Medical Director of Transitional Care

Physician - Internal Medicine Job in Louisville, KY

• Fluent in English.
• At least three (3) years' experience in clinical internal medicine, hospital medicine, and/or geriatric medicine is strongly preferred.
• At least three (3) years of experience in management preferred.
• Good analytical skills and the ability to manage for results.
• Cultivate strong relationships with our primary care physicians, their center based care teams, and other staff.
• Strong leadership and communication skills, the ability to build relationships with external organizations, and interest in information technology applications in medical settings.
• This position may also have additional duties in the market, depending upon their areas of expertise and the needs of the market.
• The transitional care team may include physicians, nurse practitioners, case managers, and administrative support staff.
• Participate in team meetings and lead focused clinical discussions in market huddles, team meetings, and Humana JOC meetings.
• Education / Specialized Knowledge.
• Help MMD with physician meetings, training, and education of PCPs and administrative and support staff.
• At least three (3) years of post-residency experience.
• Previous experience working with interdisciplinary teams.
• As leader of a transitional care team, this physician will need to effectively lead and manage the daily activities of the team members.
• Key daily activities for team members include continuous communication with primary care physicians and inpatient providers, participation in the market's case conferences, review of inpatient cases via inpatient courtesy visits and remote EMR review, care coordination, risk assessments, home health care monitoring and review, complex community case management, and home visits for high risk and homebound patients.
• Serving as the hospitalist or skilled nursing facility physician for some of our patients (providing direct care in those facilities),.
• Excellent medical skills.
• Develop internal training materials and SOPs focused on the clinical development of the ChenMed/JenCare team.
• Time dedicated to utilization review and management.
• Valid and current license in the state of the region.
• This physician will need to possess strong clinical skills in the management of seniors with complex medical needs throughout all environments of care.
• Conflict management and resolution skills, and ideally, experience of population risk management or complex chronic disease care management.
• Market sick days/1000 will meet local market goals.
• Decreasing 7, 30, and 90 day hospital and SNF readmission rates.
• Acpe programs) preferred.
• The exact division of time dedicated to different duties will depend on market needs and will be determined by the Market Medical Director.
• Serving as the primary care physician for a partial panel of our patients.
• This talented physician will lead the transitional care team, a cohesive group of health care professionals dedicated to keeping our patients connected to their primary care physicians during episodes of acute hospitalization, post-acute care, and also during periods of increased need at home.
• Participation in Targeted Coverage Time- which is time providing care for patients whose primary care physician is on paid time off or otherwise unavailable.
• Safely minimized hospital and SNF length of stays.
• An MBA, MPH or other related advanced business/healthcare degree or documented training (e.
• The Associate Medical Director for Transitional Care is a local market medical leadership position reporting directly to the Market Medical Director and focused on leading the market's care for its members as they transition through environments of care outside of our centers.
• Coaching physicians and other clinicians in support of the overall quality and performance in the market.
• Deliver introductory training for all new practitioners.
• Specialty care that falls within the physician's area of specialty.
• Other duties as assigned and modified at manager's discretion.
• Prefer prior experience in quality improvement and or medical/healthcare leadership activities.
• The Associate Medical Director for Transitional Care will spend at least half of their time devoted to leading the transitional care team in the activities described above.