* $30,000 Sign On Bonus OR $60,000 Student Loan Repayment Bonus *

At Prospero, part of the Optum and UnitedHealth Group family of businesses, your work will empower people with complex health conditions to live their best life. Whether you’re joining us in a clinical or non-clinical role, your contributions will help patients write their next chapters with joy and dignity. Help us build a new kind of health care that operates by establishing trust as the centerpiece of medical care. We will provide you with career growth opportunities, comprehensive benefits, brilliant coworkers and more to help you redefine what loving care looks like. Join a team of people with a heart for service and start doing your life's best work.(sm)

Provides medical care and management to patients served by Homebased Medical Care (HbMC). Dedicated to improving the health and well-being of patients, this position collaborates with existing PCPs, the HbMC interdisciplinary team, and other health professionals, to develop and realize patients’ goals of care in all phases of longitudinal care.
 

SUMMARY

• Functions as the day-to-day clinical leader of the interdisciplinary team, providing decision support to team patients providing care in the home to HbMC patients
• If there is no existing PCP recorded or currently practicing in the area or network, then the HbMC Physician Pod Leader will assume medical care duties of the PCP to provide care and continuity for the patient. HBMC will continue to work with the health plan and medical community to find and assign a PCP of record
• In situations where there is an existing PCP for the patient, the HbMC Physician helps to co-manage the patient with the PCP and functions as their extension into the home – the PCP’s eye and ears in the home
• Assess patients’ needs in their place of residence, including:
  • Medical
  • Social
  • Psychological
  • Financial
  • Caregiver support
  • Environmental safety
• Develop and update care plans and ocumentation of clinical encounters in the electronic medical record as per HbMC’s Medical Records Policies
• Provide same-day clinical assessment and treatment (urgent visits)
• On a rotational basis, provide after-hours medical coverage for assigned and covered patients
• Participate in clinical management meetings that include, but may not be limited to:
  • Weekly case conference reviews
  • Monthly staff meetings
  • Scheduled Joint Operating Committee meetings
  • Quarterly Quality Improvement Committee meetings
  • Continuing education/journal club programs
• Provide medical care to a longitudinal panel of patients, including the following activities:
  • Performs an initial comprehensive assessment on all newly enrolled patients and at least annually thereafter. Develops a patient management care plan upon enrollment and updates it as needed when changes in condition warrant or following hospitalization. Meets with patients and/or their lega representatives to review newly developed or modified care plans; involves the PCP in these meetings
  • Calls and communicates directly with patient’s PCP in real time to discuss any changes of condition and potential medication changes. Plans will be collaboratively decided on with PCP, but if unable to reach in an emergent situation, or PCP not responsive to collaboration request, the physician will render appropriate services and communicate changes at first available opportunity
  • Completes follow-up and post-hospital assessments according to documented standard operating procedure
  • Prescribes appropriate diagnostics and clinically appropriate interventions
  • Consults with hospital physicians following notification of patient transfer
  • Educates patients and/or their legal representatives in disease processes affecting patients and ways to manage them effectively, as well as to promote wellness
  • Addresses and documents advanced care planning and advanced directive wishes on initial visit and at least annually thereafter
  • In addition to routine history and physical exam in the home, will be trained and be proficient at such modalities including, but not limited to:
    • Insertion of IV
    • Venipuncture for blood draw
    • Wound care
    • Dressing changes
    • Catheter insertion and management
• Implements HEDIS measure campaigns and other quality initiatives as directed by Regional/Market Medical Director to ensure the highest standards of care and to promote the improvement of care management and delivery
• Keeps current on relevant medical research, technology, and related issues by attending continuing education courses, professional meetings and journal reviews
• Demonstrate appropriate medical judgment and appropriate use of resources with regards to care plans, diagnostic testing and referrals
• Develop strong patient-doctor and caretaker/family-doctor relationships to improve patient compliance with care plan
• Work with the patients of the interdisciplinary team to ensure care plan is meeting the clinical and psycho-social needs of the patient
• Provide timely, evidence-based and appropriate patient care at all times
• Complete and sign all documentation (including from vendors) within required timeframes
• Maintain high levels of patient and family satisfaction
• Arrange for transfers and placements to appropriate levels of care
• Perform other duties as assigned

SUPERVISORY

• Reports directly to the Associate Medical Director
   

COMPETENCY
To perform the job successfully, an individual should demonstrate the following competencies:

• Problem Solving - Identifies and resolves problems in a timely manner; gathers and analyzes information skillfully; develops alternative solutions; works well in group problem solving situations; uses reason even when dealing with emotional topics
• Technical Skills - Assesses own strengths and weaknesses; pursues training and development opportunities; strives to continuously build knowledge and skills; shares expertise with others
• Interpersonal Skills - Focuses on solving conflict; maintains confidentiality; listens to others; keeps emotions under control and overcomes resistance when necessary; remains open to new ideas
• Oral Communication - Speaks clearly and persuasively in positive or negative situations; listens and seeks clarification; responds openly to questions. Must be able to deal with frequent change, delays, or unexpected events
• Attendance/Punctuality - Is consistently at work and on time; ensures work responsibilities are covered when absent; arrives at meetings and appointments on time
• Initiative - Volunteers readily; undertakes self-development activities; seeks increased responsibilities; takes independent actions and calculated risks; looks for and takes advantage of opportunities; asks for and offers help when needed; generates suggestions for improving work and workflow

Required Qualifications:

• Current, valid, non-sanctioned, non-restricted license to practice medicine in the state or multiple states corresponding with the needs of the assigned and covered patients
• Board Certified or Board Eligible with preference in Internal Medicine, Geriatrics or Palliative Medicine sub-specialty, Family Practice or Emergency Medicine
• Medical Doctorate or Doctorate of Osteopathy
• Current Drug Enforcement Agency (DEA) license
• 2+ years of clinical experience
• Ability to meet all HbMC Credentialing Requirements
• Extensive experience in providing medical care to geriatrics and/or seriously ill patients
• Familiarity with Medicare Guidelines
• Familiarity with CPT and ICD-9 codes as related to billing practices
• Malpractice profile meets Optum's risk guidelines
• Knowledge of clinical standards of care
• Access to reliable transportation; if you are driving a vehicle, you must comply with all the terms of the Optum Motor Vehicle Safety policy
• Full COVID-19 vaccination is an essential requirement of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance

Preferred Qualifications:

• Awareness about UM standards, NCQA requirements, CMS guidelines, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems
• Experience with home-based care

Physical Demands:

• Regular requirement to sit; use hands to touch, handle or feel
• Regular requirement to talk and listen
• Occasional requirement to stand; walk and reach with hands and arms
• Occasional requirement to lift and/or move up to 10 pounds
• Vision abilities include close vision, peripheral vision, depth perception and ability to adjust focus.
• Ability to travel by plane or car

Work Environment:

• Noise level is usually moderate

To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)

 * Student Loan Repayment or Sign-on Bonus for individuals who have not previously participated in this program.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.