Humana

Physician - PiPC Houston, Texas

Posted on: 12 Feb 2021

Houston, TX

Job Description

Description

**COMING IN 2021**

Primary Care Physician
Healthcare isnt just about health anymore. Its about caring for family, friends, finances, and personal life goals. Its about living life fully. At Partners in Primary Care (Partners), we want to help people everywhere, including our associates, lead their best lives. At Partners, were seeking innovative people who want to make positive changes in their lives, the lives of our patients, and the healthcare industry as a whole.

JOB SUMMARY:
The Primary Care Physician (PCP) works as a lead in our team-based care environment. We are a value based care provider focused on quality of care for the patients we serve. Our care team consists of doctors, advanced practice professionals, Pharm D, care coach nurses, MAs, behavioral health specialists, quality based coders, referral coordinators and more. Our approach allows us to provide an unmatched experience for seniors. Our model is positioned to provide higher quality care and better outcomes for seniors by providing a concierge experience, multidisciplinary services, coordinated care supported by analytics and tools, and deep community relationships. This robust support allows our PCP to see fewer patients and spend more time with those they do.

Responsibilities

MAJOR DUTIES AND RESPONSIBILITIES:

Patient Care

* Evaluates and treats center patients in accordance with standards of care.
* Follows level of medical care and quality for patients and monitors care using available data and chart reviews.
* Assists in the coordination of patient services, including but not limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health care.
* Acts as an active participant and key source of medical expertise with the care team through daily huddles.
* Helps Regional Medical Director and Center Administrator in setting a tone of cooperation in practice by displaying a professional and approachable demeanor.
* Completes all medical record documentation in a timely manner working with a quality- based coder to optimize coding specificity.
* Follows policy and protocol defined by Clinical Leadership.
* Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues.
* Participates in potential growth opportunities for new or existing services within the Center.
* Participates in the local primary care on-call program of Partners in Primary Care as needed.
* Assures personal compliance with licensing, certification, and accrediting bodies.
* Spend 100% of your time clinically focused on direct patient care, inclusive of patient facing time and general administrative time (charting, meetings, etc.) as it relates to direct patient care.

Required Qualifications:

* Current and unrestricted medical license or willing to obtain a medical licenses in state of practice; eligible and willing to obtain licenses in other states in the region of assignment, as required
* Graduate of accredited MD or DO program of accredited university
* Board Certification or Eligibility in Family Medicine, Internal Medicine, Geriatric Medicine or American Board of Physician Specialties (ABPS) with continued certification throughout employment
* Excellent verbal and written communication skills
* Demonstrate a high level of skill with interpersonal relationships and communications with colleagues/patients
* Fully engaged in the concept of Integrated team based care model
* Willingness and ability to learn/adapt to practice in a value based care setting
* Superior patient/customer service
* Basic computer skills, including email and EMR
* This role is considered patient facing and is a part of Partners Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB

Preferred Qualifications:

* Active and unrestricted DEA license
* Medicare Provider Number
* Medicaid Provider Number
* Minimum of two to five years directly applicable experience preferred
* Experience managing Medicare Advantage panel of patients with understanding of Best Practice in coordinated care environment in a value based relationship environment.
* Knowledge of Medicare guidelines and coverage.
* Knowledge of HEDIS quality indicators.

Additional Information:

physiciancareers

Scheduled Weekly Hours

40

Humana

Louisville, KY

Humana Inc., together with its subsidiaries, operates as a health and well-being company in the United States. The company offers medical and supplemental benefit plans to individuals. It also has contract with Centers for Medicare and Medicaid Services to administer the Limited Income Newly Eligible Transition prescription drug plan program; and contracts with various states to provide Medicaid, dual eligible, and long-term support services benefits.

In addition, the company provides commercial fully-insured medical and specialty health insurance benefits comprising dental, vision, and other supplemental health and voluntary insurance benefits; financial protection products; and administrative services only products to individuals and employer groups, as well as military services, such as TRICARE South Region contract.

Further, it offers pharmacy solutions, provider services, predictive modeling and informatics services, and clinical care services, such as home health and other services to its health plan members, as well as to third parties. As of December 31, 2018, the company had approximately 17 million members in medical benefit plans, as well as approximately 6 million members in specialty products. Humana Inc. was founded in 1961 and is headquartered in Louisville, Kentucky.

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