Home Care Physician - Minneapolis - Sign-On Available

Summary of Position:

Evernorth Home Based Care (ENHB), a division of The Cigna Group, is the premier home-based healthcare provider and medical services company.

We are an innovative, multi-specialty practice experiencing tremendous growth nationwide.

At ENHB our focus is comprehensive care at home to improve outcomes and reduce total healthcare costs.

We are a group of clinical professionals that understand the needs of patients, medical professionals, health systems and payers.

A main focus of our practice is:


* Comprehensive Health Risk Assessments (HRA): health plans contract with ENHB to conduct in-home comprehensive health assessments in order to ensure patient's medical well-being and to provide accurate data for HCC (Hierarchical Condition Categories) coding, STAR ratings and reimbursement.


* ENHB In Home Primary Care Program (Model 2): health plans look to us to conduct in-home longitudinal care for medically complex patients with chronic illnesses in an effort improve clinical outcomes.

Our team collaborates with the patients' primary care physicians (PCPs), and our visits serve as an adjunct to the care delivered by the PCP.


* ENHB In Home Primary Care Program (Model 1): ENHB contracts with and receives referrals from health plans to assume primary care of chronically ill patients with high admission rates and multiple emergency department visits in an effort to improve clinical outcomes.

Nurse practitioners work alongside physicians delivering care in the patient's home.

Duties & Responsibilities:

General duties:


* Function as day-to-day clinical leader, providing decision support to nurse practitioners and collaborating with the multidisciplinary team


* Perform preventive visits daily to optimize chronic conditions, assess home environment, and develop proactive care plans


* Educating patients and/or patient's family on chronic medical conditions, preventative care, and medication adherence compliance;


* Perform urgent care visits in the home and telephonically to avoid unnecessary ED transfers and hospital admissions


* Leverage the support of care team such as: nurse care manager, behavioral health, social work, and pharmacy to meet patients' medical, biopsychosocial, and financial needs


* Assume responsibility as home based PCP in some cases where there is no PCP and in other cases co-manage the patient with the PCP and serve as an extension of clinical care into the home


* Coordinate with other physicians across the continuum of care, including hospitalist, specialists, PCP's (in some cases), and SNF providers to smooth transitions and prevent readmissions


* Perform Telehealth visits at times when needed


* Complete appropriate and thorough clinical documentation of acute and chronic health issues through patient encounter in EMR system;


* Complete EMR documentation in a timely manner; Ensuring all appropriate consent forms are signed and dated; Interpreting la...