Complexivist Physician - Pod Leader
Company: Landmark Health
Location: Lacombe
Posted on: February 23, 2021
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Job Description:
Landmark Health is a high growth, entrepreneurial, home-based
provider team that is transforming healthcare by serving the
extensive needs of the most chronically ill in our communities.
Physicians lead a multidisciplinary team and serve on the
frontlines delivering preventive and urgent medical care in the
homes of complex, frail, and vulnerable patients. Through the
integration of technology, a highly innovative care delivery model,
and multidisciplinary clinical teams, Landmark delivers health
management capabilities at scale for the frailest and most
clinically complex segments of the population the 3-5% of members
that account for 20-30% of all national healthcare expenses
annually. Responsibilities 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 no existing PCP
for the patient, assume responsibility as PCP to drive care and
continuity for patients 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 / Board Eligible
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 Salary and 20% annual bonus
Great benefits
Keywords: Landmark Health, New Orleans , Complexivist Physician - Pod Leader, Healthcare , Lacombe, Louisiana
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