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 InfoIn-market, field-based position requiring residence within an approved territoryPrimarily delivers care in the homeFocuses on seriously ill patients in their community, including individuals with CKD/ESRD, COPD, and CHFWorks closely with the Market Physician Executive (MPE)Operates within a managed care, population health contextOpportunity to work in a dynamic, fast-paced and innovative organization that is transforming the delivery of polychronic disease careResponsibilitiesCollaborate with MPE and the care team to proactively identify patients who qualify for palliative care services and build a patient panelDevelop and present metrics to executive leadership, as requestedResponsible for the outcomes for patient panel, driving both predetermined clinical and financial Key Performance Indicators (KPIs) through interventionsTreat panel of patients in-home to drive healthcare outcomesEvaluate 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 formsSupport patients utilizing our IDT, including Palliative Care ChaplainCompensationCompetitive salary plus company bonus programRelocation assistance and sign on bonus on case-by-caseBenefitsFull benefits including medical, dental, vision and life insurancePaid time off and 401(k) with matching contributionsShift & ScheduleAutonomous schedule with In-home visits in a value-based care modelRequirementsMust be willing and able to obtain hospital privileges at required facilitiesDesire to practice in a forward-looking renal care environment focused on population health managementDemonstrated experience applying evidence-based clinical criteriaComfort and skill in goals of care discussions and advance care planningExperience with high-need Medicare Advantage and managed Medicaid populations, as well as commercial populationsExperience integrating acute and behavioral health care and appreciation of social determinants of health and the value of social workersExpertise in managing medication panels for complex patientsCurrent state medical license without restrictions to practice and free of sanctions from Medicaid or MedicareWillingness to become licensed in multiple states as company and patient needs requireDoctorate Degree in Medicine