Easter Seals Jobs

Job Title: Primary Care Physician
Location: Puerto Rico

About Emcara Health Value-Based National Medical Group: Our mission is simple - leading the effort to reimagine how health care is delivered for our nation's most vulnerable seniors and adults. Improving the lives of those most in need guides everything we do, and we believe that as we continue to stay focused on that compass heading, we will increasingly be recognized as America's leading national medical group providing house calls for vulnerable populations.

We have brought the same focus to the experience of our own team members as we have to our patients, and through the prioritization of Joy In Work have made the Quintuple Aim in health care delivery our clinical true north.

Emcara core care teams are multi-disciplinary and include Community Health Workers (CHW), Registered Nurses (RN), Advanced Practice Providers (APP- NP/PA), and Physicians (MD/DO), among other care coordination and specialized resources such as palliative care and behavioral health clinicians, Clinical Pharmacists, Pharmacy Technicians, Social Workers (SW), Physical Therapists, and Registered Dieticians (RD).

Our care teams understand that vulnerable populations require a new brand of care to live their healthiest life possible- home-based advanced primary care. Advanced primary care is comprehensive, and includes medical, behavioral, and social care, and can be delivered either as the PCP of record, or in collaboration with patient PCPs to deliver an added layer of support.

Value-based payment methodologies allow our physicians and APPs both the time they need to restore the clinician-patient relationship, as well as ensure the patient and clinician are surrounded by a care team that can address all of their care needs, especially their behavioral and social needs.

Position Overview: Reporting to the Medical Director, the Complex Care Physician will be based in the indicated market. As a member of the PopHealthCare market leadership team, he or she will play a primary role in the development of the clinical roadmap for the nation's leading in-home care provider for vulnerable seniors and adults.

This physician will work to identify, implement, and improve care solutions to achieve the Quadruple Aim in health care delivery in their local market. He or she will bring an unparalleled ability to act as a cross-functional leader internally, collaborating across the market to accomplish goals.

This is a get into the weeds, build-it and make it better kind of job, requiring high energy, deep engagement, and a strong work ethic. This individual understands the necessity of offering differentiated treatment models for vulnerable populations across a broad chronic illness spectrum and will be able to effectively build will and implement innovative care solutions.

The Complex Care Physician will lead a multi-disciplinary home-based medical practice in their local region that includes core care teams of Advanced Practice Providers (NP/PA), Registered Nurses, and Community Health Workers. Collectively, this physician-led practice will be responsible for delivering advanced primary care to a panel of patients.

Each Complex Care Physician in the market will spend up to 80% of their time dedicated to providing care to the most complex patients in our populations. This time will include travel for in-person visits, as well as time to complete administrative duties such as clinical documentation and care coordination, both internally and externally. Care delivery will include proving direct in-person and virtual care, as well as serving as the physician consultant during multi-disciplinary case conferences. A typical daily schedule could include up to 8 in-person and/or virtual visits, including unplanned, urgent, and/or emergent in-home visits as needed to meet patient needs.

Each Complex Care Physician in our National Medical Group will have protected time to participate in our Leadership Development Track as part of their onboarding and training during their first year. They also will be afforded the opportunity to benefit from the success of the care they deliver through our partner incentive track.

Key Responsibilities:

• Partner with our Talent Acquisition Team to recruit and hire the best care team members, orienting them toward a value-based model of care that includes a strong focus on home-based care solutions that take into account behavioral health conditions and social determinants of health.
• Build a successful medical practice that carries an excellent reputation among communities of patients and the health care delivery ecosystem.
• Meet or exceed market-level quadruple aim targets, including Team Experience/Joy In Work; Patient Experience- Net Promotor Score; Better Care-admission, readmission, quality metrics; Lower Total Cost of Care- MLR, total cost of care reduction
• Provide coaching and mentorship to a multi-disciplinary care team.
• Data-driven clinical oversight of multidisciplinary teams in partnership with Clinical Service Managers
• Deliver timely healthcare services tailored to the needs of individual patients, and in compliance with our high-touch care delivery model.
• Direct delivery of home- and community-based care (preventive, acute, chronic care management)
• Communicate closely with other healthcare providers so that primary and specialty care is well coordinated, including the use of virtual consult platforms.
• Ensure accurate and thorough clinical documentation for all patients.
• Lead clinical education and quality improvement activities and meetings at the market level.
• Other duties as assigned.

Qualifications:

We are searching for a special breed of health care professional who embodies the following qualities and characteristics: heart and commitment to serve vulnerable populations, passion, and perseverance to achieve long-term goals (a.k.a. grit), team-based and social determinants of health orientation, and embrace change in a rapidly evolving health care delivery system. Flexible and dynamic, this self-starting individual will be a creative problem solver with a proven track record of successful implementation of innovate health care delivery solutions. They must possess excellent time management and organizational skills, with the ability to prioritize and multi-task. Additional qualifications include-

• Graduate of an accredited medical school
• Public health, business administration, or health administration studies preferred.
• Board Certified in Internal Medicine, Medicine/Pediatrics, or Family Practice
• Additional board certification in Emergency Medicine, Gerontology, or Palliative Care is preferred.
• Experience delivering care to complex patients preferred, including in the home and skilled nursing facility settings.
• Recent or current experience as a hospitalist physician preferred.
• Strong knowledge of best clinical practices, particularly in the urgent and post-acute care settings
• Must be skilled in delivering care across medical, behavioral, and social needs, particularly for patients living with mental illness and substance use disorders.
• Demonstrated ability to collaborate both internally and externally with multi-disciplinary care team members.
• Active medical license in the indicated State, or ability to obtain one within 90 days.
• Medication-assisted treatment certification preferred (if not, expectation will be to become certified within first 120 days)
• Must have current state and federal DEA certification.
• Current Certification in AHA or ARC Basic Life Support for health care providers required for employment.
• Working knowledge of computers and ability to document effectively and efficiently in an electronic medical record system.
• Driver's license requirements: licensed for a minimum of 3 years without restrictions; no DUI or other felony driving conviction in the past 7 years.

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