PHSO iCMP PLUS Primary Care Physician

• Cares for a panel of complex primary care patients with high medical and/or behavioral health complexity enrolled in the iCMP PLUS program
• Completes face-to-face visits in the home or community and non-face-to-face work associated with caring for a panel of patients.
• Examines and treats patients to ensure proper injury care, disease prevention, diagnosis, treatment, and recovery. Professionally responsible for decisions with respect to diagnosis and treatment of patients.
• Prescribes medications, performs routine vaccinations, and provides advice regarding personal health and hygiene.
• Requests necessary tests, follow-up visits and refers patients to specialists, as necessary. Follows up results from any ordered tests and communicates these to patients in a timely fashion.
• Completes continuity visits with patients in the Emergency Department, inpatient hospital, and/or MGB office setting as needed.
• Documents all patient encounters (in person, virtual, or phone) in an accurate and timely manner in accordance with MGB and PHSO policies.
• Accurately codes patient conditions (HCC coding) and actively addresses quality gaps for chronic conditions.
• Available to respond to patient concerns during business hours (M-F 7:45 am - 5:15 pm per PHSO program policies. After hour and weekend coverage will be provided by Mass General Brigham Medical Group.
• Collaborates with multi-disciplinary team to holistically care for patient needs
• Relies on experience and judgment to plan and accomplish goal
• Performs a variety of tasks
• Demonstrate integrity by working with passion, commitment, and honesty, acting in the best interests of patients and multi-disciplinary colleagues.
• Approach work in a collaborating and caring manner interacting with insight, sincerity, and compassion.
• Demonstrate accountability by delivering on commitments, owning mistakes as well as successes, and contributing to an empowering environment where the focus is on solving problems and learning from errors.
• Recognize and respect diversity in all forms. Strive for excellence through quality, innovation, and continuous learning.
• Demonstrate initiative, flexibility, and openness to change. Represent MGB and its clinical affiliates with professionalism. Keep current and proficient with necessary skills and knowledge. Self-identify training and development needs relevant to work area and responsibilities. Adhere to all applicable compliance requirements including but not limited to:
• Complete required compliance training in a timely manner
• Adhere to MGB iCMP PLUS Policy & Procedures
• Promptly, in good faith, report any instances of suspected fraud, waste and abuse; suspected privacy and/or security incidents; or any compliance concerns identified
• Ensure confidentiality of patient and company proprietary information is maintained
• Cares for a panel of complex primary care patients with high medical and/or behavioral health complexity enrolled in the iCMP PLUS program

Licensure and Qualifications

• Doctor of Medicine degree (MD)
• Residency training in internal medicine or family medicine
• Valid and unrestricted Massachusetts license to practice the profession
• Valid DEA license for prescribing of controlled substances
• 3-5 years experience working as a primary care physician
• Familiar with standard concepts, practices, and procedures within a the field of outpatient adult medicine. Relies on experience and judgment to plan and accomplish goals.
• Familiarity and proficiency in diagnosis, treatment, and prescribing for primary care behavioral health conditions (e.g. depression, anxiety, ADHD) and substance use disorders in the outpatient setting.
• Familiarity and proficiency with the specific medical, social, and community needs of people with disabilities or chronic serious illness and elders
• 'Experience in patient engagement, serious illness and goals of care conversations, motivational interviewing, and team-based care.