Associate Medical Director - Lexington KY

$30,000 Sign on Bonus for External Candidates

Landmark Health, part of the Optum and UnitedHealth Group family of businesses, was created to transform how healthcare is delivered to the most medically vulnerable members in our community. Our medical group provides home-based medical care to chronically ill patients, many of whom are ill-equipped to navigate our overwhelming healthcare system.

Provides medical care and management to members served by the program and participates in gathering clinical information for medical necessity determinations for service requests. Works with the Landmark Health Medical Director, Director of Health Services, Corporate Director of Health Services, and UM staff in the development and/or implementation of medical management policy, clinical protocols, utilization management guidelines, and quality management programs. Dedicated to improving the health and well-being of members, this position collaborates with the PCP, and as needed, the health plan Medical Director and other health professionals, to develop members' goals of care in all phases of long-term care.

Primary Responsibilities:

Functions as the day to day clinical leader of the multi-disciplinary team, providing decision support to team members providing care in the home to Landmark patients
In situations where there is no existing PCP for the patient, the Landmark Physician will assume responsibility as PCP to drive care and continuity for this patient
In situations where there is an existing PCP for the patient, the Landmark 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
Provide 24/7 medical coverage for assigned and covered patients (this can be as part of a call schedule).
Develop and update care plans and documentation of clinical encounters in the electronic medical record as per Landmark's Medical Records Policies
Provide same-day clinical assessment and treatment for pre-crisis intervention
Participates in management meetings that include, but may not be limited to:
Weekly case conference reviews
Monthly staff meetings
Schedule Joint Operating Committee meetings
Quarterly Quality Improvement Committee meetings
Continuing education/journal club programs
Performs an initial comprehensive assessment on all newly enrolled members and at least annually thereafter. Develops a member management care plan upon enrollment and updates it as needed when changes in condition warrant or following hospitalization. Meets with members and/or their legal 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 and emergent situation, NP/PA 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 interventions to avoid unnecessary transfers/acute admissions
Consults with hospital physicians following notification of member transfer
Collaborates with UM staff and PCPs/facility staff to enable medical necessity determinations for requested medical services
Educates members and/or their legal representatives in disease processes affecting members 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
Implements HEDIS measure campaigns and other quality initiatives as directed by Regional Medical Director to ensure the highest standards of care and to promote the improvement of care management and delivery
Routine caseload during business hours and scheduled on call after hours / weekends with possibility of home visits for crisis interventions
Keeps current on relevant medical and nursing research, technology, and related issues by attending continuing education courses, professional meetings and journal reviews
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
Demonstrate appropriate medical judgment and appropriate use of resources with regards to care plans, diagnostic testing and referrals
Develop solid patient-doctor and caretaker/family-doctor relationships so as to improve patient compliance with care plan
Work with the NCM 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

Competencies:
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
Customer Service - Manages difficult or emotional customer situations; responds promptly to customer needs; solicits customer feedback to improve service; responds to requests for service and assistance; meets commitments
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

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualification:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Medical Doctorate or Doctorate of Osteopathy
Current, valid, non-sanctioned, non- restricted license to practice medicine in the state
Board Certified or ability to become board certified in Internal Medicine, Geriatrics or Palliative Medicine sub-specialty, Family Practice or Emergency Medicine
Current DEA or ability to obtain in accordance with board and state requirements
2+ years clinical experience, home-based care desired
Access to reliable transportation required; if you are driving a vehicle, you must comply with all the terms of the Optum Motor Vehicle Safety Policy

Physical Demands:

Below are the physical requirements which are representative of those that must be met by the employee to successfully perform the essential functions of the job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

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:
Below is a description of the work environment that the employee will encounter while performing the essential functions of the job

Noise level is usually moderate

About OptumCare:

At OptumCare, we've found that putting clinicians at the center of care is the best way to improve lives. Our physician-led organization is one of the most dynamic and progressive health care organizations in the world, serving over 17 million people through more than 45,000 aligned physicians and 9,000 advanced practice clinicians. You will find our team working in local clinics, surgery centers and urgent care centers, within care models focused on managing risk, higher quality outcomes and driving change through collaboration and innovation. Learn more at www.workatoptum.com.

Would you thrive with OptumCare?

Do you practice evidence-based medicine?
Are you seeking a practice focused on patient-centered quality care, not volume?
Are you a team player - comfortable delegating and empowering teams?
Are you constantly seeking better ways to do things?
Do you want to be part of something better?

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)

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

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.

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