Job Description

The Medical Pod Leader will be the clinical leader responsible for the clinical performance of clinical pod team members – to include: Accurate diagnosis and documentation, quality, patient experience, affordability, patient safety, clinical team dynamics, and provider productivity. The pod leader will be tasked with developing and maintaining close working relationships with all clinical team members in the clinical pod. The pod leader will also function as the collaborating physician for associated pod advanced practice providers (APPs). This position will have a dyad partnership with the Market Manager and market office staff.

Essential Duties and Responsibilities

• Act as on-site supervising Physician for assigned APPs, and Physicians assigned to the POD (collaborating physician). Total number of collaborative Practice agreements should not exceed state regulations.
• Collaborative time will correlate to assigned APPs and Physicians
• Participate in at least 1 ride along with all collaborative APPs per quarter
• Provide a complex patient visit as needed for each APP under supervision
• Collaborate with clinical team members associated with pod (Community Health Workers, Medical Social Workers, Nurse Navigators, Care Managers, Patient Care Coordinators, etc.)
• Develop and participate in APP clinical development (Evidenced based care, professionalism, etc.)
• Lead and participate in high-risk huddles and ensure all patients discussed have a plan of care documented and includes all care management team members
• Build team-based culture and work collaboratively with clinical team members
• Conducts 10 chart audits per month or per state regulations, whichever is higher
• Act as resource for clinical team members for patient care questions/concerns and participate in difficult conversations with patients/family members as requested by team
• Routinely conduct panel reviews with APPs
• Sign DME, death certificates, and other orders as needed on behalf of APP (as regulated by state)
• Frequently review Quality metrics, pod level performance and identify areas for improvement leading to superior Quality (HEDIS) performance
• Frequently review clinician capacity and productivity performance. Partner with Site Medical Directors to develop countermeasures and support their implementation when provides are off track
• Work collaboratively with Regional Medical Director (RMD) to identify opportunities for care improvement
• Assists with service inquiry, resolution of patient complaints and requests for Pod as needed
• Assist pod providers to achieve higher EMR efficiency
• Participate in patient care to assigned panel and other patients as needed (High risk or complex patients, Physician face to face requirements, cognitive assessments, etc.)
• Participate and lead clinical education regarding accurate diagnosis, documentation and management of chronic conditions
• Assist with compliance and HR resolutions
• Responsible for discipline actions and performance reviews for direct reports
• Additional duties as assigned by the Regional Medical Director as related to clinical pod performance and outcomes.

In this role you may work with. . .

• Clinical Team Members
• APPS
• Scheduling Analyst
• Patient Care Coordinator
• Clinical Partner/Phlebotomist/Transportation Specialist
• Market Manager
• Market Office Staff
• RMD
• Patients
• Patients Family
• Caregivers

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