Regional Medical Director, Hospital And Community Care Team Missouri/tennessee

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We’re different than most primary care providers. We’re rapidly expanding and we need great people to join our team.

The Regional Medical Director, Hospital and Community Care Team is responsible for high value care external to ChenMed’s center across their region(s) in partnership with the Regional Dyads to execute the ChenMed model.
As a member of the Hospital and Community Care Team, the Regional Medical Director of Hospital and Community Care Team (RMD-HCT) is a regional medical leadership position reporting directly to the Chief Medical Officer, Hospital and Community Care Team for their division, and is focused on leading the region(s)’ care for its members in the hospital and as they transition through environments of care outside of our centers. As a member of the Hospital and Community Care Team, the RMD- HCT is responsible for developing and implementing the strategies to optimize the value of care in hospital and community settings. The RMD-HCT is responsible for the performance objectives, value benchmarks, and processes to ensure continuity of care for patients, and improved outcomes. The RMD-HCT will collaborate closely with the regional finance leader, and Regional Business Director-HCT (RBD-HCT) to ensure that patients’ clinical needs in the hospital and community are seamlessly integrated with in-center care. This physician will be part of a regional leadership team and work closely with their dyad, the Regional Business Director of Hospital and Community Care (RBD-HCT), and the regional finance leader in medical cost stewardship, to lower part A, B & part D medical costs.
In addition, the position will serve as coach/mentor/trainer to center medical director(s)/PCPs and staff, giving guidance on best practices, troubleshooting of medical services and operations issues as they relate to care realized externally. The RMD-HCT will also represent their assigned region(s) at required meetings with affiliated agencies.
This position may also have additional duties in the region(s), depending upon their areas of expertise and the needs of the region.
As a licensed MD/DO the RMD-HCT may also provide direct patient services in addition to their duties in administration.
The RMD-HCT will lead a cohesive group of health care professionals dedicated to keeping our patients connected to their primary care physicians during episodes of acute hospitalization, post-acute care, and during periods of increased need at home.
The RMD-HCT team may include physicians, nurse practitioners, case managers, and other care providers/hospital and community team members and administrative support staff. Key daily activities for team members include continuous communication with primary care physicians and inpatient providers, participation in the market’s case conferences, review of inpatient cases via inpatient courtesy visits and remote EMR review, care coordination, risk assessments, home health care monitoring and review, complex case management/navigation, and may include home visits for high risk and homebound patients. The Regional Medical Director, Hospital and Community Care Team will spend most of their time devoted to executing and leading high-value activities to improve outcomes and lower cost for care in the hospital and community setting. They will also spend their time in developing and fostering relationships with the facilities and people that are the decision makers in acute and post-acute care which may include: Hospitals, Hospital systems, ER physician groups, Hospitalists groups, SNFs, & LTACs.

ESSENTIAL JOB DUTIES/RESPONSIBILITIES:

The exact division of time dedicated to different duties will depend on regional needs and will be determined by the CMO-HCT.

• Manage cost and quality of care external to ChenMed within the region(s); accountable for reducing medical costs (Parts A, B & D).
• Uses industry knowledge to develop region(s)’ strategies to reduce medical cost while maintaining exceptional quality of care.
• Proactively identifies opportunities for ChenMed to reduce regional medical costs (Parts A, B & D), through medical cost stewardship with strategy, tactics and execution
• Executes corporate strategy in the region(s).
• Represents ChenMed and ChenMed’s model adeptly to the healthcare community and develop positive relationships in each region(s).
• Uses ChenMed analytics to realize data insights regarding medical cost.
• Uses internal and external data insights to drive value.
• Participates in and supports building strong relationships with payer representatives for specialty and medical cost topics.
• Participates in and supports building strong relationships with hospital & post-acute facility leaders, coordinated provider list (CPL) specialists.
• Collaborates with ChenMed specialists and the Specialty Care COE.
• Assists center dyad in building partnerships with local acute/post-acute care providers in accordance with standards established by ChenMed.
• Assists center dyad in the expeditious review of acute care encounters with the focus on enhancing the centers’ clinical operations and involvement in the care of hospitalized patients.
• Supports centers’ med-cost Initiatives focused on acute and post-acute healthcare utilization.
• Leads, coordinates, and supports daily team operations.
• Influences inpatient management, length of stay (LOS), specialty consults, readmissions, and reconnecting patients to their PCP post-discharge.
• Leads region(s)’ in-patient (IP) census management, site of service, care coordination and navigation to lower levels of care (clinical/UMR/discharge process).
• Discusses challenging cases with center team and provides the required support to ensure a safe transition.
• Focuses on an expeditious discharge process with less overall hospital sick days (HSD).
• Leads talent life cycle initiatives for their Hospital and Community Care Team members including, recruiting, onboarding, development, and performance management.
• Leads a team, and performs coaching, performance evaluations, monthly 1:1 leadership rounding and invests in the training and development of team members to improve outcomes and medical costs.
• Develops Talent to meet both their career and the organization’s goals.
• Builds engagement of their teams, addressing employee concerns on a timely basis.
• May perform utilization review and management in specific region(s).
• Coaches physicians and other clinicians in support of the overall quality and performance in the region(s).
• Delivers introductory training for all new PCPs.
• Helps Center Medical Directors with physician meetings, training, and education of PCPs and administrative and support staff in the region(s).
• Develops internal training materials and SOPs focused on the clinical development of the ChenMed/JenCare team.
• Participates in team meetings and lead focused clinical discussions in clinic and region(s) wide multidisciplinary meetings.
• Cultivates strong relationships with payer representatives, acute and post-acute facility leaders, CPL specialists, the center dyad team, primary care physicians, their center-based care teams, and other staff.
• Cultivates a uniform clinical culture, clinical values, clinical approach, incentives, and performance value.
• Other duties as assigned and modified at manager’s discretion.

Markers of success include Relationships and Medical Cost Outcomes:

Additional areas of success:

• Cost/Encounter, LOS, OBS %,
• 7-day Readmission %
• Part A, B & D costs PMPM
• Admits/K
• HSD/K
• 30-day readmission %
• 4 day follow up %
• Team Culture
• Team VTO
• Satisfaction of the key stakeholders and customers

KNOWLEDGE, SKILLS AND ABILITIES:

• Strong clinical skills in the management of seniors with complex medical needs throughout all environments of care
• Strong leadership and communication skills with the ability to build relationships with external organizations; interest in information technology applications in medical settings
• Ability to effectively lead and manage the daily activities of the team members
• Demonstrated self-awareness using a combination of feedback and reflection to gain productive insight into personal strengths and weaknesses
• Good analytical skills and the ability to manage for results
• Ability to lead and develop others, provide feedback, and hold teams accountable to deliver results
• Ability to influence others multi-directional to accomplish goals
• Excellent medical skills
• Conflict management and resolution skills, and ideally, experience of population risk management or complex chronic disease care management
• Proficient in Microsoft Office Suite products including Word, Excel, PowerPoint and Outlook, database, and presentation software
• Ability and willingness to travel locally, regionally and nationwide no less than 50% of the time; flexible to work weekends as needed
• Spoken and written fluency in English
• This job requires use and exercise of independent judgment

EDUCATION AND EXPERIENCE CRITERIA:

• Valid and current MD/DO license is required for the associate region(s)’ state
• At least four (4) years of post-residency experience in internal medicine, family medicine, hospital medicine, and/or geriatric medicine is strongly preferred
• At least one (1) year of experience in management required
• An MBA, MPH or other related advanced business/healthcare degree or documented training (e.g., ACPE programs) preferred
• Prefer prior experience in quality improvement and or medical/healthcare leadership activities
• Previous experience working with interdisciplinary teams

We’re ChenMed and we’re transforming healthcare for seniors and changing America’s healthcare for the better. Family-owned and physician-led, our unique approach allows us to improve the health and well-being of the populations we serve. We’re growing rapidly as we seek to rescue more and more seniors from inadequate health care.

ChenMed is changing lives for the people we serve and the people we hire. With great compensation, comprehensive benefits, career development and advancement opportunities and so much more, our employees enjoy great work-life balance and opportunities to grow. Join our team who make a difference in people’s lives every single day.