Physician Sign-on Bonus, Post Acute - Institutional Special Needs Plan (CareMore - Las Vegas, NV) M1

Job Description

$20,000 sign-on bonus

\n The Primary Care Physician (PCP), ISNP is responsible for providing comprehensive,
\n patient-centered primary care to a complex senior population enrolled in CareMore’s
Institutional Special Needs Plan (ISNP) program. This role partners closely with an
\n interdisciplinary care team to deliver high-quality, value-based care with a focus on
\n improving clinical outcomes, reducing avoidable hospitalizations, and supporting
\n patients in long-term care (LTC), skilled nursing facilities (SNF), and other
\n institutional settings . \n

\n The physician provides longitudinal care management, completes timely assessments,
\n coordinates transitions of care, and supports CareMore’s mission of improving the
\n health and well-being of vulnerable populations through proactive and evidence-based
\n care.

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Key Responsibilities: \n

Clinical Care & Patient Management:

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  Deliver high-quality primary care services to ISNP members with complex

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  chronic conditions in institutional settings (e.g., SNF/LTC).

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  Conduct comprehensive patient assessments, including admission evaluations,

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  routine follow-ups, and acute visits as clinically indicated.

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  Develop and manage individualized care plans, including chronic disease

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  management and preventive care interventions.

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  Provide timely diagnosis and treatment while aligning with evidence-based

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  guidelines and CareMore clinical protocols.

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Care Coordination & Transitions of Care

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  Coordinate care with nurses, care managers, social workers, specialists, facility

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  staff, and other interdisciplinary team members.

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  Manage transitions of care including post-acute follow-ups, hospital discharges,

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  readmission prevention, and medication reconciliation.

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  Collaborate with patients and families to support care goals, advanced care

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  planning, and health education.

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Documentation & Compliance

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  Ensure accurate, thorough, and timely documentation in the electronic medical

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  record (EMR).

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  Complete required documentation supporting quality, risk adjustment, and

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  program compliance.

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  Follow all regulatory requirements and internal policies related to CMS, ISNP

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  standards, and institutional care.

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Quality, Outcomes & Value-Based Care

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  Support achievement of clinical and quality outcomes including preventive

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  screenings, chronic disease measures, and patient experience.

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  Participate in initiatives aimed at reducing avoidable emergency department

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  visits, readmissions, and total cost of care.

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  Contribute to continuous improvement efforts through participation in clinical

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  reviews, team huddles, and process improvement work.

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Professional Practice & Team Collaboration

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  Demonstrate clinical leadership and act as a trusted partner to the care team and

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  facility partners.

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  Participate in interdisciplinary case conferences, care planning meetings, and

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  clinical operations discussions as needed.

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  Maintain a culture of compassion, respect, accountability, and excellence in

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  patient care.

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Minimum Qualifications: \n

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  MD or DO from an accredited medical school.

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  Completion of an accredited residency program in Family Medicine, Internal

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  Medicine, or Geriatrics (preferred)

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  Current, unrestricted medical license in the state of practice (or ability to obtain).

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  Board Certified or Board Eligible in Family Medicine or Internal Medicine.

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  DEA license

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Preferred Qualifications \n

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  2+ years of experience providing primary care to seniors and/or medically

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  complex populations.

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  Experience providing care in institutional settings such as Skilled Nursing

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  Facilities (SNF), Long-Term Care (LTC), Assisted Living or post-acute

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  environments

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  Knowledge of value-based care models, Medicare Advantage, HEDIS, Stars, and

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  risk adjustment/HCC documentation.

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  Comfort working collaboratively in a multidisciplinary care model.

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  Strong communication and relationship-building skills with patients, families, and

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  facility partners.

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Work Environment & Physical Requirements \n

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  Primarily facility-based and/or field-based in institutional settings.

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  May require travel between assigned facilities and/or CareMore locations.

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  Ability to sit, stand, and walk throughout the workday and perform required

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  patient assessments.

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  Ability to work with standard office and clinical equipment.

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Core Competencies \n

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  Patient-centered care with a commitment to service excellence

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  Clinical quality and evidence-based decision making

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  Strong collaboration and interdisciplinary teamwork

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  Accountability and integrity

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  Efficient documentation and attention to detail

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  Adaptability in a fast-paced healthcare environment

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