Tampa, FL 32034, 32174, 32218, 32225, 32137, USA
Description
Position: Practice Medical Director - Florida
Practice Medical Directors are quality-driven physicians, who are dedicated to improving the well-being, quality of life, and health outcomes of our patients. We partner with the nation's leading clinical specialists to create transformative care. Monogram uses next-generation AI algorithms to predict necessary care, to promote the delay of complex disease progression, seamless transition to dialysis, preemptive kidney transplant, and conservative management. The PMD oversees the delivery of care management services within their market, ensuring high-quality patient care, by continually reviewing patient care plans and providing education and guidance to field clinicians when needed.
Responsibilities:
- Responsible for large panels of health plan members in specified geographic regions in Florida
- Utilize data tools to report, monitor, and improve quality and utilization
- Conduct retrospective reviews of hospitalizations and dialysis treatments to ensure all services are effectively rendered
- Oversee the implementation and refinement of clinical strategies, evidence-based guidelines and care management programs for effectiveness and efficiency
- Reduce unnecessary episodes of care, including hospital readmissions
- Lead case rounds with NPs and CMs
- Analyze data to build member care plans and ensure care goals are achieved
- Optimize patient health outcomes and total performance against health plan contracts
- Represent Monogram as a leader to health plans, providers, and other organizations
- Achieve clinical goals for delivering improved health outcomes at a lower cost of care
Requirements:
- This is a hybrid telemedicine position with occasional in-home patient visits and some domestic travel
- Demonstrated experience applying evidence-based clinical criteria
- Board Certified MD from accredited medical school with current Florida medical license willing to become licensed in multiple states
- Experience with NCQA, HEDIS, Medicaid, Medicare, quality improvement, utilization management, and risk adjustment
- Experience in CKD, ESRD, Chronic illness
About Monogram Health
Monogram Health is a next-generation, value-based chronic condition risk provider serving patients living with chronic kidney and end-stage renal disease and their related metabolic disorders. Monogram seeks to fill systemic gaps and transform the way nephrology, primary care and chronic condition treatment are delivered. Monogram’s innovative, in-home approach utilizes a national nephrology practice powered by a suite of technology-enabled clinical services, including case and disease management, utilization management and review, and medication therapy management services that improve health outcomes while lowering medical costs across the healthcare continuum. By focusing on increasing access to evidence-based care pathways and addressing social determinants of health, Monogram has emerged as an industry leader in championing greater health equity and improving health outcomes for individuals with chronic kidney and end-stage renal disease.
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