Job ID: 289602160
Last Updated: 2/11/2019
Provider Sourcing Specialist
QuadMed's dedicated health professionals focus on wellness and prevention, putting the patient at the center. Working as a team, we deliver high quality, integrated care while controlling ever-growing costs. QuadMed is an innovative leader in employer healthcare solutions, one of the fastest growing providers in the country. In partnership with our patients and the companies we serve, our mission is to create a culture of health.
GENERAL PURPOSE OF JOB
The oversight provider is a practicing physician who functions in oversight capacity for the Advanced Practice Providers (APPs) at the health and wellness centers of QuadMed. In addition, they are accountable for the delegation of tasks and oversight of such tasks (as deemed necessary by state regulations) to assure highest quality of clinical care.
The duties of oversight include availability of telephone consults, reviewing charts with timely completion of audit reporting template; cosigning pharmacy orders if applicable; partnering with LMD to assure highest quality standards are maintained.
Time requirements are minimally 2 to 4 hours / week. However, state regulations may mandate additional requirements which will be incorporated into the expectations of the position. These will be delineated at the commencement of employment.
Timely review , and satisfactory completion of oversight document on assigned APP charts
Communication electronic , verbal or in person , (as applicable) of clinical quality concern to provider and LMD
Partnering with the LMD as necessary to support quality improvement for the APP provider to assure highest care delivery standard.
Review and consent of delegated tasks , and oversight of these tasks as deemed by state guidelines, and QM standard.
Maintains confidentiality of all patient and organization information, and follows federal and state regulations and organization policies regarding protection of patient information.
Travel preferred, required where applicable
MD. or D.O degree from an accredited School of Medicine or Osteopathy and completion appropriate residency
Active Board certification or eligibility required
Minimum of 5 years of primary care practice required
Effective verbal and written communication skills with proficiency in use of electronic medical records is required.
2 or more years of experience supervising, training or mentoring advanced practice professionals preferred
Certificates, Licenses, Registrations:
Active and unrestricted applicable licensure, with current DEA registration
ADDITIONAL COMPANY INFORMATION
We offer excellent benefits to eligible employees, including 401(k), holidays, vacations and more. In select states, patient care is provided by an independent physician-owned corporation.
Quad/Graphics is an equal employment opportunity employer. The Companys policy is not to unlawfully discriminate against any applicant or employee on the basis of race, color, sex, sexual orientation, gender identity, religion, national origin, age, military or veteran status, disability, genetic information or any other consideration made unlawful by applicable federal, state, or local laws. The Company also prohibits harassment of applicants and employees based on any of these protected categories.
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