Lead Palliative Care Physician - In-Home & Population Health

Position: Lead Palliative Care Physician Monogram Health is seeking a full-time physician specializing in palliative care to join our team amid continued nationwide growth. This is an in‑market, field‑based position requiring residence within one of our approved territories. As an in‑market specialist, this physician will care for seriously ill patients in their community, including individuals with CKD/ESRD, COPD, and CHF. The Lead Palliative Care Physician will work closely with the Market Physician Executive (MPE) and primarily deliver care in the home. Your Impact Monogram Health physicians are quality-driven physicians who apply their clinical expertise in a managed care, population health context. They also engage in population health management in a sophisticated, outcomes-driven manner that promotes palliative care where clinically appropriate and focuses on patient quality of life, education, and shared-decision making. Highlights & Benefits Opportunity to work in a dynamic, fast-paced and innovative organization that is transforming the delivery of polychronic disease care Autonomous schedule with In-home visits in a value-based care model Competitive salary plus company bonus program Full benefits including medical, dental, vision and life insurance Paid time off and 401(k) with matching contributions Relocation assistance and sign on bonus on case-by-case Roles & Responsibilities Collaborate with MPE and the care team to proactively identify patients who qualify for palliative care services and build a patient panel Developing and presenting 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 outlined below 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 Assist with hospice transitions as appropriate Develop key relationships with local providers (PCP, nephrologists, specialists) to improve market alignment Participate in monthly meetings with RMD/CMO in areas of KPI and expectations around KPIs Educate and support team around palliative care, hospice care, advance directives, symptom assessment, and communication Position 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 Board Certified in Hospice and Palliative Medicine Must have reliable transportation About Monogram Health: Monogram Health is a leading multispecialty provider of in-home, evidence-based care for the most complex of patients who have multiple chronic conditions. Monogram health takes a comprehensive and personalized approach to a person’s health, treating not only a disease, but all of the chronic conditions that are present - such as diabetes, hypertension, chronic kidney disease, heart failure, depression, COPD, and other metabolic disorders. Monogram Health employs a robust clinical team, leveraging specialists across multiple disciplines including nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care to diagnose and treat health issues; review and prescribe medication; provide guidance, education, and counselling on a patient’s healthcare options; as well as assist with daily needs such as access to food, eating healthy, transportation, financial assistance, and more. Monogram Health is available 24 hours a day, 7 days a week, and on holidays, to support and treat patients in their home. Monogram Health’s personalized and innovative treatment model is proven to dramatically improve patient outcomes and quality of life while reducing medical costs across the health care continuum. Monogram Health is based in Nashville, Tennessee, operates throughout 37 states, and is privately held by Frist Cressey Ventures, Norwest Venture Partners, TPG Capital, as well as other leading strategic and financial investors. To learn more about Monogram Health, ranked by Inc. Magazine as 2024’s No. 3 fastest growing private company in the United States, please visit here . #J-18808-Ljbffr Monogram Health