Jobs

Mount Sinai Health System seeks a Medical Director (MD), Physician Engagement and CDQI, who will (1) be responsible for driving key population health goals including access, quality, utilization and accurate risk adjustment with a group of practices and (2) close partnership with the CDQI Director to drive accurate risk adjustment throughout the system.  

This Medical Director must be effective at influencing physicians, medical director and other key practice staff to drive value based care success.  He/she will support the establishing and hardwiring processes to drive excellence in efficiency of care, quality and accurate risk adjustment for all populations served, especially our patients covered under a Medicare arrangement (MSSP or MA).  The MD will report to Chief Medical Officer/Senior Vice President, Population Health and partner with the CDQI Director.

Primary Responsibilities/Expectations:

• Effective influencer for primary care clinical and administrative leadership throughout MSHS to
• drive VBC performance, with a special focus on driving accurate risk adjustment.  
• Rapidly establish a peer level credibility with physicians and medical directors across Mount Sinai Health System (MSHS).
• Develop productive working relationships with practice managers/directors and other practice administrative staff across MSHS.
• Working collaboratively with a Population Health Manager (PHM)) for 6-10 high priority primary care/multispecialty practices.
• Present and facilitate pod and practice health meetings. 
• As appropriate, directly respond to provider/administrator/practice requests from meetings and ad-hoc communications
• Ideally, stay clinically active within Mount Sinai. 

Primary Candidate Requirements:

• MD or DO degree, Internal medicine, Family medicine or Geriatrics strongly preferred, board certification required.  
• Value based care knowledge and experience 
• Demonstrated experience in successfully driving population health initiatives
• Track record and experience in implementing CDQI initiatives and successfully engaging physicians and practice 
• Demonstrated ability to see the forest, leaves and trees at same time and move initiatives forward

Compensation range from 230K-260K (when scaled to 1 FTE) (not including bonuses / incentive compensation or benefits).  Based on experience and demonstrated skill set, could consider Senior Medical Director level and associated compensation.

Salary Disclosure Information:

Mount Sinai Health System provides a salary range to comply with the New York City law on Salary Transparency in Job Advertisements. Actual salaries depend on a variety of factors, including experience, specialties, historical productivity, historical collections, and hospital/community need. As such, an actual salary may fall closer to one or the other end of the range, and in certain circumstances, may wind up being outside of the listed salary range. The salary range listed is for full-time employment and does not include bonuses / incentive compensation or benefits. 

Please specify Job Title of interest and send CV with Cover Letter to:
 

Alex Cano
Executive Director Physician Recruitment
Mount Sinai Health System
[email protected]

EOE Minorities/Women/Disabled/Veterans

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Are you passionate about revolutionizing healthcare for the elderly and medically complex population? If you are, CareConnectMD would like to meet you!

Since 1996, CareConnectMD (formerly Gerinet Medical Associates) has been providing personalized and compassionate medical care for our frail and medically complex patients in skilled nursing and long-term care facilities. Our 22 years of managing care for high-risk populations has helped us design an integrated care model that effectively coordinates care as our patients transition from inpatient to post-acute settings, including going home. Our unique value-based care model improves clinical outcomes and patient/family satisfaction, while reducing overall system costs. We are experts in symptom management, supportive care, advanced care planning, telemedicine, medical crisis prevention, and patient-family communication.

Our Culture:

Many employers say they offer work-life balance, but few are able to deliver on that promise. CareConnectMD providers do not practice on a shift-basis, so they have more flexible schedules that work around raising their families and other important priorities. With us, there are no surprise 12-hour work shifts or increasing unpaid time for after-hour clinic work duties. Retention is important to us, so we want to make sure our providers enjoy great qualities of life. CareConnectMD provides after-hours call coverage support, so you can enjoy your time away from work without being interrupted by calls.

AOC Reach Nurse Practitioner will conduct annual wellness visits and create or update a personalized prevention plan to prevent illness based on current health and risk factors and optimize the management of the patient's current medical conditions. This will include performing various tests, screenings, providing general and preventative care, collecting family history information and meticulous charting. Accurate and timely documentation is essential in providing quality care.

The ideal candidate is passionate about providing high-quality care and constantly striving for excellence.

Key Duties and Responsibilities

• Conduct comprehensive annual wellness evaluations for traditional Medicare beneficiaries enrolled in the ACO REACH program, focusing on elderly and vulnerable individuals residing in disadvantaged areas.
• Collaborate with a multidisciplinary team to develop individualized care plans based on assessment findings, patient goals, and medical history.
• Perform thorough physical assessments, including reviewing medical histories, conducting physical examinations, and assessing mental health status.
• Administer and interpret diagnostic tests, screenings, and laboratory results to identify potential health issues or risks.
• Educate patients and their families about preventive care strategies, disease management, medication adherence, and lifestyle modifications to promote overall wellness.
• Address patients' concerns, answer questions, and provide guidance on healthcare decisions, ensuring patients are well-informed and empowered to actively participate in their care plans.
• Utilize the ACO REACH program's tools and resources to enhance care quality, coordination, and accessibility, while maintaining the integrity of traditional Medicare features and flexibilities.
• Collaborate with primary care physicians, specialists, social workers, and other healthcare professionals to ensure seamless communication and coordination of care for each patient.
• Document evaluations, assessments, interventions, and care plans accurately and comprehensively in the electronic health record system.
• Continuously stay informed about geriatric best practices, evidence-based guidelines, and relevant healthcare policies to provide the highest standard of care.
• Participate in regular team meetings, quality improvement initiatives, and ongoing education to optimize care delivery within the ACO REACH program.

Education and Experience

• Master's degree with a minimum of one (1) year Nurse Practitioner experience (required) experience with performing Annual Wellness Exams, and a minimum of one (1) year hospice or palliative care experience (preferred).
• Must be Board Certified and holds DEA license.
• State certification as Family/ Adult/Geriatric nurse practitioner
• Current CPR certification
• Experience in geriatrics and skilled nursing facilities preferred.
• Certification in a specialist area preferred; (e.g. Hospice and Palliative Nursing (CHPN), or Geriatrics)
• Excellent observation, verbal and written communication skills, problem solving skills, mathematical skills; nursing skills per competency checklist.
• Prolonged or considerable walking or standing. Able to lift, position and/or transfer patients. Able to lift supplies and equipment. Considerable reaching, stooping, bending, kneeling and/or crouching. Visual acuity and hearing to perform required nursing skills.

Essential Skills and Abilities

• Thrives in an unstructured, start-up environment.
• Self-starter that can work independently and collaboratively, prioritize tasks and has initiative and excitement to take on unfamiliar tasks.
• Advanced knowledge of word processing, graphic presentation and computer software related to specific tasks.
• Demonstrated excellent computer and word processing skills with special emphasis on calendaring, presentation, and spreadsheet capabilities.
• Working knowledge of company policies, procedures, and operations
• Excellent composition, grammar, and business language skills
• Excellent communication and interpersonal skills with the ability to effectively communicate with all levels of management, patients, and family members.
• Creative, flexible, well organized, resourceful, and detail-oriented
• Excellent judgment in handling confidential and sensitive information
• Ability to work independently, set priorities and handle multiple tasks with a high level of efficiency.
• Establishing and maintaining cooperative working relationships with others
• Ability to work across locations and time zones.

Licenses/Certifications

• Must be Board certified and have a DEA License
• State certification as adult/geriatric nurse practitioner
• Current CPR certification

Core Competencies

• Instills trust
• Customer focus
• Manages ambiguity
• Collaborates
• Drives results

Apply Now!

• Partner with clinical leadership to develop case management strategy, including the ideal team structure, training, workflow, productivity, engagement, analytics and outcome measurement.
• Develop roadmap that defines the path to operationalize specific actions which are repeatable, measurable, and cost-effective.
• Implement and monitor best practices and workflows
• Build and strengthen relationships with partner providers and nursing facilities/ ALFs and Board and Care facilities.
• Manage, support, and develop team members for continuous improvement; create and implement performance improvement plans when needed
• Ensure care coordination and other support staff are properly trained, integrated within their teams, and productive in their outcomes and quality of work.
• Ensure all staff have adequate training and skills to engage patients, facilities and providers.
• Support and collaborate with data management and IT/IS teams to ensure effective and efficient processes to collect and measure program performance metrics.
• Report program activity and progress regularly to Senior Management
• Develop a process to review program policies and procedures and modify periodically as necessary, as well as quality assurance practices.
• Responsible for the supervision of the daily operations of case management functions. Ensures that patients are care managed according to CareConnectMD mission, vision and values.
• Works with staff in the assessment of current patient needs (post-acute settings, transitions of care, home care) and providing additional resources and referrals. Seeks consultation with others when needed, such as social services, behavioral health, and durable power of attorney.
• Supports a culture of learning and excellence
• This position may require travel and on call

Education and Experience

• Licensed RN or BSN
• At least 3 years of experience in case management for value-based care (health plan, delegated provider group, ACO, etc.)
• Certification in case management a plus
• Experience in managing patients in post-acute settings
• Experience in working with frail, medically complex patients

Essential Skills and Abilities

• Able to effectively fulfill managerial responsibilities in accordance with the organization's policies and applicable laws to front line staff in a fair and consistent manner.
• Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram or schedule form.
• Proficiency with MS Office
• Thrives in an unstructured, start-up environment.
• Self-starter that can work independently and collaboratively, prioritize tasks and has initiative and excitement to take on unfamiliar tasks.
• Effectively communicate with all levels of management, patients, and family members.
• Creative, flexible, well organized, resourceful, and detail-oriented
• Excellent judgment in handling confidential and sensitive information
• Excellent at establishing and maintaining cooperative working relationships with colleagues and clinicians
• Ability to work across locations and time zones

License/Certification

• Licensed Nurse (RN, BSN)
• Current/Valid state driver's license and insurance

Core Competencies

• Instills trust
• Customer focus
• Manages ambiguity
• Collaborates
• Drives results

The anticipated base pay range for this position is $125,000 - $150.00 Individual pay is determined by job-related skills, experience, and relevant education or training.

Apply Now!

Key Duties and Responsibilities:

• Provides support to the Case Manager and Care Navigator in coordination of patient care.
• Tracks utilization management activities to include updating information on ER visits, hospital admissions, Skilled Part A and B services and Hospice.
• Maintains active and accurate ACO patient census by region, site/location, and providers.
• Maintains updated information in CareConnectMD?s Electronic Medical Record (EMR).
• Runs standard reports including metrics, census, hospitalization, emergency visits, etc.
• Obtains records to include consultation notes, hospitalization and emergency room records, advanced directives, POLST, and other related documents.
• Participates in multidisciplinary team meetings.
• Supports the clinical team with prescription fills, DME, specialist appointments, visit scheduling as needed, transportation and home health arrangements.
• Communicates with patients, responsible parties, and partner facilities including hospitals, long term facilities and hospice.
• Other duties as assigned.

Education and Experience:

• Certified Medical Assistant required.
• Experience in a medical setting is required, a minimum of one year preferred.
• Experience working as part of an interdisciplinary team preferred.
• Experience working with long term facilities and/or inpatient facilities preferred.
• Experience in working with Microsoft Word, Excel, and PowerPoint.
• Experience in working with Electronic Medical Record.

Essential Skills and Abilities

• Self-starter who can work independently and collaboratively, prioritize tasks and has initiative and excitement to take on unfamiliar tasks.
• Problem solver.
• Collaborates in a professional, empathetic manner with colleagues.
• Excellent communication and interpersonal skills with the ability to effectively communicate with all levels of management, patients, and family members.
• Creative, flexible, well organized, resourceful, and detail-oriented.
• Excellent judgment in handling confidential and sensitive information.
• Occasionally required to lift or exert force up to ten (10) pounds.
• Working knowledge of company policies, procedures, and operations.

Licenses/Certifications:

• Certified Medical Assistant or Certified Nursing Assistant

Core Competencies:

• Instills trust
• Customer focus
• Manages ambiguity
• Collaborates
• Drives results To ensure the health and safety of our workforce while doing our part to protect those around us,

CareConnectMD is requiring proof of full COVID vaccination for employees as a condition of employment, subject to legally recognized accommodations. The anticipated base pay range for this position is $20.00 - $25.00. Individual pay is determined by job-related skills, experience, and relevant education or training.

Apply Now!

CareConnectMD DCE is a specialized High Needs Direct Contracting Entity (DCE) geared towards medically complex Medicare beneficiaries who reside in nursing homes, assisted living facilities, board and care facilities and at home. The comprehensive program provides a care model that is designed to meet the unique health care needs of medically complex Medicare beneficiaries. Under this value-based care model, CareConnectMD DCE will deliver care coordination services in close collaboration with primary care physicians, specialists, and advanced practice professionals in California, Georgia, Ohio, Indiana, Texas, as well as other expansion locations. Learn more at www.careconnectmd.com

Summary

A team coordinator is a professional who provides administrative roles that help to facilitate the daily functions and operations of an organization. Team coordinators must work closely with the team leader to keep the team running smoothly.

• Schedule meetings, prepare agendas for meetings, and prepare meeting minutes.
• Tracking task and project progress
• Prepare operational reports e.g., productivity, and CCE visits.
• Respond to operational team requests.
• Organize ShareFile, update and maintain share file folders for each partner provider,
• Prepare PowerPoint presentations for meetings as needed.
• Support patient, provider, and facility outreach initiatives to coordinate service delivery.
• Maintains active and accurate ACO REACH patient census, by region, sites, location, and providers.
• Maintains updated information in Electronic Medical Record (EMR)
• Runs standard reports including metrics, census, hospitalization, emergency visits, etc.
• Demonstrates proficiency in computer navigation and medical/financial databases communications.
• Typing up copy for presentations
• To assist on occasions in preparing presentations using Power Point (essential)
• Prepare JOC decks and maintain JOC calendar.
• Prepare implementation decks and maintain implementation calendar.
• Mail out greeting cards to patients for special occasions (Birthday, anniversary, etc.).
• Performs other duties as needed.

Education and Experience

• Required: high school diploma or GED.
• Preferred: associate or bachelor's degree, and some employers may expect this.
• Preferred: experience in a medical setting and Electronic Medical Record
• Required: Microsoft Word, Excel, and PowerPoint

Essential Skills and Abilities

• Self-starter who can work independently and collaboratively, prioritize tasks and has initiative and excitement to take on unfamiliar tasks.
• Problem solver
• Collaborates in a professional, empathetic manner with colleagues,
• Excellent communication and interpersonal skills with the ability to effectively communicate with all levels of management, patients, and family members.
• Creative, flexible, well organized, resourceful, and detail-oriented
• Excellent judgment in handling confidential and sensitive information
• Occasionally required to lift or exert force up to ten (10) pounds
• Working knowledge of company policies, procedures, and operations

Core Competencies

Instills trust Customer focus Manages ambiguity Collaborates Drives results To ensure the health and safety of our workforce while doing our part to protect those around us, CareConnectMD is requiring proof of full COVID vaccination for employees as a condition of employment, subject to legally recognized accommodations.

The anticipated base pay range for this position is $20-$25 per hour; individual pay is determined by job-related skills, experience, and relevant education or training.

Apply Now!

Physician - Orange County

Are you passionate about revolutionizing healthcare for the elderly and medically complex population? If so, CareConnectMD would like to meet you! Since 1996, CareConnectMD (formerly Gerinet Medical Associates) has been providing personalized and compassionate medical care for our frail and medically complex patients in skilled nursing and long-term care facilities. Our 22 years of managing care for high-risk populations has helped us design an integrated care model that effectively coordinates care as our patients transition from inpatient to post-acute settings, including going home. Our unique value-based care model improves clinical outcomes and patient/family satisfaction, while reducing overall system costs. We are experts in symptom management, supportive care, advanced care planning, telemedicine, medical crisis prevention, and patient-family communication. Our Culture: Many employers say they offer work-life balance, but few are able to deliver on that promise. CareConnectMD providers do not practice on a shift-basis, so they have more flexible schedules that work around raising their families and other important priorities. With us, there are no surprise 12-hour work shifts or increasing unpaid time for after-hour clinic work duties. Retention is important to us, so we want to make sure our providers enjoy great qualities of life. CareConnectMD provides after-hours call coverage support, so you can enjoy your time away from work without being interrupted by calls.

Position Summary:
CareConnectMD physicians will visit a variety of skilled nursing facilities and provide medical management to skilled and custodial nursing patients. Expertise or interest in nursing facility and post-acute care, geriatric and rehabilitation medicine are required. If functioning as Supervising Physician for a clinical team (physician and 1-4 nurse practitioners), the physician will manage the patient census and be responsible for NP direction and supervision, as well as carry out scheduled performance evaluations. Attending physicians will be responsible for periodic night call, as well as rotation on weekend call. Admissions are accepted 24 hours, 7 days a week.

Qualifications:

• Background in geriatric, rehabilitative and/or internal medicine
• Current State of California medical license
• Current Drug Enforcement Administration (DEA) Certificate
• Current CPR certification
• Medical malpractice insurance policy in force
• Managed care experience preferred Responsibilities:
• Provide physician coverage for a dynamic service area, usually including 8-20 skilled facilities, depending on geographic distance, patient volume, etc.
• Determine and conduct appropriate rounding schedule to accommodate skilled and custodial patient visit requirements.
• Manage medical care of patients on skilled days; ensure adequate visits according to contract requirements and medical necessity; effect safe and timely discharge from skilled level of care.
• Conduct (or delegate, as appropriate) timely monthly visits to all custodial patients in designated service area in accordance with California Title 22 requirements
• Initiate adequate daily communication with Call Center for review and follow-up of non-critical calls, pages, requests for orders, lab results, etc.
• Provide clear direction for nurse callbacks.
• Thorough and accurate medical documentation of all visits using EMR.
• Document/dictate discharge summary in EMR for skilled patients transitioning to care back to PCP.
• Participate in weekend day call and night call (optional)Participate in QI program and Peer Review.
• Participate in utilization management program.
• Attendance at medical staff meetings.
• Active, ongoing patient/family communication.
• Compliance with CPT coding.
• Timely completion of all medical records, sign telephone orders, and charts in accordance with facility and other applicable requirements

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Key Duties and Responsibilities

• Find member populations that are difficult to locate (homeless, severe mental illnesses, substance use, medically underserved, in need of preventive services, etc.)
• Support members in improving their whole health, through outreach and engagement activities, which are primarily field based.
• Enroll members into programs and services by effectively communicating their value.
• Work with members to provide effective and efficient service coordination.
• Collaborates and consults with Nurse Care Manager and/or the Behavioral Health Care Manager on member care issues that is clinical based.
• Provide on-site/in-home member assessments for safety risk, health needs, and barriers to care.
• Develop service plans and guides with members and providers that include health management goals.
• Engage with members, both in-person and on the phone, to achieve health management goals using health coaching, motivational interviewing, and problem-solving techniques.
• Assist members in overcoming any barriers to meeting health goals and update service plans accordingly.
• Assist members in scheduling appointments and accessing community resources.
• Accompany, arrange for, or directly provide, member transportation to health services appointments.
• Follow up with members via phone calls, home visits, and visits to other settings where members can be found.
• Work with social service agencies to arrange to meet other member needs (housing, food, clothing, financial assistance, etc.).
• Work with facilities to help transition members after discharge to a safe home environment.
• Maintain accurate, quality, timely, and consistent documentation in company database of member activities and interventions Achieve set goals/KPI's.
• Continuously expand knowledge of community resources, services, and programs available to members and build ongoing relationships with these organizations to advocate for members.
• Performs other duties as assigned or required to ensure ECM operations are successful.

Education and Experience:

• High School Diploma/GED required; bachelor's degree preferred.
• Community Health Worker Certificate preferred or have at least minimum of 2 years' experience working in health, social, or community services with ability to attend certification classes.

Essential Skills and Abilities

• Knowledge of community resources within the community to be served.
• Represent the company with professionalism by maintaining clear professional boundaries with members and coworkers.
• Working knowledge of social and health issues.
• Ability to quickly establish credibility and trust with patients and build strong relationships.
• Sound judgment and the ability to quickly analyze situations Ability to establish priorities and meet deadlines.
• Ability to problem solve in a proactive, creative manner.
• Cultural competency:
• Able to work with diverse groups of community members Bilingual (Spanish) preferred, but not required.
• Technologically knowledgeable or experienced in note entry systems, smart phones, and laptops.
• Experience providing peer support to patients with complex and multiple chronic conditions and challenging social and mental health conditions (e.g. Community Health Worker, Patient Navigator, In-Home Support Specialist, etc.).
• Training or experience in community health, social determinants of health, and peer counseling.
• Training and experience in using Motivational Interviewing strongly preferred.
• Strong interpersonal and social skills with demonstrated ability to collaborate with a variety of individuals from a wide range of professional and personal backgrounds.
• Knowledge of community-based healthcare and social services systems and the needs of medically underserved populations, and older adults/seniors.
• Ability to thrive in a complex and rapidly changing environment.
• Maintains confidentiality and follows HIPAA standards in safeguarding patient information. Good oral and written communication skills.
• Knowledge and/or experience within Home support Services (IHSS) is highly desirable.
• Life experience overcoming the challenges of chronic disease or work experience with people living with complex chronic conditions is highly desirable. Thrives in an unstructured, start-up environment.
• Self-starter that can work independently and collaboratively, prioritize tasks and has initiative and excitement to take on unfamiliar tasks.
• Excellent communication and interpersonal skills with the ability to effectively communicate with all levels of management, patients, and family members.
• Creative, flexible, well organized, resourceful, and detail oriented.
• Excellent judgment in handling confidential and sensitive information Ability to work independently, set priorities and handle multiple tasks with a high level of efficiency.
• Establishing and maintaining cooperative working relationships with others Core Competencies.
• Instills trust
• Customer focus
• Manages ambiguity
• Collaborates
• Drives results
• $25-$30 per hour

Apply Now!

Leaders thrive with us! HCA Healthcare is one of the nation's leading providers of healthcare services, comprising of over 180 hospitals and about 2,000 sites of care in 21 states and the United Kingdom. We are looking for a Medical Director for our Mission Health Partners team where excellence creates excellence. Mission Health Partners (MHP) is one of the largest Accountable Care Organizations in North Carolina, with value-based agreements in place with payors that allow MHP to provide care coordination services for at-risk patients under these health plans while also providing incentives for physicians to improve quality and reduce unnecessary costs. The Medical Director works collaboratively with Mission Health Partners (MHP) administrative leadership and clinical staff in the overall clinical management of the network and its care teams. Maintains shared accountability for decisions regarding MHP strategic planning and goals, direction, and development of clinical protocols to assure evidence-based best practices.

What qualifications you will need:

• Required Education: M.D. or D.O. Degree.
• Preferred Education: Master's degree in Business or Healthcare Administration.
• Required License: Current M.D. license in North Carolina is required.
• Required Memberships: Buncombe County Medical Society Membership is required.
• Required Experience: Ten or more years of demonstrated progressively responsible medical experience. Demonstrated knowledge of the laws and accreditation standards applicable to hospitals is necessary.

Apply Now!