Arnold Palmer Hospital for Children
Nephrology Medical Director Ohio
Arnold Palmer Hospital for Children, Akron, Ohio, United States, 44329
Overview
AbsoluteCare is seeking a dynamic physician leader to put the principles of population health into action for our medically complex and socially vulnerable members with kidney disease. Oftentimes, due to the effects of trauma and poverty, a significant portion of our population suffer from kidney disease. Job Summary
The Nephrology Medical Director (NMD) serves as clinical leader providing expert guidance and oversight to ensure the delivery of high-quality, evidence-based nephrology care within a value-based framework. This role leads a transitional care team and establishes relationships and communication pathways with nephrologists, primary care physicians, hospital systems, payers, and other stakeholders to ensure coordinated and high-quality care delivery. The NMD oversees clinical, utilization management, and financial total cost of care outcomes for all members attributed to AbsoluteCare, whether they receive primary care services in an AbsoluteCare clinic or elsewhere. The NMD facilitates discussions with AbsoluteCare and non-AbsoluteCare providers regarding appropriate care, utilization, and care coordination across inpatient, emergency department, skilled nursing facilities, specialists, primary care providers, dialysis units, home nursing, and other providers within the healthcare ecosystem. Key Responsibilities
Provide clinical leadership and expertise in the development and implementation of value-based care strategies for nephrology patients. Collaborate with nephrologists, primary care physicians, hospital systems, payers, dialysis providers, and other stakeholders to ensure coordinated and high-quality care delivery. Serve as the nephrology clinical lead in the development and management of risk-sharing arrangements and other value-based payment models. Develop and implement clinical pathways, protocols, key performance indicators, and best practices that align with value-based care principles and evidence-based medicine. Provide provider education to support the implementation and execution of clinical pathways. Ensure compliance with all relevant clinical, legal, and regulatory requirements related to value-based care and nephrology practice. Participate in the development and management of risk-sharing arrangements and other value-based payment models. Nephrology Network Development: Spearhead the cultivation of a specialty network that supports integrated, high-value specialized care for patients including home health. Nephrology Network Performance Management: Focus on achieving superior performance in HEDIS quality metrics, clinical coding documentation, and hospital utilization. Develop clinical policy and procedures that improve patient safety, engagement, and satisfaction. Strategic Initiatives: Implement strategic medical operations and protocols aimed at achieving the organization\'s value-based clinical and financial total cost of care goals. Team Leadership: Provide guidance and leadership to medical staff, fostering a collaborative environment that encourages innovation and continuous improvement. Provide direct patient care via telehealth to CKD patients within the AbsoluteCare network as needed. Qualifications
Medical degree (MD or DO) with board certification in Nephrology 5-10 years of nephrology clinical experience preferred Active medical license in Ohio BLS certification required Significant clinical experience in nephrology, with a strong understanding of chronic kidney disease and end-stage renal disease management Demonstrated experience and knowledge of value-based care models, principles, and practices Experience with data analysis and performance management in a healthcare setting Strong leadership, communication, and interpersonal skills, with the ability to collaborate effectively with diverse teams Understanding of healthcare regulations and compliance requirements Experience with Milliman Care Guidelines or health plan operations (Medicaid, Dual, and/or Medicare Advantage a plus) Knowledge and experience in population health management with vulnerable, complex Medicaid, Dual, and/or Medicare Advantage populations Excellent clinical skills with a strong focus on quality metrics and population health management Working Conditions
This role operates in both a clinical and administrative environment. There may be potential exposure to blood, bodily fluids, and infectious materials. Use of standard office equipment and occasional travel between facilities is required. Physical Requirements
Must be able to communicate effectively and remain stationary or move about for prolonged periods. Approval and Review: This job description is subject to change and may be reviewed and revised by management at any time.
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AbsoluteCare is seeking a dynamic physician leader to put the principles of population health into action for our medically complex and socially vulnerable members with kidney disease. Oftentimes, due to the effects of trauma and poverty, a significant portion of our population suffer from kidney disease. Job Summary
The Nephrology Medical Director (NMD) serves as clinical leader providing expert guidance and oversight to ensure the delivery of high-quality, evidence-based nephrology care within a value-based framework. This role leads a transitional care team and establishes relationships and communication pathways with nephrologists, primary care physicians, hospital systems, payers, and other stakeholders to ensure coordinated and high-quality care delivery. The NMD oversees clinical, utilization management, and financial total cost of care outcomes for all members attributed to AbsoluteCare, whether they receive primary care services in an AbsoluteCare clinic or elsewhere. The NMD facilitates discussions with AbsoluteCare and non-AbsoluteCare providers regarding appropriate care, utilization, and care coordination across inpatient, emergency department, skilled nursing facilities, specialists, primary care providers, dialysis units, home nursing, and other providers within the healthcare ecosystem. Key Responsibilities
Provide clinical leadership and expertise in the development and implementation of value-based care strategies for nephrology patients. Collaborate with nephrologists, primary care physicians, hospital systems, payers, dialysis providers, and other stakeholders to ensure coordinated and high-quality care delivery. Serve as the nephrology clinical lead in the development and management of risk-sharing arrangements and other value-based payment models. Develop and implement clinical pathways, protocols, key performance indicators, and best practices that align with value-based care principles and evidence-based medicine. Provide provider education to support the implementation and execution of clinical pathways. Ensure compliance with all relevant clinical, legal, and regulatory requirements related to value-based care and nephrology practice. Participate in the development and management of risk-sharing arrangements and other value-based payment models. Nephrology Network Development: Spearhead the cultivation of a specialty network that supports integrated, high-value specialized care for patients including home health. Nephrology Network Performance Management: Focus on achieving superior performance in HEDIS quality metrics, clinical coding documentation, and hospital utilization. Develop clinical policy and procedures that improve patient safety, engagement, and satisfaction. Strategic Initiatives: Implement strategic medical operations and protocols aimed at achieving the organization\'s value-based clinical and financial total cost of care goals. Team Leadership: Provide guidance and leadership to medical staff, fostering a collaborative environment that encourages innovation and continuous improvement. Provide direct patient care via telehealth to CKD patients within the AbsoluteCare network as needed. Qualifications
Medical degree (MD or DO) with board certification in Nephrology 5-10 years of nephrology clinical experience preferred Active medical license in Ohio BLS certification required Significant clinical experience in nephrology, with a strong understanding of chronic kidney disease and end-stage renal disease management Demonstrated experience and knowledge of value-based care models, principles, and practices Experience with data analysis and performance management in a healthcare setting Strong leadership, communication, and interpersonal skills, with the ability to collaborate effectively with diverse teams Understanding of healthcare regulations and compliance requirements Experience with Milliman Care Guidelines or health plan operations (Medicaid, Dual, and/or Medicare Advantage a plus) Knowledge and experience in population health management with vulnerable, complex Medicaid, Dual, and/or Medicare Advantage populations Excellent clinical skills with a strong focus on quality metrics and population health management Working Conditions
This role operates in both a clinical and administrative environment. There may be potential exposure to blood, bodily fluids, and infectious materials. Use of standard office equipment and occasional travel between facilities is required. Physical Requirements
Must be able to communicate effectively and remain stationary or move about for prolonged periods. Approval and Review: This job description is subject to change and may be reviewed and revised by management at any time.
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