Physician-House Calls-Winston Salem

Company: Landmark Health
Location: Burlington
Posted on: November 13, 2020

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.

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

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

In order to work with potentially vulnerable patient populations and to keep employees healthy while caring for patients, all patient-facing employees of Landmark must provide evidence of the following required immunizations/vaccinations as a condition of employment: TB, MMR, Tdap, and Influenza. Declinations may be accommodated based on your medical history, an allergy or religious beliefs. Please immediately contact HR if you wish to apply for an exemption from our vaccination requirements so that we may determine if you qualify for an accommodation.

Keywords: Landmark Health, Burlington , Physician-House Calls-Winston Salem, Other , Burlington, North Carolina