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Maintain good working relationships communications with the all interdisciplinary team members, management and utilization review staff for coordination of care and care transitions.
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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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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. We’re different than most primary care providers.
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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. For patients that are unable to come to the officein 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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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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Our Care Management division supports patient-centered care through care coordination, complex care management and helping address health-related social needs.
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We’re growing rapidly as we seek to rescue more and more seniors from inadequate health care. The PCP independently provides care for patients with acute and chronic illnesses encountered in the older adult patient.
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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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We have a full complement of care coordination with fellow providers in more than 30 specialties (Psychiatry/Behavioral Health, Orthopedics, Dermatology, Pain Management/Physiatry, etc.
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The ACO Nurse Care Manager is responsible for the management of care for a defined group of patients including complex care management, transitions of care, as well as coordination of care.
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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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In addition, the role assists the Care Manager and interdisciplinary team with access and utilization management improvements, proactive patient panel management, care facilitation and treatment coordination functions.
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As part of our continued growth, we are recruiting for full-time Primary Care Physicians in Family Medicine and Internal Medicine in Bellingham, WA. This is a traditional outpatient primary care medicine practice supporting patients from Bellingham and its surrounding communities.
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care management coordination jobs Title: primary care in Peoria, Arizona
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