17 days old

Neighborhood Physician - Las Vegas, NV - 936945

Las Vegas, NV 89101
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  • Job Code
    936945
  • Jobs Rated
    102nd

The role of the Neighborhood physician is to manage primary care for complex Community Based patients within their assigned neighborhood(s) with an interdisciplinary care team. He/she will demonstrate excellent customer service and work in partnership with healthcare delivery stakeholders to improve smooth transitions of care. This position will complete home and clinic visits based on standard workflow requirements including productivity standards and clinical indicators for care. The neighborhood physician will collaborate with the CDQI department to complete or designate IDT members to meet HEDIS measures, RAF, immunization requirements, create advanced life plans and positive patient satisfaction in their neighborhood. Through monthly meetings with Sr. Medical Director he/she will report how their assigned care team has managed readmission, direct acute admissions and quality improvement activities for their assigned neighborhood(s). The Neighborhood Physician will participate in financial performance of their neighborhood.

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Primary Responsibilities:

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  • Meet productivity and task measures as assigned by the Sr. Medical Director
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  • Meet with IDT teams weekly to review patient progress in medical treatment
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  • Identify patients that will require a physician visit and determine with the RN Coordination Manager if the assigned IDT resources are working towards optimal performance
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  • Identify patients that may require Sr. Medical Director Evaluation and discuss alternative plans for optimal management of the patient
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  • Provide checklist of discharged patients for the Sr. Medical Director weekly for appropriate disposition
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  • Evaluate and assign appropriate level team members to complete RAF, HEDIS and customer care with the Case Manager RN Coordinator
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  • Assist in the development of the all of the IDT team members standard workflow
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  • Complete tasks, medication refill orders and physician required home care orders within Lean standard goals
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  • Audit clinical competency of the NP thru supervisory visits and chart reviews
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  • Develop standard workflow for the NP
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  • Mentor and teach IDT members towards clinical excellence
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  • Evaluation Patient satisfaction reports and reward high performers on their work for the neighborhood
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  • Participate in a rotation of post-acute provider call for primary care for complex Community based program patients
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  • Evaluate after hour call report for neighborhood assigned patients with the RN Manager to determine prevention plans
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  • Ensure that all pertinent documentation is in the medical record in a manner compliant to policy
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  • Provide the clinical staff with on-going clinical education/updates to enhance understanding of acute and chronic medical conditions and follow evidence-based medicine
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  • Direct efforts toward specific patient goals of care, along with Advance Directive discussions and Post reviews/completion
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  • Performs duties within state and federal regulatory guideline, Optum/United pol icy and in accordance to scope of practice
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  • Other duties as assigned to in Optum national program meeting/task forces and other meetings in accordance with job description
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Youll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
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Required Qualifications:

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  • M.D. Board Certified in a postgraduate clinical specialty
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  • Licensed to practice without restriction by the Nevada State Board of Medical Examiners
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  • 5+ years of medical experience
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  • 1+ years of progressively responsible management experience preferably in a managed care setting
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  • Additional training in medical management
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  • Broad and comprehensive knowledge of medical management principles and insurance products for multiple and varied lines of business in a managed care environment
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  • Solid knowledge of the community health care environment, the provider network and the managed care contracting processes
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  • Understanding of managed care systems, quality improvement and risk management
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  • Demonstrated excellent medical management, leadership skills and excellent communication skills
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  • Experience and skills in making presentations and teaching
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  • Solid organizational and prioritization skills
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  • Ability to make medical necessity decisions based on Medicare coverage criteria
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  • ACLS/BLS
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Preferred Qualifications:

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  • Bilingual and cultural competency
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OptumCare is committed to creating an environment where physicians focus on what they do best: care for their patients. To do so, OptumCare provides administrative and business support services to both its owned and affiliated medical practices which are part of OptumCare. Each medical practice part and their physician employees have complete authority with regards to all medical decision-making and patient care. OptumCares support services do not interfere with or control the practice of medicine provided by the medical practices of any of their physicians.

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"Diversity creates a healthier atmosphere: OptumCare and its affiliated medical practices are Equal Employment Opportunity/Affirmative Action employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

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OptumCare and its affiliated medical practices is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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"Job Keywords: Physician, Primary Care, Community Based Care, Las Vegas, NV, Nevada
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Jobs Rated Reports for Physician

Posted: 2021-07-15 Expires: 2021-08-14

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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Neighborhood Physician - Las Vegas, NV - 936945

UnitedHealth Group
Las Vegas, NV 89101

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