Practices in accordance with the respective state laws and regulations Must possess the ability to actively identify new areas for learning; regularly create and take advantage of learning opportunities, and use newly gained knowledge and skill on the job and learn through their application.
Must possess the ability to hear and communicate with others in a clear, understandable, and professional manner.
Must be flexible and adaptable; conditions and environment are unpredictable and change frequently.
Must possess the ability to maintain regular, reliable and punctual attendance.
Must demonstrate a high degree of professionalism. and ability to manage their individual performance.
Demonstrate ownership and responsiveness in their customer service approach to patient care and contributes to an atmosphere of teamwork within their group.
Determines patient acuity after thorough assessment of the patient and review of the chart
Understands and complies with long-term care policies and procedures, including those that regulate nursing facilities and assisted living communities.
Establishes and maintains effective relationships with patients and their legal representatives, facility staff, and other collaborating physicians/providers.
Works with the facility medical records department to schedule patients for required visits.
Must maintain quality, operational, clinical and productivity goals as established by the Landmark leadership team.
Works with Facility and quality staff to identify areas of opportunities to develop plans to increase quality to positively affect the facilities STAR ratings
Following the visit promptly documents and communicates any pertinent information for the facility staff
Completes required documentation in a timely manner
Performs an initial comprehensive assessment on all new patients. Prescribes appropriate diagnostics and interventions to avoid unnecessary transfers/acute admissions.
Consults with hospital physicians following notification of member transfer.
Collaborates with facility staff to enable medical necessity determinations for requested medical services.
Educates members, families, and/or their legal representatives in disease processes affecting members and ways to manage them effectively, as well as to promote wellness.
Provides counsel, support and education to facility staff.
Supports FCMs in developing and providing in-service educational programs to facility staff.
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
Behavior health meetings
Implements quality initiatives as directed by the medical director or Landmark Chief Clinical Officer to ensure the highest standards of care and to promote the improvement of care management and delivery.
On-call for caseload during business hours and assigned after hour management of the facility. Keeps current on relevant medical and nursing research, technology, and related issues by attending continuing education courses, professional meetings and journal reviews.
Perform related duties as necessary and other duties as assigned.
Board Certified / Board Eligible Physician, preferably Internal Medicine, Family Medicine, or Emergency Medicine
Doctor of Medicine M.D. or Doctor of Osteopathy D.O. from an accredited educational institution
Knowledge of long-term care, community resources and cost-effective alternatives regarding patient care delivery systems
Knowledge of CPT, ICD-10 and HCPC codes
Knowledge of clinical standards of care
Awareness about UM standards, NCQA requirements, CMS guidelines, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems is helpful
Eagerness to work with a diverse and multidisciplinary team