About Harmony Cares
Harmony Cares is a leading provider of home-based primary care services for complex/fragile patients. Based in Troy, Michigan, Harmony Cares operates in-home primary care practices in 11 states, constituting a 200 + primary care provider group, providing continuity-based primary care under an integrated, physician-driven model which includes ancillary services such as home health, hospice, palliative care, radiology, diagnostics, durable medical equipment, and laboratory. Harmony Cares also operates a multi-state Medicare Shared Savings Program ACO serving approximately 20,000 complex/fragile Medicare patients.
The Pod Leader will be the clinical leader responsible for the clinical performance of clinical pod team members – to include: accurate diagnosis and documentation, quality, Patient Experience, affordability, patient safety and clinical team dynamics. The pod leader will be tasked with developing and maintaining close working relationships with all clinical team members in the clinical pod. The pod leader will also function as the collaborating physician for associated pod advanced practice providers (APPs).
Essential Duties and responsibilities
- Act as on-site supervising Physician for assigned APPs, and Physicians assigned to the POD (collaborating physician). Total number of collaborative Practice agreements should not exceed state regulations.
- Collaborative time will correlate to assigned APPs and Physicians
- Participate in at least 1 ride along with all collaborative APPs per month
- Collaborate with clinical team members associated with pod (Community Health Workers, Medical Social Workers, Nurse Navigators, Care Managers, Patient Care Coordinators, etc.)
- Develop and participate in APP clinical development (Evidenced based care, professionalism, etc.)
- Lead and participate in high-risk huddles (right care meetings) and ensure all patients discussed have a plan of care documented and includes all care management team members.
- Build team-based culture and work collaboratively with clinical team members
- Regularly conducts chart audits on at least 5% of weekly charts per collaborating Provider (or higher percentage if mandated by state regulations)
- Act as resource for clinical team members for patient care questions/concerns and participate in difficult conversations with patients/family members as requested by team
- Routinely conduct panel reviews with APPs
- Sign home health, DME, death certificates, and other orders as needed on behalf of APP (as regulated by state)
- Frequently review Quality metrics, pod level performance and identify areas for improvement leading to superior Quality (HEDIS) performance
- Work collaboratively with RCMO and Medical Director to identify opportunities for care improvement
- Assists with service inquiry, resolution of patient complaints and requests for Pod as needed
- Function as EMR “super-user” and assist pod providers to achieve higher EMR efficiency
- Participate in patient care to assigned panel and other patients as needed (High risk or complex patients, Physician face to face requirements, cognitive assessments, etc.)
- Participate and lead clinical education regarding accurate diagnosis, documentation and management of chronic conditions.
- Additional duties as assigned by the Regional CMO and/or medical director as related to clinical pod performance and outcomes.
REQUIRED Knowledge, Skills and Experience
- Must be Doctor of Medicine or Osteopathy
- Must be board certified in Primary Care Specialty (Family Medicine or Internal Medicine)
Call for Immediate Interview - Santina Gianino, Talent Advisor, Physician & APC Recruiter