Lead Palliative Care Physician

Monogram Health is seeking a full-time Lead Palliative Care Physician to join its growing team. This in-market, field-based position involves providing in-home palliative care to seriously ill patients with conditions such as CKD/ESRD, COPD, and CHF. The physician will collaborate with the Market Physician Executive to deliver patient-centered care focused on quality of life, education, and shared decision-making within a managed care, population health context.

Practice Info

• In-market, field-based position requiring residence within an approved territory
• Primarily delivers care in the home
• Focuses on seriously ill patients in their community, including individuals with CKD/ESRD, COPD, and CHF
• Works closely with the Market Physician Executive (MPE)
• Operates within a managed care, population health context
• Opportunity to work in a dynamic, fast-paced and innovative organization that is transforming the delivery of polychronic disease care

Responsibilities

• Collaborate with MPE and the care team to proactively identify patients who qualify for palliative care services and build a patient panel
• Develop and present 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
• 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

Compensation

• Competitive salary plus company bonus program
• Relocation assistance and sign on bonus on case-by-case

Benefits

• Full benefits including medical, dental, vision and life insurance
• Paid time off and 401(k) with matching contributions

Shift & Schedule

• Autonomous schedule with In-home visits in a value-based care model

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