Physician - In Home Care

Company: Landmark Health
Location: Nashua
Posted on: February 18, 2021

Job Description:

Imagine if you will. You visit your small panel of patients in the comfort of their own homes. You have more time needed to ensure your patients health issues are addressed. You create a friendly and trusting relationship with each patient and his or her family. You have the support of a collaborative, multidisciplinary clinical team. And you do it all at no added cost to the patient. What would you be in this role? A medical Superhero. Thats what youd be. Sound too good to be true? Its notand heres why. Landmark is not a fee-for-service practice. We profit only when we create successful patient outcomes and high levels of satisfaction for our patients. As a result, our clinical teams can spend quality time caring for a smaller number of patients. Our business model allows us to give our patients all the time and care that they need. Weve been very successful at this. Landmark is now the nations largest risk-based, in-home medical group, with operations in markets across the US. RESPONSIBILITIES Function as the clinical leader of the multidisciplinary team and provide decision support to advanced practice providers Perform 4 6 preventative home visits daily, develop proactive care plans, manage chronic conditions, safety assess home environments, and educate patients and caregivers Perform urgent home visits to help patients avoid unnecessary ER visits and hospitalizations Leverage Landmark nurse care management, behavioral health, social work, pharmacy, and dieticians to meet patient needs When there is no primary care provider (PCP), assume the responsibility of PCP to drive care and continuity for the patient When there is an existing PCP, help to co-manage the patient with the PCP, and serve as an extension of clinical care into the home Coordinate with physicians across the continuum of care, including PCPs, hospitalists, and skilled nursing facility providers to smooth transitions and prevent readmissions Coordinate and offer medical direction to community-based organizations that touch the lives of our patients, such as 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 Osteopathy from an accredited educational institution DEA registration Experience managing high-acuity patients with complex, polychronic diseases Dedication to transforming healthcare for the sickest and most frail patients Eagerness to work with a diverse, multidisciplinary team

Keywords: Landmark Health, Nashua , Physician - In Home Care, Healthcare , Nashua, New Hampshire