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Become a part of our caring community and help us put health firstThe Physician Lead serves as a health-care professional and capable of handling a variety of health-related problems.

The Physician Lead works on problems of diverse scope and complexity ranging from moderate to substantial.Work Schedule: Full-time/40 Hours per WeekJob Type: Physician Lead, HybridThis position is considered a hybrid position.

This position will provide direct patient care 3-days per week and require driving/travel to the assigned territory.The assigned territory will service parts of Atlanta, GA.Additionally, this role will require performing supervisory and administrative functions, 2-days per week at home.This position is considered full-time, Monday through Friday.The Physician Lead serves as the leader for a team of up to 10 advanced practice providers who provide home-based primary care to our senior population.

In addition to supporting our advanced practice providers, you provide in-home and telemedicine visits to high-acuity seniors 3-days a week.

The Physician Lead work on problems of diverse scope and complexity ranging from moderate to substantial.The Physician Lead focuses on outpatient medicine, continuity of care, health maintenance, and disease prevention.

Keeps a medical history and medical records.

Refers the patient to specialists as needed.

Advises executives to develop functional strategies (often segment specific) on matters of significance.

Exercises independent judgement and decision making on complex issues regarding job duties and related tasks and works under minimal supervision.

Uses independent judgement requiring analysis of variable factors and determining the best course of action.Provide direction and oversight to a team of up to 10 advanced practice providers.Provide collaborating agreements for up to 4 nurse practitioners in the state of GA.Consults with advance practice providers on management of complex patients.Lead daily huddles as part of our interdisciplinary teams.Review all acute utilization events, with goal of reducing unnecessary utilization.Will see patients 3-days per week directly in-home and via telehealth, with goals set to drive interpersonal relationships with patients and families.Use of laptops for EMR charting.As needed/ongoing attention to prescription refills, home health referrals/co-signatures, lab follow-ups and coordinated care management.Use your skills to make an impactRequired QualificationsGraduate of accredited MD or DO program of accredited university.Experience leading a team of 10+ advanced practice providers.Experience providing collaborating agreements for up to 4 advance practice providers.8 or more years of technical experience.2 or more years of project leadership experience.Must have an active/unrestricted state license, DEA license, and board certification in Family Medicine, Internal Medicine, or Geriatric Medicine.Current state driver's license and proof of auto insurance.Senior patient care experience.Active BLS through the AHA (American Heart Association) or ARC (American Red Cross).Strong technical experience.This role is considered patient facing and is part of Humana/Senior Bridge's Tuberculosis (TB) screening program.

If selected for this role, you will be required to be screened for TB.Must be passionate about contributing to an organization focused on continuously improving consumer experiences.Dedicated to providing excellent healthcare and a top-quality experience.Strong belief in the revolutionary nature of house calls and passionate about improving care delivery.Consistently exhibit the highest levels of professionalism, integrity, accountability, and compassion.Willingness to work in a revolutionary environment that sometimes necessitates last minute problem solving and out of the box thinking.Technically savvy and comfortable using tools such as tablets and/or laptops for charting and HIPAA secure messaging apps for care coordination.Ability to work on call as needed.Preferred QualificationsKnowledge of HEDIS measures and the ability to close gaps in medical care.Value-based Care experience.House call experience.Urgent care, primary care, family medicine, or internal medicine experience.

POSITION SUMMARY/RESPONSIBILITIES Assists Community First Health Plan (CFHP) members regain optimum health or improved functional capacity by ensuring that members have access to all of the health care services they need in the most efficient and effective manner possible.

Responsibilities include but are not limited to overseeing the allocation of resources, cost and quality of health care for members; coordinating care between the primary care physician, community resources, family and member; coordinating care across the health care continuum while monitoring and managing benefit utilization; and, collaborating with multi-disciplinary health care team members in identifying the educational and discharge needs of members.

EDUCATION/EXPERIENCE Registered Nurse (RN) is required.

Bachelor of Science in Nursing (BSN) or Master's degree is preferred.

Minimum three (3) years nursing, acute care, quality management or managed care experience is required.

Basic knowledge of Medicaid, Medicare, community resources and alternate funding programs is desired.

Knowledge of InterQual screening criteria as well as DRG, ICD and CPT coding is preferred.

LICENSURE/CERTIFICATION Current licensure as a Registered Nurse with the Texas State Board of Nurse Examiners is required.

Current certification from an appropriate professional agency, such as Case Management Society, is preferred.

POSITION SUMMARY/RESPONSIBILITIES Assists Community First Health Plan (CFHP) members regain optimum health or improved functional capacity by ensuring that members have access to all of the health care services they need in the most efficient and effective manner possible.

Responsibilities include but are not limited to overseeing the allocation of resources, cost and quality of health care for members; coordinating care between the primary care physician, community resources, family and member; coordinating care across the health care continuum while monitoring and managing benefit utilization; and, collaborating with multi-disciplinary health care team members in identifying the educational and discharge needs of members.

EDUCATION/EXPERIENCE Registered Nurse (RN) is required.

Bachelor of Science in Nursing (BSN) or Master's degree is preferred.

Minimum three (3) years nursing, acute care, quality management or managed care experience is required.

Basic knowledge of Medicaid, Medicare, community resources and alternate funding programs is desired.

Knowledge of InterQual screening criteria as well as DRG, ICD and CPT coding is preferred.

LICENSURE/CERTIFICATION Current licensure as a Registered Nurse with the Texas State Board of Nurse Examiners is required.

Current certification from an appropriate professional agency, such as Case Management Society, is preferred.

POSITION SUMMARY/RESPONSIBILITIES

The nurse case manager coordinates, in collaboration with the patient and interdisciplinary team, the treatment/ plan of care for a patient within the acute episode of care. He/she proactively facilitates interventions to assure timely delivery of services, evaluates the effectiveness of interventions, tracks variances and/or barriers in the plan of care, and functions as the patient advocate to identify and communicate health care needs.

EDUCATION/EXPERIENCE

Bachelor's degree in Nursing is highly preferred. Three to five years nursing experience required. Work experience in case management, utilization review or hospital quality is preferred.

LICENSURE/ CERTIFICATIONS

Current licensure as a Registered Nurse with the Texas State Board of Nurse Examiners is required. An approved case management certification (ACM, CCM or ANCC) is preferred. Current American Heart Association, Basic Cardiac Life Support and/or Health Care Provider card preferred.

POSITION SUMMARY/RESPONSIBILITIES

The nurse case manager coordinates, in collaboration with the patient and interdisciplinary team, the treatment/ plan of care for a patient within the acute episode of care. He/she proactively facilitates interventions to assure timely delivery of services, evaluates the effectiveness of interventions, tracks variances and/or barriers in the plan of care, and functions as the patient advocate to identify and communicate health care needs.

EDUCATION/EXPERIENCE

Bachelor's degree in Nursing is highly preferred. Three to five years nursing experience required. Work experience in case management, utilization review or hospital quality is preferred.

LICENSURE/ CERTIFICATIONS

Current licensure as a Registered Nurse with the Texas State Board of Nurse Examiners is required. An approved case management certification (ACM, CCM or ANCC) is preferred. Current American Heart Association, Basic Cardiac Life Support and/or Health Care Provider card preferred.

POSITION SUMMARY/RESPONSIBILITIES

The nurse case manager coordinates, in collaboration with the patient and interdisciplinary team, the treatment/ plan of care for a patient within the acute episode of care. He/she proactively facilitates interventions to assure timely delivery of services, evaluates the effectiveness of interventions, tracks variances and/or barriers in the plan of care, and functions as the patient advocate to identify and communicate health care needs.

EDUCATION/EXPERIENCE

Bachelor's degree in Nursing is highly preferred. Three to five years nursing experience required. Work experience in case management, utilization review or hospital quality is preferred.

LICENSURE/ CERTIFICATIONS

Current licensure as a Registered Nurse with the Texas State Board of Nurse Examiners is required. An approved case management certification (ACM, CCM or ANCC) is preferred. Current American Heart Association, Basic Cardiac Life Support and/or Health Care Provider card preferred.

POSITION SUMMARY/RESPONSIBILITIES

The nurse case manager coordinates, in collaboration with the patient and interdisciplinary team, the treatment/ plan of care for a patient within the acute episode of care. He/she proactively facilitates interventions to assure timely delivery of services, evaluates the effectiveness of interventions, tracks variances and/or barriers in the plan of care, and functions as the patient advocate to identify and communicate health care needs.

EDUCATION/EXPERIENCE

Bachelor's degree in Nursing is highly preferred. Three to five years nursing experience required. Work experience in case management, utilization review or hospital quality is preferred.

LICENSURE/ CERTIFICATIONS

Current licensure as a Registered Nurse with the Texas State Board of Nurse Examiners is required. An approved case management certification (ACM, CCM or ANCC) is preferred. Current American Heart Association, Basic Cardiac Life Support and/or Health Care Provider card preferred.

POSITION SUMMARY/RESPONSIBILITIES

The nurse case manager coordinates, in collaboration with the patient and interdisciplinary team, the treatment/ plan of care for a patient within the acute episode of care. He/she proactively facilitates interventions to assure timely delivery of services, evaluates the effectiveness of interventions, tracks variances and/or barriers in the plan of care, and functions as the patient advocate to identify and communicate health care needs.

EDUCATION/EXPERIENCE

Bachelor's degree in Nursing is highly preferred. Three to five years nursing experience required. Work experience in case management, utilization review or hospital quality is preferred.

LICENSURE/ CERTIFICATIONS

Current licensure as a Registered Nurse with the Texas State Board of Nurse Examiners is required. An approved case management certification (ACM, CCM or ANCC) is preferred. Current American Heart Association, Basic Cardiac Life Support and/or Health Care Provider card preferred.

POSITION SUMMARY/RESPONSIBILITIES The nurse case manager coordinates, in collaboration with the patient and interdisciplinary team, the treatment/ plan of care for a patient within the acute episode of care.

He/she proactively facilitates interventions to assure timely delivery of services, evaluates the effectiveness of interventions, tracks variances and/or barriers in the plan of care, and functions as the patient advocate to identify and communicate health care needs.

EDUCATION/EXPERIENCE Bachelor's degree in Nursing is highly preferred.

Three to five years nursing experience required.

Work experience in case management, utilization review or hospital quality is preferred.

LICENSURE/ CERTIFICATIONS Current licensure as a Registered Nurse with the Texas State Board of Nurse Examiners is required.

An approved case management certification (ACM, CCM or ANCC) is preferred.

Current American Heart Association, Basic Cardiac Life Support and/or Health Care Provider card preferred.

POSITION SUMMARY/RESPONSIBILITIES The nurse case manager coordinates, in collaboration with the patient and interdisciplinary team, the treatment/ plan of care for a patient within the acute episode of care.

He/she proactively facilitates interventions to assure timely delivery of services, evaluates the effectiveness of interventions, tracks variances and/or barriers in the plan of care, and functions as the patient advocate to identify and communicate health care needs.

EDUCATION/EXPERIENCE Bachelor's degree in Nursing is highly preferred.

Three to five years nursing experience required.

Work experience in case management, utilization review or hospital quality is preferred.

LICENSURE/ CERTIFICATIONS Current licensure as a Registered Nurse with the Texas State Board of Nurse Examiners is required.

An approved case management certification (ACM, CCM or ANCC) is preferred.

Current American Heart Association, Basic Cardiac Life Support and/or Health Care Provider card preferred.