Humana Inc
Overview
Humana’s Primary Care Organization is one of the largest and fastest growing value-based care, senior-focused primary care providers in the country, operating over 175 centers across eight states under two brands: CenterWell & Conviva. Operating as a payor-agnostic, wholly owned subsidiary of Humana, our centers put the unique needs of seniors at the center of everything we do. Our Clinics offer a team-based care model where our physicians lead a multi-disciplinary care team supporting patient’s physical, emotional, and social wellness. At CenterWell Senior Primary Care, we aim to help those in the communities we serve, including our associates, lead their best lives. We support our associates in becoming happier, healthier, and more productive in their professional and personal lives. We promote lifelong well-being by giving our associates fresh perspective, new insights, and exciting opportunities to grow their careers. Our culture focuses on teamwork and providing a positive and welcoming environment for all. 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 provides 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 PCPs to see fewer patients and spend more time with those they care for.
Responsibilities
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 CenterWell 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
Graduate of an accredited MD or DO program from an accredited university Board Certification or Eligible to become certified (ABMS or AOA) in Family Medicine, Internal Medicine or Geriatric Medicine Current and unrestricted medical license or willing to obtain a medical license in state of practice; eligible and willing to obtain licenses in other states in the region of assignment, as required 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 our Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB
Preferred Qualifications
Board Certification or Eligible to become certified (ABMS or AOA) in Family Medicine, Internal Medicine or Geriatric Medicine preferred At least 2 years of relevant experience Active and unrestricted DEA license Medicare Provider Number Medicaid Provider Number Experience managing Medicare Advantage patients, with knowledge of best practices for coordinated care in a value-based healthcare setting Knowledge of Medicare guidelines and coverage Knowledge of HEDIS quality indicators Bilingual is a plus
Additional Information
Why CenterWell Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security—both today and in the future, including: Competitive base salary + annual bonus incentive + Relocation & Sign-on bonus opportunities 8am-5pm M-F, Full & Flex work hours – no weekends 12-15 patients/day Minimal Call Comprehensive benefits package–health insurance is effective on your first day of employment Life Insurance/Disability 401(k) with Employer Match 19 Days Paid Time Off (PTO) + 9 Paid Holidays + 4 Flex Days (for added PTO and before EOY) Malpractice provided 100% Outpatient, diverse population CME Allowance/Time Fully integrated, optimized EMR
About Us
About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. Our integrated care teams spend up to 50 percent more time with patients, providing compassionate, personalized care that brings better health outcomes. We go beyond physical health by addressing factors that impact a patient’s well-being. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. We are a large provider of senior-focused primary care, home health services, and pharmacy benefit management. CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. Humana Inc. employs over 30,000 clinicians committed to putting health first. We offer flexible scheduling, career development programs, and coaching from day one.
Equal Opportunity Employer
Humana does not discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. We comply with Section 503 of the Rehabilitation Act and VEVRAA to employ and advance individuals with disabilities or protected veterans. Employment decisions are based on valid job requirements.
#J-18808-Ljbffr
Humana’s Primary Care Organization is one of the largest and fastest growing value-based care, senior-focused primary care providers in the country, operating over 175 centers across eight states under two brands: CenterWell & Conviva. Operating as a payor-agnostic, wholly owned subsidiary of Humana, our centers put the unique needs of seniors at the center of everything we do. Our Clinics offer a team-based care model where our physicians lead a multi-disciplinary care team supporting patient’s physical, emotional, and social wellness. At CenterWell Senior Primary Care, we aim to help those in the communities we serve, including our associates, lead their best lives. We support our associates in becoming happier, healthier, and more productive in their professional and personal lives. We promote lifelong well-being by giving our associates fresh perspective, new insights, and exciting opportunities to grow their careers. Our culture focuses on teamwork and providing a positive and welcoming environment for all. 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 provides 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 PCPs to see fewer patients and spend more time with those they care for.
Responsibilities
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 CenterWell 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
Graduate of an accredited MD or DO program from an accredited university Board Certification or Eligible to become certified (ABMS or AOA) in Family Medicine, Internal Medicine or Geriatric Medicine Current and unrestricted medical license or willing to obtain a medical license in state of practice; eligible and willing to obtain licenses in other states in the region of assignment, as required 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 our Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB
Preferred Qualifications
Board Certification or Eligible to become certified (ABMS or AOA) in Family Medicine, Internal Medicine or Geriatric Medicine preferred At least 2 years of relevant experience Active and unrestricted DEA license Medicare Provider Number Medicaid Provider Number Experience managing Medicare Advantage patients, with knowledge of best practices for coordinated care in a value-based healthcare setting Knowledge of Medicare guidelines and coverage Knowledge of HEDIS quality indicators Bilingual is a plus
Additional Information
Why CenterWell Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security—both today and in the future, including: Competitive base salary + annual bonus incentive + Relocation & Sign-on bonus opportunities 8am-5pm M-F, Full & Flex work hours – no weekends 12-15 patients/day Minimal Call Comprehensive benefits package–health insurance is effective on your first day of employment Life Insurance/Disability 401(k) with Employer Match 19 Days Paid Time Off (PTO) + 9 Paid Holidays + 4 Flex Days (for added PTO and before EOY) Malpractice provided 100% Outpatient, diverse population CME Allowance/Time Fully integrated, optimized EMR
About Us
About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. Our integrated care teams spend up to 50 percent more time with patients, providing compassionate, personalized care that brings better health outcomes. We go beyond physical health by addressing factors that impact a patient’s well-being. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. We are a large provider of senior-focused primary care, home health services, and pharmacy benefit management. CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. Humana Inc. employs over 30,000 clinicians committed to putting health first. We offer flexible scheduling, career development programs, and coaching from day one.
Equal Opportunity Employer
Humana does not discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. We comply with Section 503 of the Rehabilitation Act and VEVRAA to employ and advance individuals with disabilities or protected veterans. Employment decisions are based on valid job requirements.
#J-18808-Ljbffr