PasadenaRecruiter Since 2001
the smart solution for Pasadena jobs

Area Medical Director - CenterWell - Houston, TX

Company: Humana Inc.
Location: Pasadena
Posted on: May 3, 2021

Job Description:

Description

CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, Missouri, Nevada, North Carolina, South Carolina and Texas. CenterWell Senior Primary Care has a strong emphasis on senior-focused primary care for members of Medicare Advantage health plans and is committed to providing personalized, high-quality primary care combined with an excellent patient experience. CenterWell Senior Primary Care has experience in both the treatment and management of most chronic and acute-care conditions. The practices also provide health education and value-added, well-being services at the centers and around their neighborhoods to help both patients and community members improve their health.

At CenterWell Senior Primary Care, we want 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 associate fresh perspective, new insights, and exciting opportunities to grow their careers. Our culture is focused on teamwork and providing a positive and welcoming environment for all.

The Area Medical Director serves as a health-care professional and capable of handling a variety of health-related problems. The Area Medical Director requires a solid understanding of how organization capabilities interrelate across multiple clinics/centers.

Responsibilities

The Area Medical Director has similar job duties as a Physician, namely focusing on outpatient medicine, continuity of care, health maintenance, and disease prevention. The Area Medical Director is also responsible for administrative oversight and outcomes for clinical providers designated to their area. Keeps a medical history and medical records. Refers the patient to specialists as needed. Decisions are typically related to identifying and resolving complex technical and operational problems within clinics/centers.

The Area Medical Director will spend 50% of their time clinically focused on direct patient care, with the remaining time dedicated to administrative duties related to oversight of clinical provision of care in their area.

Associate/Area Medical Director (AMD) supports the Regional Medical Director (RMD) in overseeing the Market Clinical-Administrative functions

Essential Functions

  • Clinician's PTO management in collaboration with Center Administrator, including holiday schedules and as determined by the organization.
  • Management of CME time and reimbursement requests.
  • Service recovery reports (Patient complaints)
  • Guidance to individual clinicians about patient terminations, in collaboration with compliance.
  • Supervise/manage assigned clinicians at site level.
  • Manage behavioral concerns pertaining to assigned clinicians
  • Provider on-boarding as determined by on boarding procedure.
  • Provider off-boarding as determined by off boarding procedure.
  • Provide support to on site clinicians with logjams and workflow issues.
  • Check in with clinicians at their site routinely.
  • Oversight of provider quality and development of workflows to help close gaps in quality
  • Schedule at least one half day at clinic site for onsite visit per week
  • Support clinicians with schedule templates, coverage, daily issues
  • Assist with panel management
  • Oversight of quality of assigned team members
  • Meet with Regional CAs and other AMD at least monthly
  • May be assigned to organizational committees as needed, to attend and represent the clinical perspective of the market
  • Assist in Ongoing Chart Review monitoring
  • Assist with recruitment and interviewing as requested.
  • Desktop coverage as necessary
  • In collaboration with RMD, complete performance reviews as required (90 day, yearly, etc.).
  • Serve as a mentor to help guide clinicians as needed
  • Participate as backup on call
  • Lead all provider monthly meeting if RMD is not available, with adequate notice from RMD to allow for preparation.
  • Assist in organizing team building activities
  • Maintain regular clinic hours for a percentage of FTE as determined with Regional Medical Director, as detailed on the clinical job description.
  • Serve as a community representative for CenterWell Senior Primary Care in media and press activities
  • May involve supervision of mid-level providers
  • Performs other duties as assigned.

Required Qualifications

  • Current and unrestricted medical license in Texas or willing to obtain a medical license in Texas prior to employment, and 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 True Board Eligibility in Family Medicine, Internal Medicine or Geriatric Medicine 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 CenterWell Senior Primary Care's 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

Keywords: Humana Inc., Pasadena , Area Medical Director - CenterWell - Houston, TX, Other , Pasadena, Texas

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Other Jobs


Staff Attorney - Odessa (Texas City)
Description: POSITION ANNOUNCEMENTPOSITION: Staff Attorney - Full-Time Position CLOSING DATE: Position Immediately Available and Closed When FilledLOCATION: Odessa, TexasOVERVIEW: Legal Aid of NorthWest Texas LANWT (more...)
Company: Legal Aid of NorthWest Texas
Location: Texas City
Posted on: 05/12/2021

APS In Home Worker
Description: p APS In Home Spec I /p p An Adult Protective Services Caseworker - SAO APS Spec I /p p An APS Caseworker protects the elderly and adults with disabilities who are unable to protect themselves. An (more...)
Company: Texas Health & Human Services Commission
Location: Texas City
Posted on: 05/12/2021

Teach English In China - No Experience Necessary
Description: apos Job Description: Calling all new and recent graduates EF English First is looking for enthusiastic go-getters to join our global team in China for the experience of a lifetime. Every year, candidates (more...)
Company: Education First
Location: Texas City
Posted on: 05/12/2021


Sales Associate
Description: p Job Description /p p Reports to: Store Management /p p Position Overview /p p The sales associate is responsible for maintaining store standards and delivering a positive customer experience. (more...)
Company: Guess?, Inc.
Location: Texas City
Posted on: 05/12/2021

Team Member: Service Champion
Description: br/ br/ You enjoy people and providing friendly, accurate service to customers as well as your teammates and managers. Key responsibilities include greeting customers in the restaurant
Company: Taco Bell
Location: Texas City
Posted on: 05/12/2021

Service Tech IV - Field Svc
Description: Field Service Tech IV at United Rentals, you apos
Company: United Rentals, Inc.
Location: Texas City
Posted on: 05/12/2021

Clerk
Description: p span style font-size: 12pt strong Warehouse Shipping/Receiving Clerk /strong /span /p p Our company has an outstanding opportunity for a results-focused, highly driven and experienced Warehouse (more...)
Company: DeMontrond Automotive Group
Location: Texas City
Posted on: 05/12/2021

Overnight Member Services Representative
Description: Our customer service philosophy is that its not
Company: Planet Fitness
Location: Texas City
Posted on: 05/12/2021

Survey Taker
Description: strong InboxDollars is the fun rewards club that pays you real cash for the everyday things you do online. Its free and easy to join. Simply sign up and start working right away Agents can work from (more...)
Company: InboxDollars
Location: Texas City
Posted on: 05/12/2021

Housekeeper/Houseperson/ Public Attendant
Description: Marriott Hotels - JobID: 89AD5F35B0E543C788008EABE1A99368 Team Member
Company: Marriott Hotels
Location: Texas City
Posted on: 05/12/2021

Log In or Create An Account

Get the latest Texas jobs by following @recnetTX on Twitter!

Pasadena RSS job feeds