About Sage Health
We believe all seniors regardless of means deserve concierge primary care & wellness, without the concierge fees. They’ve earned it.
Sage Health builds enriching neighborhood health centers that are easy to access, provide or arrange for all of our patients’ healthcare needs, and partner with Medicare Advantage plans that fully cover primary care. Unlike other physician practices, a Sage Health physician has a patient panel of 400 or less, and we collaborate with the best outcomes-oriented specialists and hospitals in each market. Because we are not a fee-for-service provider and manage patients within a global capitation budget provided by Medicare Advantage plans, our only concern and motivation is to keep our seniors healthy.
Sage Health is a destination for the best risk provider talent in the country who are building the new standard-bearing senior model for the United States.
About the role
POSITION SUMMARY:
The Primary Care Physician (PCP) works as a lead in our team-based care model. We are a value-based care provider focused on quality of care for the patients we serve. Our care team consists of physicians, advanced practice professionals, pharmacists, care associates, medical assistants, behavioral health support, quality-based coders, referral coordinators and more. Our approach allows us to provide 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 PCP to see fewer patients and spend more time caring for patients.
What you'll do
PRIMARY RESPONSIBILITIES:
Evaluates and treats center patients in accordance with standards of care
Assists in the coordination of patient services, including but not limited to specialty referrals when appropriate, 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 Lead Physician and Center Administrator in setting a tone of cooperation in practice by displaying a professional and approachable demeanor
Completes all medical record documentation daily working with a quality- based coder to optimize comprehensive documentation
Follows policy and protocol defined by Clinical Leadership
Meets with Lead Physician about quality of care, review of outcome data, and medical records issues
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
Qualifications
REQUIRED QUALIFICATIONS:
Graduate of accredited MD or DO program of accredited university
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
Board Certification or Eligible to become certified (ABMS or AOA) in Family Medicine, Internal Medicine or Geriatric Medicine preferred
Active and unrestricted DEA license
Medicare Provider Number
Medicaid Provider Number
Demonstrate a high level of skill with interpersonal relationships and communications with colleagues/patients
Fully engaged in the concept of 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. If selected for this role, you will be required to be screened for TB
PREFERRED QUALIFICATIONS:
Knowledge of HEDIS/STARS
Knowledge of CAHPS and HOS
Experience working in medically underserved/culturally diverse communities
Experience working with an electronic health record
Experience working in Medicare Advantage Global Risk Models
Minimal Call
Clinical
Montgomery, AL
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