Position: Lead Palliative Care Physician Monogram Health is seeking a full-time physician specializing in palliative care to join our team amid continued nationwide growth. This is an in-market, field-based position requiring residence within one of our approved territories. As an in-market specialist, this physician will care for seriously ill patients in their community, including individuals with CKD/ESRD, COPD, and CHF. The Lead Palliative Care Physician will work closely with the Market Physician Executive (MPE) and primarily deliver care in the home.
Your ImpactMonogram Health physicians are quality-driven physicians who apply their clinical expertise in a managed care, population health context. They also engage in population health management in a sophisticated, outcomes-driven manner that promotes palliative care where clinically appropriate and focuses on patient quality of life, education, and shared-decision making.
Highlights & Benefits - Opportunity to work in a dynamic, fast-paced and innovative organization that is transforming the delivery of polychronic disease care
- Autonomous schedule with In-home visits in a value-based care model
- Competitive salary plus company bonus program
- Full benefits including medical, dental, vision and life insurance
- Paid time off and 401(k) with matching contributions
- Relocation assistance and sign on bonus on case-by-case
Roles & Responsibilities - Collaborate with MPE and the care team to proactively identify patients who qualify for palliative care services and build a patient panel
- Developing and presenting metrics to executive leadership, as requested
- Responsible for the outcomes for patient panel, driving both predetermined clinical and financial Key Performance Indicators (KPIs) through interventions outlined below
- Treat panel of patients in-home to drive healthcare outcomes
- Evaluate and treat symptoms that may interfere with quality of life, like pain, pruritis, depression, anxiety, insomnia, etc.
- Refer members to appropriate specialists to drive clinical care (Monogram-based specialists or locally-aligned specialists)
- Conduct goals of care and family meetings as needed and document patient/family wishes in state AD/POLST forms
- Support patients utilizing our IDT, including Palliative Care Chaplain
- Assist with hospice transitions as appropriate
- Develop key relationships with local providers (PCP, nephrologists, specialists) to improve market alignment
- Participate in monthly meetings with RMD/CMO in areas of KPI and expectations around KPIs
- Educate and support team around palliative care, hospice care, advance directives, symptom assessment, and communication
Position Requirements - Must be willing and able to obtain hospital privileges at required facilities.
- Desire to practice in a forward-looking renal care environment focused on population health management
- Demonstrated experience applying evidence-based clinical criteria
- Comfort and skill in goals of care discussions and advance care planning
- Experience with high-need Medicare Advantage and managed Medicaid populations, as well as commercial populations
- Experience integrating acute and behavioral health care and appreciation of social determinants of health and the value of social workers
- Expertise in managing medication panels for complex patients
- Current state medical license without restrictions to practice and free of sanctions from Medicaid or Medicare.
- Willingness to become licensed in multiple states as company and patient needs require
- Doctorate Degree in Medicine
- Board Certified in Hospice and Palliative Medicine
- Must have reliable transportation
