Landmark Health, part of the Optum and UnitedHealth Group family of businesses, was created to transform how healthcare is delivered to the most medically vulnerable members in our community. Our medical group provides home-based medical care to chronically ill patients, many of whom are ill-equipped to navigate our overwhelming healthcare system.
Flexible remote position for chart review and high-level oversight of Psychiatric Nurse Practitioner. Holistically managing patients. Collaborating Psychiatrist must live within the state of NY.
Do you want to make a difference in healthcare?
Landmark Health was created to transform how healthcare is delivered to the most medically vulnerable members in our community. Our medical group provides home-based medical care to chronically ill patients, many of whom are frail, elderly and ill-equipped to navigate our overwhelming healthcare system.
Because many of our patients are frail and elderly, we deliver care primarily in the comfort of their home. Our Program is also offered to eligible patients at no incremental financial cost to them. We are not a fee-for-service practice; we benefit economically only if we deliver high-quality patient outcomes and satisfaction. As a result, our clinical teams can spend quality-time caring for a smaller number of patients, giving all patients the space, respect, compassion and care they deserve.
At Landmark, our interdisciplinary teams collaboratively manage our complex patient panels. These teams are led by Physicians, Nurse Practitioners, and Physician Assistants, with supporting care provided by RN Nurse Care Managers, Social Workers, Pharmacists, Behavioral Health and other employed team members.
The psychiatrist provides medical / behavioral health care and management to members served by Landmark Health. Works with the Chief Behavioral Health Officer, Regional Medical Director, Director of Health Services, Health Plan representatives, and UM staff in the development and/or implementation of medical and behavioral health management policy, clinical protocols, utilization management guidelines, and quality management programs. Dedicated to improving the health and well-being of members; this position collaborates with existing PCPs and / or behavioral health providers if present, the Landmark multi-disciplinary team, the health plan Medical Director and behavioral health department, health professionals, to develop members’ goals of care in all phases of longitudinal delivery.
Functions as the day to day behavioral health clinical leader of the multi-disciplinary team, providing decision support to team members providing care in the home to Landmark patients
In situations where there is no existing behavioral health provider for the patient, the Landmark Physician will assume responsibility as behavioral health provider to drive care and continuity for this patient
In situations where there is an existing behavioral health provider for the patient, the Landmark Physician helps to co-manage the patient with the behavioral health provider and functions as their extension into the home – the behavioral health providers’ eye and ears in the home
Assess patients’ needs in their place of residence, including:
Provide 24/7 behavioral health coverage for assigned and covered patients (this can be as part of a call schedule)
Develop and update care plans and documentation of clinical encounters in the electronic medical record as per Landmark’s Medical Records Policies
Provide same-day clinical assessment and treatment for pre-crisis intervention
Participates in management meetings that include, but may not be limited to:
Weekly case conference reviews
Monthly staff meetings
Schedule Joint Operating Committee meetings
Quarterly Quality Improvement Committee meetings
Continuing education/journal club programs
Performs an initial behavioral health assessment on all newly assigned members and at least annually thereafter. Develops a member management care plan upon enrollment and updates it as needed when changes in condition warrant or following hospitalization. Meets with members and/or their legal representatives to review newly developed or modified care plans; involves the PCP and/or behavioral health provider in these meetings
Calls and communicates directly with patient’s PCP d/or behavioral health provider in real time to discuss any changes of condition and potential medication changes. Plans will be collaboratively decided on with PCP and/or behavioral health provider, but if unable to reach and emergent situation, provider will render appropriate services and communicate changes at first available opportunity
Completes follow-up and post-hospital assessments according to documented standard operating procedure
Prescribes appropriate diagnostics and interventions to avoid unnecessary transfers/acute admissions
Consults with hospital physicians following notification of member transfer
Collaborates with UM staff and PCPs/behavioral health providers/facility staff to enable medical necessity determinations for requested services
Educates patients and/or their legal representatives in disease processes affecting patients and ways to manage them effectively, as well as to promote wellness
Addresses and documents advanced care planning and advanced directive wishes on initial visit and at least annually thereafter
Implements HEDIS measure campaigns and other quality initiatives as directed by Chief Behavioral Health Officer or Regional Medical Director to ensure the highest standards of care and to promote the improvement of care management and delivery
Routine caseload during business hours and scheduled on call after hours / weekends with possibility of home visits for crisis interventions
Keeps current on relevant medical, behavioral research, technology, and related issues by attending continuing education courses, professional meetings and completing journal reviews
Demonstrate appropriate medical judgment and appropriate use of resources with regards to care plans, diagnostic testing and referrals
Develop strong patient-doctor and caretaker/family-doctor relationships so as to improve patient adherence with care plan
Work with the NCM to ensure care plan is meeting the clinical and psycho-social needs of the patient
Provide timely, evidence-based and appropriate patient care at all times
Complete and sign all documentation (including from vendors) within required timeframes
Maintain high levels of patient and family satisfaction
Arrange for transfers and placements to appropriate levels of care
Perform other duties as assigned
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Medical Doctorate or Doctorate of Osteopathy
Board Certified in Psychiatry
Current, valid, non-sanctioned, non-restricted license to practice medicine in the state
Current DEA certification
Must be board certified at the time of hire or able to obtain board certification during the eligible timeframe (5 years following completion of residency or other training)
Ability to meet all Landmark Health Credentialing Requirements
Extensive experience in providing psychiatric care to a wide range of patients including geriatrics
Familiarity with Medicare Guidelines
Familiarity with HCC and ICD-10 codes as related to billing practices
Knowledge of applicable clinical standards of care
Awareness about UM standards, NCQA requirements, CMS guidelines, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems is helpful
Driver’s license without restrictions and with a good driving record
Access to reliable transportation to conduct patient visits required; if you are driving a vehicle, you must comply with all the terms of the Landmark Motor Vehicle Safety policy
Full COVID-19 vaccination is an essential requirement of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance
2+ years of clinical experience, home-based care
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