Complex Care Physician - HealthSpring - Baltimore, MD
Location: Baltimore, Maryland
Description: Cigna is currently seeking to employ Complex Care Physician - HealthSpring - Baltimore, MD right now, this position will be delegated in Maryland. Detailed specification about this position opportunity please read the description below. Job Description
General Purpose
Provide physician level care for HealthSpring membership enrolled in the compl! ex care program.
Core Responsibilities/Essential Functions
The complex care physician will participate as a part of a multi-disciplinary team providing care to medicare patients in a program designed to fundamentally change the manner in which health care is delivered. The complex care physician will provide physician services including advising and counseling patients regarding the most appropriate setting to meet their healthcare needs, performing physician assessment and evaluation of their problems, and providing the appropriate information regarding specialist services, and end of life programs. The clinical role includes participation in the development of appropriate medical management strategies with a goal to maximize medical therapy and ensure proper pharmaceutical and home health services to maintain health status.
Bravo Health is committed to providing a high level of outpatient care to patients in our Plan. Bravo Health Advanced Care ! Center believes that intensified care management of the frail ! elderly and the chronic disease patient will improve the quality of care and health status of our seniors.
Work Schedule
Monday - Friday; 8 AM - 5 PM
Complexity and Scope
Detailed knowledge of chronic disease management programs and services. Supervisory experience, organizational skills and excellent communication abilities are necessary. Marketing and public relations skills are required. Knowledge of insurance/managed care processes is required. A high level of diplomacy and creative problem-solving, priority-setting, and critical-thinking skills are necessary for operations in the outpatient clinic. Experience with the management of Medicare and Medicaid populations. Ability to work closely with nurses, behavioral health specialists, pharmacists, case managers and social workers- all onsite and part of the care team,
Physical Demands/Environmental Factors/Core Competencies
Ability to work in a medical office setting.!
Focuses on the management and improvement of health for the frail seniors and members with chronic disease in the population.
Documents all diagnoses with the highest degree of specificity, ensuring that all aspects of disease progression and manifestation are documented annually.
Attends to the frail elderly and chronically ill experiencing episodes of acute exacerbation and monitors disease progression.
Accepts same day/next day or urgent appointments for patients discharged from the acute setting in need of intensified physician or case management services to ensure acute episode has resolved and the patient is not readmitted.
Supplements Primary Care Provider Disease Management activities to stabilize patients and gain control of disease processes as a means of avoiding unnecessary hospitalizations.
Assists with the introduction and discussion of disease progression and the need for making determinations with regard! to end of life choices so that patients’ wishes can be documented an! d addressed.
Provides orientation and education relative to Hospice enrollment as a care alternative for the patients that meet criteria for hospice services.
Participates in multi-disciplinary meetings and recommends treatment alternatives designed to keep patients healthy or resolve on-going clinical issues.
Communicates all services provided in the BHACC with the patient’s Primary Care Physician. Discharge plan for continuing care management is developed and communicated to ensure continuity of care.
Assists with the management of skilled nursing facility and hospice patients as requested.
Perform other duties as required consistent with complex care and disease management services provided to patients.
Minimum Qualifications
Active and unrestricted medical license in MD
Board certification in internal medicine or family medicine with geriatric fellowship
ACLS certification
Long-t! erm interest in Bravo Health Advanced Care Center .
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If you were eligible to this position, please email us your resume, with salary requirements and a resume to Cigna.
Interested on this position, just click on the Apply button, you will be redirected to the official website
This position will be opened on: Tue, 02 Apr 2013 14:23:41 GMT
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