Job Description
Join a dedicated healthcare team serving vulnerable populations with complex, chronic conditions in a comprehensive, community-focused setting.
Provide management and improvement of health for patients with multiple chronic illnesses, leading multidisciplinary teams including social workers, case managers, and specialists.Develop and implement transitional care plans, facilitate appropriate discharges, and manage acute exacerbations within the center to prevent hospital readmissions.Communicate effectively with hospitals, skilled nursing facilities, and community resources, ensuring continuity of care.Educate patients on disease progression and care plans, practicing evidence-based medicine aligned with the PCMH model.Qualifications include licensure and board certification in Internal Medicine or Family Practice, BLS, DEA, and experience with EMR systems.Preferred candidates have experience in population health management and working with complex patient populations.Benefits include 401(k) matching, health, dental, vision, life, and malpractice insurance, and paid time off.
