close communication with PCP's and care teams.
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Assist and coordinate, in conjunction with the transitional care team; hospital, SNF, post-acute, UM, and home-based services for the division. Other key relationships: Other cross-functional regional leaders, external sub-specialists and providers in hospitals and post-acute care facilities.
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acute care jobs Company: Chenmed
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