Youngstown, OH30+ days ago
Collaborative time will correlate to assigned APPs and Physicians • Participate in at least 1 ride along with all collaborative APPs per quarter • Provide a complex patient visit as needed for each APP under supervision • Collaborate with clinical team members associated with pod (Community Health Workers, Medical Social Workers, Nurse Navigators, Care Managers, Patient Care Coordinators, etc.) • Develop and participate in APP clinical development (Evidenced based care, professionalism, etc.) • Lead and participate in high-risk huddles and ensure all patients discussed have a plan of care documented and includes all care management team members • Build team-based culture and work collaboratively with clinical team members • Conducts 10 chart audits per month or per state regulations, whichever is higher • Act as resource for clinical team members for patient care questions/concerns and participate in difficult conversations with patients/family members as requested by team • Routinely conduct panel reviews with APPs • Sign DME, death certificates, and other orders as needed on behalf of APP (as regulated by state) • Frequently review Quality metrics, pod level performance and identify areas for improvement leading to superior Quality (HEDIS) performance • Frequently review clinician capacity and productivity performance. Partner with Site Medical Directors to develop countermeasures and support their implementation when provides are off track • Work collaboratively with Regional Medical Director (RMD) to identify opportunities for care improvement • Assist with service inquiry, resolution of patient complaints and requests for Pod as needed • Assist pod providers to achieve higher EMR efficiency • Participate in patient care to assigned panel and other patients as needed (High risk or complex patients, Physician face to face requirements, cognitive assessments, etc.) • Participate and lead clinical education regarding accurate diagnosis, documentation and management of chronic conditions • Assist with compliance and HR resolutions • Responsible for discipline actions and performance reviews for direct reports.