Internal Medicine - Physician

Internal Medicine - Physician at CenterWell Senior Primary Care - Houston - CenterWell Senior Primary Care summary :

The Internal Medicine Physician serves as a primary care provider focusing on outpatient medicine, health maintenance, and disease prevention for senior patients. They lead a multidisciplinary care team to deliver value-based, high-quality, coordinated care with an emphasis on personalized attention and better health outcomes. Responsibilities include patient evaluation, care coordination, documentation, and collaboration with other healthcare professionals to optimize treatment and ensure compliance with medical standards.

Job Description

The Primary Care Physician (PCP) works as a lead in our team-based care environment. We are a value-based care provider focused on quality of care for the patients we serve. Our care team consists of Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, 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 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 with those they do.

The physician focuses on outpatient medicine, continuity of care, health maintenance, and disease prevention. Keeps a medical history and medical records. Refers the patient to specialists as needed. Begins to influence the department’s strategy. Makes decisions on moderately complex to complex issues regarding technical approach to project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments.

The physician serves as a healthcare professional and is capable of handling a variety of health-related problems. The Physician work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.

Responsibilities Robust support allows our PCP to see fewer patients and spend more time with those they do

Evaluates and treats center patients in accordance with standards of care

Follows level of medical care and quality for patients and monitors care using available data and chart reviews

Assists in the coordination of patient services, including, but not limited to, specialty referrals, hospital and SNF coordination, durable medical equipment and home healthcare

Acts as an active participant and key source of medical expertise with the care team through daily huddles

Helps the Regional Medical Director and Center Administrator in setting a tone of cooperation in practice by displaying a professional and approachable demeanor

Completes all medical record documentation in a timely manner, working with a quality-based coder to optimize coding specificity

Follows policy and protocol defined by Clinical Leadership. Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues

Participates in potential growth opportunities for new or existing services within the Center

Participates in the local primary care on-call program of CenterWell Senior Primary Care as needed

Assures personal compliance with licensing, certification, and accrediting bodies

Spend 100% of your time clinically focused on direct patient care, inclusive of patient-facing time and general administrative time (charting, meetings, etc.)

Keywords :

primary care, internal medicine, outpatient care, chronic disease management, senior healthcare, value-based care, care coordination, multidisciplinary team, medical documentation, patient-centered