Overview Monogram Health is seeking a full-time physician, specialized in palliative care, to join the team due to continued nationwide growth. This physician will be an in-market specialist and care for the seriously ill population in their community, including patients with CKD/ESRD, COPD, and CHF. The Lead Palliative Care physician will be integrated into their local market with the Market Physician Executive (MPE) and primarily renders care in the home.
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
Qualifications 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
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
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 persons 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 patients 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 Healths 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 2024s No. 3 fastest growing private company in the United States, please visit here.
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