Conviva - Associate Medical Director - Boca Raton, FL

7 days left

Employer
Humana
Location
Boynton Beach, Florida
Salary
Not Specified
Posted
Feb 23, 2024
Closes
Apr 22, 2024
Ref
6831210#GIJtoGJS.1
Industry
Insurance
Category
Insurance
Workplace
In-Office
Become a part of our caring community and help us put health first

The Associate Medical Director serves as a health-care professional and capable of handling a variety of health-related problems. The Associate Medical Director requires a solid understanding of how organization capabilities interrelate across department(s).

Use your skills to make an impact

Patient Care:


· 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 health care.

· Acts as an active participant and lead with the care team through daily huddles.

· Helps Regional Medical Director (RMD), Physician 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 Conviva.

· Assures personal compliance with licensing, certification, and accrediting bodies.


Required Qualifications:

· Minimum of two to five years directly applicable experience preferred

· Successful completion of a Nurse Practitioner program with Board Certification

· Active, unrestricted Nurse Practitioner license in state of practice location

· Excellent communication skills; written and verbal, demonstrate a high level of skill with interpersonal relationships and communications with all colleagues; fully engaged in the concept of “Integrated team based care”.

· Willingness and ability to learn/adapt to practice in a value based care setting.

· Superior patient/customer service.

· Basic computer skills, including email and EMR.

· Appropriate certification to write prescriptions under the authority of a collaborating physician/medical director

· This role is considered patient facing and is a part of our Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.

Preferred Qualifications:

· Active and unrestricted DEA license

· Medicare Provider Number/ Medicaid Provider Number

· Experience managing Medicare Advantage panel of patients with understanding of Best Practice in coordinated care environment in a value based relationship environment.

· Knowledge of Medicare guidelines and coverage.

· Creole speaking a plus

· Knowledge of HEDIS quality indicators.

Additional Information:

· Guaranteed base salary + quarterly bonus

· Excellent benefit package –health insurance effective on your first day of employment

· CME Allowance/Time

· Occurrence Malpractice Insurance

· 401(k) with Employer Match

· Life Insurance/Disability

· Paid Time Off/Holidays

· Minimal call

#physiciancareers
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Scheduled Weekly Hours

40

About us

About Conviva: Conviva Care Centers provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. As part of Humana's Primary Care Organization, which includes CenterWell Senior Primary Care, Conviva's innovative, value-based approach means each patient gets the best care, when needed most, and for the lowest cost. We go beyond physical health – addressing the social, emotional, behavioral and financial needs that can impact our patients' well-being.

About Humana: Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers, and our company. Through our Humana insurance services, and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

Equal Opportunity Employer

It is the policy of  Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of  Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

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