Health Group has a full-time(work-from-home) telehealth opportunity for Nephrology candidates living in Memphis, TN. MDs must be quality driven and have experience applying clinical expertise in a value-based, population health context.
Health Group treats patients with polychronic diseases including CKD, and ESRD. Monogram MDs are clinical leaders who contribute to the development and oversight of clinical strategies, policies, programs, processes, guidelines, and operations that drive improved patient health outcomes within a market. The MD oversees the delivery of care management services, ensuring that patient care is high quality, consistent and compliant.
Roles and Responsibilities:
Responsibility for quality outcomes for large panels of health plan members in
the Memphis area
Utilize data tools to report, monitor, and improve the quality of core clinical KPI's - daily
Collaborate with a small POD of NPs
Conduct retrospective reviews of hospitalizations and dialysis treatment episodes to ensure Monogram's services are effectively rendered
Oversee the continual refinement of clinical strategies, evidence-based clinical guidelines, and care management programs for effectiveness and efficiency within the Memphis market
Reduce unnecessary episodes of care, including hospital readmissions
Prepare clinical care reports in a timely fashion
Apply evidence-based criteria to determine the appropriateness of care
Analyze data to build member care plans and ensure care goals are achieved
Achieve clinical goals and metrics in order to deliver improved health outcomes at a lower total cost of care
Position Requirements:
Must live and be licensed in the state of Tennessee
Must be Board-certified in Nephrology
Must have experience with Medicaid, Medicare, quality improvement, medical utilization management, and risk adjustment
Must be willing to do in-home visits with NP 1 to 2 times a month / if needed