Monogram Regional Medical Executives are quality driven physicians who are dedicated to improving the well-being, quality of life, and health outcomes for our patients. We partner with the nation's leading clinical specialists to create transformative polychronic care. Monogram Health uses next generation AI algorithms to predict necessary care to promote the delay of complex disease progression, such as chronic kidney disease and the seamless transitions to dialysis, pre-emptive kidney transplant, conservative management. The Regional Medical Executive is a key clinical leader within Monogram Health who contributes to the development and oversight of clinical strategies, policies, programs, processes, protocols, guidelines, and operations that drive improved patient health outcomes in conjunction with the Practice Medical Executives to motivate and provide medical direction in pursuit of evidence based and cost effective, quality healthcare. The Regional Medical Executive will plan, organize and supervise appropriate clinical and operational aspects of their regional market in conjunction with their assigned Practice Medical Executives. Roles and Responsibilities<ul><li>Reduce unnecessary episodes of care, including hospital readmissions</li><li>Analyze data built by Practice Medical Executives and ensure care goals are achieved</li><li>Identify quality of care issues for health plan clients</li><li>Optimize patient health outcomes and total performance against health plan contracts across multiple specified markets</li><li>Lead efforts to share and explain all clinical policies, procedures and guidelines with Monogram employees and our physician partners</li><li>Represent Monogram as a clinical leader to health plans, providers, and other organizations</li><li>Monitor and assist Practice Medical Executives regarding care management and practice operations within your market</li><li>Monitor Practice Medical Executives across multiple markets and their respective clinical metrics and goals for delivering improved health outcomes at a lower total cost of care across your market</li><li>Remain available for occasional coverage of Practice Medical Executives responsibilities</li><li>Take responsibility for quality outcomes for multiple panels of health plan members in specified geographic regions</li><li>Utilize IT and data tools to report, monitor, and improve quality and utilization</li><li>Assist Practice Medical Executives to conduct retrospective reviews of hospitalizations and dialysis treatment episodes to ensure Monogram's care management services are effectively rendered</li><li>Assist Practice Medical Executives to oversee the implementation and continual refinement of the clinical strategies, evidence-based clinical care guidelines, and care management programs for effectiveness and efficiency</li><li>Identify regional trends and implement actions plans to improve population health outcomes</li><li>Create a work environment that fosters fulfilment and personal development for employees and encourages empathy and compassion toward patients</li><li>Support Monogram as necessary with any tasks required to deliver excellent personalized clinical care and perform all other duties as assigned</li><li>Develop and maintain compliance with regional budgets</li><li>Assess, develop and recommend strategies for compliance with regulatory requirements</li><li>Uphold the mission and values of Monogram Health in all aspects of your role and activities</li><li>Other duties as requested</li></ul>Position Requirements<ul><li>Must be willing and able to obtain hospital privileges at required facilities.</li><li>This position will be remote within the designated market with occasional in-home patient treatment visits and occasional domestic travel</li><li>Demonstrated experience applying evidence based clinical criteria</li><li>Strong management and communication skills</li><li>Active, unrestricted state medical license required in each state within the market</li><li>Experience with high need Medicare Advantage and managed Medicaid populations</li><li>Experience with NCQA, HEDIS, Medicaid, Medicare, quality improvement, medical utilization management, and risk adjustment</li><li>Current state medical license without restrictions to practice and free of sanctions from Medicaid or Medicare. Willingness to become licensed in multiple states.</li><li>MD (Medical Doctor) or DO degree from an accredited medical school</li><li>BC or BE in an ACGME approved specialty such as Nephrology, Internal Medicine, Family Practice, Emergency Medicine, Critical Care, Cardiology, Endocrinology, Hepatology, or Geriatrics.</li></ul>Benefits<ul><li>Opportunity to work in a dynamic, fast-paced and innovative organization that is transforming the delivery of polychronic disease care</li><li>Hybrid schedule with In-home, value-based care model </li><li>Competitive salary plus company bonus program </li><li>Full benefits including medical, dental, vision and life insurance </li><li> Paid time off and 401(k) with matching contributions</li><li> Relocation assistance and sign on bonus on case-by-case </li></ul>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 person s 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 patient s 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.Monohram Health s 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 2024 s No. 3 fastest growing private company in the United States, please visit here . QualificationsLicenses & CertificationsPreferredMedical Doctor Equal Opportunity Employer<img src="https://www.jobg8.com/Tracking.aspx?L3%2fOKi5C1zgJVW3EO4eRFgc" width="0" height="0" />

**Regional Medical Executive**

Monogram Regional Medical Executives are quality-driven physicians who are dedicated to improving the well-being, quality of life, and health outcomes for our patients. We partner with the nation's leading clinical specialists to create transformative polychronic care. Monogram Health uses next-generation AI algorithms to predict necessary care to promote the delay of complex disease progression, such as chronic kidney disease and the seamless transitions to dialysis, pre-emptive kidney transplant, and conservative management.

The Regional Medical Executive is a key clinical leader within Monogram Health who contributes to the development and oversight of clinical strategies, policies, programs, processes, protocols, guidelines, and operations that drive improved patient health outcomes in conjunction with the Practice Medical Executives to motivate and provide medical direction in pursuit of evidence-based and cost-effective, quality healthcare.

The Regional Medical Executive will plan, organize, and supervise appropriate clinical and operational aspects of their regional market in conjunction with their assigned Practice Medical Executives.

**Job Description**

- Reduce unnecessary episodes of care, including hospital readmissions
- Analyze data built by Practice Medical Executives and ensure care goals are achieved
- Identify quality of care issues for health plan clients
- Optimize patient health outcomes and total performance against health plan contracts across multiple specified markets
- Lead efforts to share and explain all clinical policies, procedures, and guidelines with Monogram employees and our physician partners
- Represent Monogram as a clinical leader to health plans, providers, and other organizations
- Monitor and assist Practice Medical Executives regarding care management and practice operations within your market
- Monitor Practice Medical Executives across multiple markets and their respective clinical metrics and goals for delivering improved health outcomes at a lower total cost of care across your market
- Remain available for occasional coverage of Practice Medical Executives responsibilities
- Take responsibility for quality outcomes for multiple panels of health plan members in specified geographic regions
- Utilize IT and data tools to report, monitor, and improve quality and utilization
- Assist Practice Medical Executives to conduct retrospective reviews of hospitalizations and dialysis treatment episodes to ensure Monogram's care management services are effectively rendered
- Assist Practice Medical Executives to oversee the implementation and continual refinement of the clinical strategies, evidence-based clinical care guidelines, and care management programs for effectiveness and efficiency
- Identify regional trends and implement action plans to improve population health outcomes
- Create a work environment that fosters fulfillment and personal development for employees and encourages empathy and compassion toward patients
- Support Monogram as necessary with any tasks required to deliver excellent personalized clinical care and perform all other duties as assigned
- Develop and maintain compliance with regional budgets
- Assess, develop, and recommend strategies for compliance with regulatory requirements
- Uphold the mission and values of Monogram Health in all aspects of your role and activities
- Other duties as requested

**Requirements**

- Must be willing and able to obtain hospital privileges at required facilities.
- This position will be remote within the designated market with occasional in-home patient treatment visits and occasional domestic travel.
- Demonstrated experience applying evidence-based clinical criteria.
- Strong management and communication skills.
- Active, unrestricted state medical license required in each state within the market.
- Experience with high need Medicare Advantage and managed Medicaid populations.
- Experience with NCQA, HEDIS, Medicaid, Medicare, quality improvement, medical utilization management, and risk adjustment.
- Current state medical license without restrictions to practice and free of sanctions from Medicaid or Medicare. Willingness to become licensed in multiple states.
- MD (Medical Doctor) or DO degree from an accredited medical school.
- BC or BE in an ACGME approved specialty such as Nephrology, Internal Medicine, Family Practice, Emergency Medicine, Critical Care, Cardiology, Endocrinology, Hepatology, or Geriatrics.

**Benefits**

- Opportunity to work in a dynamic, fast-paced, and innovative organization that is transforming the delivery of polychronic disease care.
- Hybrid schedule with in-home, 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 a case-by-case basis.

**About Monogram Health**

Monogram Health is a leading multispecialty provider of in-home, evidence-based care for the most complex patients who have multiple chronic conditions. Monogram Health takes a comprehensive and personalized approach to a person's 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 counseling on a patient’s 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 Health's personalized and innovative treatment model is proven to dramatically improve patient outcomes and quality of life while reducing medical costs across the healthcare 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 2024's No. 3 fastest growing private company in the United States.

Regional Medical Executive

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 Palliative Care physician will be integrated into their local market with the pod Medical Director and primarily renders care in the home and through telemedicine visits. Your Impact Monogram Health physicians are quality-driven physicians who apply their clinical expertise in a managed care, population health context. They also engage in population health management in a sophisticated, outcomes-driven manner that promotes palliative care where clinically appropriate and focuses on patient quality of life, education, and shared-decision making. Highlights & Benefits? <ul><li>Opportunity to work in a dynamic, fast-paced and innovative organization that is transforming the delivery of polychronic disease care </li><li>Hybrid schedule with In-home, in-person, and travel opportunities </li><li>Competitive salary plus company bonus program?</li><li>Full benefits including medical, dental, vision and life insurance?</li><li>Paid time off and 401(k) with matching contributions </li><li>Relocation assistance and sign on bonus on case-by-case?</li></ul> Roles & Responsibilities? <ul><li>Collaborate with market Medical Director and the care team to proactively identify patients who qualify for palliative care services and build a patient panel </li><li>Developing and presenting metrics to executive leadership, as requested?</li><li>Responsible for the outcomes for patient panel, driving both predetermined clinical and financial Key Performance Indicators (KPIs) through interventions outlined below?</li><li>Treat panel of patients both in-home and virtually, as necessary, to drive healthcare outcomes?</li><li>Evaluate and treat symptoms that may interfere with quality of life, like pain, pruritis, depression, anxiety, insomnia, etc.?</li><li>Refer members to appropriate specialists to drive clinical care (Monogram-based specialists or locally-aligned specialists)?</li><li>Conduct goals of care and family meetings as needed and document patient/family wishes in state AD/POLST forms?</li><li>Support patients utilizing our IDT, including Palliative Care Chaplain?</li><li>Assist with hospice transitions as appropriate?</li><li>Develop key relationships with local providers (PCP, nephrologists, specialists) to improve market alignment </li><li>Participate in monthly meetings with RMD/CMO in areas of KPI and expectations around KPIs?</li><li>Educate and support team around palliative care, hospice care, advance directives, symptom assessment, and communication</li></ul> Position Requirements <ul><li>Must be willing and able to obtain hospital privileges at required facilities.</li><li>Desire to practice in a forward-looking renal care environment focused on population health management </li><li>Demonstrated experience applying evidence-based clinical criteria </li><li>Comfort and skill in goals of care discussions and advance care planning</li><li>Experience with high-need Medicare Advantage and managed Medicaid populations, as well as commercial populations </li><li>Experience integrating acute and behavioral health care and appreciation of social determinants of health and the value of social workers </li><li>Expertise in managing medication panels for complex patients </li><li>Current state medical license without restrictions to practice and free of sanctions from Medicaid or Medicare.?</li><li>Willingness to become licensed in multiple states as company and patient needs require</li><li>Doctorate Degree in Medicine </li><li>Board Certified in Hospice and Palliative Medicine </li><li>Must have reliable transportation?</li></ul>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 person s 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 patient s 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 Health s 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 2024 s No. 3 fastest growing private company in the United States, please visit here . Equal Opportunity Employer <img src="https://www.jobg8.com/Tracking.aspx?QCpNBDQkgIsIPW5mYt%2bNUAd" width="0" height="0" />

**Palliative Care Physician**

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 Palliative Care physician will be integrated into their local market with the pod Medical Director and primarily renders care in the home and through telemedicine visits.

**Job Description**

- Collaborate with market Medical Director and the care team to proactively identify patients who qualify for palliative care services and build a patient panel
- Develop and present 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
- Treat panel of patients both in-home and virtually, as necessary, 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

**Requirements**

- 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
- Hybrid schedule with in-home, in-person, and travel opportunities
- 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 a case-by-case basis

**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 person's 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 counseling on a patient’s 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 Health’s personalized and innovative treatment model is proven to dramatically improve patient outcomes and quality of life while reducing medical costs across the healthcare 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 2024's No. 3 fastest growing private company in the United States.

Lead Palliative Care Physician

Monogram Market Physician Executive (MPE) are mission driven physician leaders who are dedicated to improving the well-being, quality of life, and health outcomes for our patients. The MPE will lead our in-home multi-specialty polychronic care model in an assigned market. Each market is comprised of 5-10 practices led by local advanced practice providers (APP), registered nurses (RN), licensed clinical social workers (LCSW), and pharmacists (PharmD). The MPE will collaborate with Monogram Health s Multi-Specialty Platform to leverage employed specialists to deliver in-home specialty care. Monogram Health deploys a proven risk-based model to ensure health equity and health equality leveraging proprietary next generation AI algorithms to predict the appropriate level of care. Aligning with the quadruple AIM, the MPE will focus to improve patient experience, population health outcomes, provider satisfaction and lower costs. The primary goal of each MPE to deliver exceptional outcomes through disease detection and evidence based clinical pathways and disease treatment.Reporting to the Region President, the Market Physician Executive (MPE) is a key clinical leader within Monogram Health who contributes to the development and oversight of clinical strategies, policies, programs, processes, protocols, guidelines, and operations that drive improved patient health outcomes within the market. The MPE oversees the daily clinical and business operations through delivery of direct patient care, care management services, social worker support and pharmacy services within the market. In support of the advance practice providers the MPE is expected to review and approve care plans and direct the treatment plans for our patients.Roles and ResponsibilitiesClinical Guidelines Execution 25%<ul><li>Know, understand, and deliver on Monogram Health s proprietary evidenced based clinical pathways.</li><li>Ensure adherence to established clinical guidelines and Monogram Model of Care.</li><li>Review and approve APP, RN, SW and PharmD plans of care.</li><li>Appropriate and timely patient document within Salesforce and Athena clinical activities, interventions, and tasks. Review, approve and co-sign APP encounters.</li></ul>Clinical and Operations Performance and Quality Improvement 25%<ul><li>Overall accountability for reducing total cost of care and Medical Loss Ratio.</li><li>Responsible for clinical outcomes to include, but not limited to, clinical interventions closure, inpatient/outpatient utilization, pharmacological prescribing and therapy management, multi-specialty platform and HEDIS/Gap Closure.</li><li>Actively lead daily high risk and concurrent review rounds.</li><li>Direct supervision of front line clinical and operations team members.</li><li>Oversee and delegate operational responsibility to Market Manager, to deliver on daily operations, such as patient engagement, scheduling, administrative oversight, strategic implementations, and P&L management.</li><li>Regularly assess and present market performance and outcomes to Executive and Senior Leaders .</li></ul>Patient Care and Treatment 25%<ul><li>Provide direct and indirect patient care (including diagnosis and treatment of disease).</li><li>Engage with patients on treatment plans, community provider collaboration, and direct evidence-based care pathways.</li><li>Conduct Peer to Peers with community, facility, and health plan partners.</li><li>Order labs, referrals, and complete actions to drive patient outcomes, close care gaps, and Clinical Intervention closure.</li></ul>Population Health Management (PHM) 20%<ul><li>Provide clinical guidance and direction to Market teams to drive Population Health Management activities, including identifying and intervening on High-Risk Patients, formulating strategies to reduce admissions/readmissions, complete quality post hospital discharge visits, and improving the quality of visits.</li><li>Collaborate with Medical Economics, Finance and other stakeholders to root cause and action against utilization trends impacting care and outcomes.</li><li>Present and guide population health strategies in clinical and operational meetings.</li><li>Conduct patient reviews to target high utilizers, high risk and high opportunity patients and patient cohorts.</li></ul>Miscellaneous <ul><li>Participate in Monogram On-Call activities Needs will vary; 7 days on call minimum once/quarter.</li><li>Provide coverage for other MPEs, during PTO or vacancy, as needed.</li></ul>Position Requirements<ul><li>Must be willing and able to obtain hospital privileges at required facilities.</li><li>This position will be remote within the designated market with occasional in-home patient treatment visits and occasional domestic travel.</li><li>Demonstrated experience applying evidence based clinical criteria.</li><li>Experience in renal care and geriatrics.</li><li>Strong management and communication skills.</li><li>Active, unrestricted state medical license required in each state within the market.</li><li>Experience with high need Medicare Advantage and managed Medicaid populations.</li><li>Experience with NCQA, HEDIS, Medicaid, Medicare, quality improvement, medical utilization management, and risk adjustment.</li><li>Current state medical license without restrictions to practice and free of sanctions from Medicaid or Medicare. Willingness to become licensed in multiple states.</li><li>MD (Medical Doctor) or DO degree from an accredited medical school.</li><li>BC or BE in an ACGME approved specialty such as Nephrology, Internal Medicine, Family Practice, Emergency Medicine, Critical Care, Cardiology, Endocrinology, Hepatology, or Geriatrics.</li></ul>Benefits<ul><li>Opportunity to work in a dynamic, fast-paced and innovative value-based provider organization that is transforming the delivery of kidney care.</li><li>Competitive salary and opportunity to participate in the company s bonus program.</li><li>Comprehensive medical, dental, vision and life insurance.</li><li>Flexible paid leave and vacation policy.</li><li>401(k) plan with matching contributions.</li></ul>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 person s 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 patient s 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 Health s 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. To learn more about Monogram Health, ranked by Inc. Magazine as 2024 s No. 3 fastest growing private company in the United States, please visit here . Equal Opportunity Employer<img src="https://www.jobg8.com/Tracking.aspx?DgYyEEfljqmpDBwdIk9gtAe" width="0" height="0" />

**Monogram Market Physician Executive**

Monogram Market Physician Executives (MPE) are mission-driven physician leaders who are dedicated to improving the well-being, quality of life, and health outcomes for our patients. The MPE will lead our in-home multi-specialty polychronic care model in an assigned market. Each market is comprised of 5-10 practices led by local advanced practice providers (APP), registered nurses (RN), licensed clinical social workers (LCSW), and pharmacists (PharmD). The MPE will collaborate with Monogram Health's Multi-Specialty Platform to leverage employed specialists to deliver in-home specialty care. Monogram Health deploys a proven risk-based model to ensure health equity and health equality leveraging proprietary next-generation AI algorithms to predict the appropriate level of care. Aligning with the quadruple AIM, the MPE will focus on improving patient experience, population health outcomes, provider satisfaction, and lowering costs. The primary goal of each MPE is to deliver exceptional outcomes through disease detection and evidence-based clinical pathways and disease treatment.

Reporting to the Region President, the Market Physician Executive (MPE) is a key clinical leader within Monogram Health who contributes to the development and oversight of clinical strategies, policies, programs, processes, protocols, guidelines, and operations that drive improved patient health outcomes within the market. The MPE oversees the daily clinical and business operations through delivery of direct patient care, care management services, social worker support, and pharmacy services within the market. In support of the advanced practice providers, the MPE is expected to review and approve care plans and direct the treatment plans for our patients.

**Job Description**

- Know, understand, and deliver on Monogram Health's proprietary evidence-based clinical pathways.
- Ensure adherence to established clinical guidelines and Monogram Model of Care.
- Review and approve APP, RN, SW, and PharmD plans of care.
- Appropriately and timely document patient activities, interventions, and tasks within Salesforce and Athena. Review, approve, and co-sign APP encounters.
- Overall accountability for reducing total cost of care and Medical Loss Ratio.
- Responsible for clinical outcomes including clinical interventions closure, inpatient/outpatient utilization, pharmacological prescribing and therapy management, multi-specialty platform, and HEDIS/Gap Closure.
- Actively lead daily high-risk and concurrent review rounds.
- Direct supervision of front-line clinical and operations team members.
- Oversee and delegate operational responsibility to Market Manager for daily operations such as patient engagement, scheduling, administrative oversight, strategic implementations, and P&L management.
- Regularly assess and present market performance and outcomes to Executive and Senior Leaders.
- Provide direct and indirect patient care including diagnosis and treatment of disease.
- Engage with patients on treatment plans, community provider collaboration, and direct evidence-based care pathways.
- Conduct Peer-to-Peer reviews with community, facility, and health plan partners.
- Order labs, referrals, and complete actions to drive patient outcomes, close care gaps, and Clinical Intervention closure.
- Provide clinical guidance and direction to Market teams to drive Population Health Management activities including identifying and intervening on high-risk patients.
- Collaborate with Medical Economics, Finance, and other stakeholders to root cause and action against utilization trends impacting care and outcomes.
- Present and guide population health strategies in clinical and operational meetings.
- Conduct patient reviews to target high utilizers, high risk, and high opportunity patients.

**Requirements**

- Must be willing and able to obtain hospital privileges at required facilities.
- This position will be remote within the designated market with occasional in-home patient treatment visits and occasional domestic travel.
- Demonstrated experience applying evidence-based clinical criteria.
- Experience in renal care and geriatrics.
- Strong management and communication skills.
- Active, unrestricted state medical license required in each state within the market.
- Experience with high need Medicare Advantage and managed Medicaid populations.
- Experience with NCQA, HEDIS, Medicaid, Medicare, quality improvement, medical utilization management, and risk adjustment.
- Current state medical license without restrictions to practice and free of sanctions from Medicaid or Medicare. Willingness to become licensed in multiple states.
- MD (Medical Doctor) or DO degree from an accredited medical school.
- BC or BE in an ACGME approved specialty such as Nephrology, Internal Medicine, Family Practice, Emergency Medicine, Critical Care, Cardiology, Endocrinology, Hepatology, or Geriatrics.

**Benefits**

- Opportunity to work in a dynamic, fast-paced, and innovative value-based provider organization that is transforming the delivery of kidney care.
- Competitive salary and opportunity to participate in the company’s bonus program.
- Comprehensive medical, dental, vision, and life insurance.
- Flexible paid leave and vacation policy.
- 401(k) plan with matching contributions.

**About Monogram Health**

Monogram Health is a leading multispecialty provider of in-home, evidence-based care for the most complex patients who have multiple chronic conditions. Monogram Health takes a comprehensive and personalized approach to a person’s 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 counseling on a patient’s 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 Health’s personalized and innovative treatment model is proven to dramatically improve patient outcomes and quality of life while reducing medical costs across the healthcare continuum. To learn more about Monogram Health, ranked by Inc. Magazine as 2024’s No. 3 fastest growing private company in the United States.

Market Physician Executive (MPE)

Monogram Market Physician Executive (MPE) are mission driven physician leaders who are dedicated to improving the well-being, quality of life, and health outcomes for our patients. The MPE will lead our in-home multi-specialty polychronic care model in an assigned market. Each market is comprised of 5-10 practices led by local advanced practice providers (APP), registered nurses(RN), licensed clinical social workers (LCSW), and pharmacists (PharmD). The MPE will collaborate with Monogram Health s Multi 1 Specialty Platform to leverage employed specialists to deliver in-home specialty care. Monogram Health deploys a proven risk 1 based model to ensure health equity and health equality leveraging proprietary next generation AI algorithms to predict the appropriate level of care. Aligning with the quadruple AIM, the MPE will focus to improve patient experience, population healthoutcomes, provider satisfaction and lower costs. The primary goal of each MPE to deliver exceptional outcomes through disease detection and evidence based clinical pathways and disease treatment.Reporting to the Region President, the Market Physician Executive (MPE) is a key clinical leader within Monogram Health who contributes to the development and oversight of clinical strategies, policies, programs, processes, protocols, guidelines, and operations that drive improved patient health outcomes within the market. The MPE oversees the daily clinical and business operations through delivery of direct patient care, care management services, social worker support and pharmacy services within the market. In support of the advance practice providers the MPE is expected to review and approve care plans and direct the treatment plans for our patients. The MPE will collaborate with community physicians, facilities, and partners in peer to peer and direct patient care decision making.Roles and ResponsibilitiesClinical Guidelines Execution 25%<ul><li>Know, understand, and deliver on Monogram Health s proprietary evidenced based clinical pathways.</li><li>Ensure adherence to established clinical guidelines and Monogram Model of Care.</li><li>Review and approve APP, RN, SW and PharmD plans of care.</li><li>Appropriate and timely patient document within Salesforce and Athena clinical activities, interventions, and tasks.</li><li>Review, approve and co-sign APP encounters.</li><li>Clinical and Operations Performance and Quality Improvement 25%</li><li>Overall accountability for reducing total cost of care and Medical Loss Ratio.</li><li>Responsible for clinical outcomes to include, but not limited to, clinical interventions closure, inpatient/outpatient</li><li>utilization, pharmacological prescribing and therapy management, multi-specialty platform and HEDIS/Gap Closure</li><li>Actively lead daily high risk and concurrent review rounds.</li><li>Direct supervision of front line clinical and operations team members.</li><li>Oversee and delegate operational responsibility to Market Manager, to deliver on daily operations, such as patient engagement, scheduling, administrative oversight, strategic implementations, and P&L management.</li><li>Regularly assess and present market performance and outcomes to Executive and Senior Leaders .</li></ul>Patient Care and Treatment 25%<ul><li>Provide direct and indirect patient care (including diagnosis and treatment of disease).</li><li>Engage with patients on treatment plans, community provider collaboration, and direct evidence-based care pathways.</li><li>Conduct Peer to Peers with community, facility, and health plan partners.</li><li>Order labs, referrals, and complete actions to drive patient outcomes, close care gaps, and Clinical Intervention closure.</li></ul>Population Health Management (PHM) 20%<ul><li>Provide clinical guidance and direction to Market teams to drive Population Health Management activities, including</li><li>identifying and intervening on High-Risk Patients, formulating strategies to reduce admissions/readmissions, complete</li><li>quality post hospital discharge visits, and improving the quality of visits</li><li>Collaborate with Medical Economics, Finance and other stakeholders to root cause and action against utilization trends impacting care and outcomes</li><li>Present and guide population health strategies in clinical and operational meetings</li><li>Conduct patient reviews to target high utilizers, high risk and high opportunity patients and patient cohorts</li></ul>Miscellaneous <ul><li>Participate in Monogram On-Call activities Needs will vary; 7 days on call minimum once/quarter</li><li>Provide coverage for other MPEs, during PTO or vacancy, as needed</li></ul>Position Requirements<ul><li>Must be willing and able to obtain hospital privileges at required facilities.</li><li>This position will be remote within the designated market with occasional in-home patient treatment visits and occasional domestic travel.</li><li>Demonstrated experience applying evidence based clinical criteria.</li><li>Experience in renal care and geriatrics.</li><li>Strong management and communication skills.</li><li>Active, unrestricted state medical license required in each state within the market.</li><li>Experience with high need Medicare Advantage and managed Medicaid populations.</li><li>Experience with NCQA, HEDIS, Medicaid, Medicare, quality improvement, medical utilization management, and risk adjustment.</li><li>Current state medical license without restrictions to practice and free of sanctions from Medicaid or Medicare. Willingness to become licensed in multiple states.</li><li>MD (Medical Doctor) or DO degree from an accredited medical school.</li><li>BC or BE in an ACGME approved specialty such as Nephrology, Internal Medicine, Family Practice, Emergency Medicine,</li><li>Critical Care, Cardiology, Endocrinology, Hepatology, or Geriatrics.</li></ul>Benefits<ul><li>Comprehensive Benefits - Medical, dental, and vision insurance, employee assistance program, employer-paid and voluntary life insurance, disability insurance, plus health and flexible spending accounts</li><li>Financial & Retirement Support Competitive compensation, 401k with employer match, and financial wellness resources</li><li>Time Off & Leave Paid holidays, flexible vacation time/PSSL, and paid parental leave</li><li>Wellness & Growth Work life assistance resources, physical wellness perks, mental health support, employee referral program, and BenefitHub for employee discounts </li></ul>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 person s 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 patient s healthcare options; as well as assist with daily needs such as access to food, eating healthy, transportation, financial assistance, and more. Equal Opportunity Employer<img src="https://www.jobg8.com/Tracking.aspx?WI0v1W63Vg6UCbXf0g2CkQf" width="0" height="0" />

**Monogram Market Physician Executive**

Monogram Market Physician Executives (MPE) are mission-driven physician leaders who are dedicated to improving the well-being, quality of life, and health outcomes for our patients. The MPE will lead our in-home multi-specialty polychronic care model in an assigned market. Each market is comprised of 5-10 practices led by local advanced practice providers (APP), registered nurses (RN), licensed clinical social workers (LCSW), and pharmacists (PharmD). The MPE will collaborate with Monogram Health's Multi Specialty Platform to leverage employed specialists to deliver in-home specialty care. Monogram Health deploys a proven risk-based model to ensure health equity and health equality leveraging proprietary next-generation AI algorithms to predict the appropriate level of care. Aligning with the quadruple AIM, the MPE will focus on improving patient experience, population health outcomes, provider satisfaction, and lowering costs. The primary goal of each MPE is to deliver exceptional outcomes through disease detection and evidence-based clinical pathways and disease treatment.

Reporting to the Region President, the Market Physician Executive (MPE) is a key clinical leader within Monogram Health who contributes to the development and oversight of clinical strategies, policies, programs, processes, protocols, guidelines, and operations that drive improved patient health outcomes within the market. The MPE oversees the daily clinical and business operations through delivery of direct patient care, care management services, social worker support, and pharmacy services within the market. In support of the advanced practice providers, the MPE is expected to review and approve care plans and direct the treatment plans for our patients. The MPE will collaborate with community physicians, facilities, and partners in peer-to-peer and direct patient care decision-making.

**Job Description**

- Know, understand, and deliver on Monogram Health's proprietary evidence-based clinical pathways.
- Ensure adherence to established clinical guidelines and Monogram Model of Care.
- Review and approve APP, RN, SW, and PharmD plans of care.
- Document patient activities, interventions, and tasks appropriately and timely within Salesforce and Athena.
- Review, approve, and co-sign APP encounters.
- Overall accountability for reducing total cost of care and Medical Loss Ratio.
- Responsible for clinical outcomes including clinical interventions closure, inpatient/outpatient utilization, pharmacological prescribing and therapy management, multi-specialty platform, and HEDIS/Gap Closure.
- Actively lead daily high-risk and concurrent review rounds.
- Direct supervision of front-line clinical and operations team members.
- Oversee and delegate operational responsibility to Market Manager for daily operations such as patient engagement, scheduling, administrative oversight, strategic implementations, and P&L management.
- Regularly assess and present market performance and outcomes to Executive and Senior Leaders.
- Provide direct and indirect patient care including diagnosis and treatment of disease.
- Engage with patients on treatment plans, community provider collaboration, and direct evidence-based care pathways.
- Conduct Peer-to-Peer reviews with community, facility, and health plan partners.
- Order labs, referrals, and complete actions to drive patient outcomes, close care gaps, and Clinical Intervention closure.
- Provide clinical guidance and direction to Market teams to drive Population Health Management activities including identifying and intervening on high-risk patients.
- Collaborate with Medical Economics, Finance, and other stakeholders to root cause and action against utilization trends impacting care and outcomes.
- Present and guide population health strategies in clinical and operational meetings.
- Conduct patient reviews to target high utilizers, high risk, and high opportunity patients.

**Requirements**

- Must be willing and able to obtain hospital privileges at required facilities.
- This position will be remote within the designated market with occasional in-home patient treatment visits and occasional domestic travel.
- Demonstrated experience applying evidence-based clinical criteria.
- Experience in renal care and geriatrics.
- Strong management and communication skills.
- Active, unrestricted state medical license required in each state within the market.
- Experience with high need Medicare Advantage and managed Medicaid populations.
- Experience with NCQA, HEDIS, Medicaid, Medicare, quality improvement, medical utilization management, and risk adjustment.
- Current state medical license without restrictions to practice and free of sanctions from Medicaid or Medicare. Willingness to become licensed in multiple states.
- MD (Medical Doctor) or DO degree from an accredited medical school.
- BC or BE in an ACGME approved specialty such as Nephrology, Internal Medicine, Family Practice, Emergency Medicine, Critical Care, Cardiology, Endocrinology, Hepatology, or Geriatrics.

**Benefits**

- Comprehensive benefits - Medical, dental, and vision insurance; employee assistance program; employer-paid and voluntary life insurance; disability insurance; plus health and flexible spending accounts.
- Financial & retirement support - Competitive compensation; 401k with employer match; financial wellness resources.
- Time off & leave - Paid holidays; flexible vacation time/PSSL; paid parental leave.
- Wellness & growth - Work-life assistance resources; physical wellness perks; mental health support; employee referral program; BenefitHub for employee discounts.

**About Monogram Health**

Monogram Health is a leading multispecialty provider of in-home, evidence-based care for the most complex patients who have multiple chronic conditions. Monogram Health takes a comprehensive and personalized approach to a person's 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 counseling on a patient's healthcare options; as well as assist with daily needs such as access to food, eating healthy, transportation, financial assistance, and more.

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 Palliative Care physician will be integrated into their local market with the pod Medical Director and primarily renders care in the home and through telemedicine visits. Your Impact Monogram Health physicians are quality-driven physicians who apply their clinical expertise in a managed care, population health context. They also engage in population health management in a sophisticated, outcomes-driven manner that promotes palliative care where clinically appropriate and focuses on patient quality of life, education, and shared-decision making. Highlights & Benefits?<ul><li> Opportunity to work in a dynamic, fast-paced and innovative organization that is transforming the delivery of polychronic disease care </li><li> Hybrid schedule with In-home, in-person, and travel opportunities </li><li> Competitive salary plus company bonus program? </li><li> Full benefits including medical, dental, vision and life insurance? </li><li> Paid time off and 401(k) with matching contributions </li><li> Relocation assistance and sign on bonus on case-by-case? </li></ul>Roles & Responsibilities?<ul><li> Collaborate with market Medical Director and the care team to proactively identify patients who qualify for palliative care services and build a patient panel </li><li> Developing and presenting metrics to executive leadership, as requested? </li><li> Responsible for the outcomes for patient panel, driving both predetermined clinical and financial Key Performance Indicators (KPIs) through interventions outlined below? </li><li> Treat panel of patients both in-home and virtually, as necessary, to drive healthcare outcomes? </li><li> Evaluate and treat symptoms that may interfere with quality of life, like pain, pruritis, depression, anxiety, insomnia, etc.? </li><li> Refer members to appropriate specialists to drive clinical care (Monogram-based specialists or locally-aligned specialists)? </li><li> Conduct goals of care and family meetings as needed and document patient/family wishes in state AD/POLST forms? </li><li> Support patients utilizing our IDT, including Palliative Care Chaplain? </li><li> Assist with hospice transitions as appropriate? </li><li> Develop key relationships with local providers (PCP, nephrologists, specialists) to improve market alignment </li><li> Participate in monthly meetings with RMD/CMO in areas of KPI and expectations around KPIs? </li><li> Educate and support team around palliative care, hospice care, advance directives, symptom assessment, and communication </li></ul>Position Requirements <ul><li> Desire to practice in a forward-looking renal care environment focused on population health management </li><li> Demonstrated experience applying evidence-based clinical criteria </li><li> Comfort and skill in goals of care discussions and advance care planning </li><li> Experience with high-need Medicare Advantage and managed Medicaid populations, as well as commercial populations </li><li> Experience integrating acute and behavioral health care and appreciation of social determinants of health and the value of social workers </li><li> Expertise in managing medication panels for complex patients </li><li> Current state medical license without restrictions to practice and free of sanctions from Medicaid or Medicare.? </li><li> Willingness to become licensed in multiple states as company and patient needs require </li><li> Doctorate Degree in Medicine </li><li> Board Certified in Hospice and Palliative Medicine </li><li> Must have reliable transportation? </li></ul>About Monogram Health? Monogram Health is a next-generation, value-based chronic condition risk provider serving patients living with chronic kidney and end-stage renal disease and their related metabolic disorders. Monogram seeks to fill systemic gaps and transform the way nephrology, primary care and chronic condition treatment are delivered. Monogram's innovative, in-home approach utilizes a national nephrology practice powered by a suite of technology-enabled clinical services, including case and disease management, utilization management and review, and medication therapy management services that improve health outcomes while lowering medical costs across the healthcare continuum. By focusing on increasing access to evidence-based care pathways and addressing social determinants of health, Monogram has emerged as an industry leader in championing greater health equity and improving health outcomes for individuals with chronic kidney and end-stage renal disease.? At Monogram Health we believe in fostering an inclusive environment in which employees feel encouraged to share their unique perspectives, leverage their strengths, and act authentically. We know that diverse teams are strong teams, and welcome those from all backgrounds and varying experiences. <img src="https://www.jobg8.com/Tracking.aspx?bWrpFRMJ7jFLC%2bPPJKt32Qv" width="0" height="0" />

**Palliative Care Physician**

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 Palliative Care physician will be integrated into their local market with the pod Medical Director and primarily renders care in the home and through telemedicine visits.

**Job Description**

- Collaborate with market Medical Director and the care team to proactively identify patients who qualify for palliative care services and build a patient panel
- Develop and present 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 both in-home and virtually, as necessary, 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

**Requirements**

- 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
- Hybrid schedule with in-home, in-person, and travel opportunities
- 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 a case-by-case basis

**About Monogram Health**

Monogram Health is a next-generation, value-based chronic condition risk provider serving patients living with chronic kidney and end-stage renal disease and their related metabolic disorders. Monogram seeks to fill systemic gaps and transform the way nephrology, primary care, and chronic condition treatment are delivered. Monogram's innovative, in-home approach utilizes a national nephrology practice powered by a suite of technology-enabled clinical services, including case and disease management, utilization management and review, and medication therapy management services that improve health outcomes while lowering medical costs across the healthcare continuum. By focusing on increasing access to evidence-based care pathways and addressing social determinants of health, Monogram has emerged as an industry leader in championing greater health equity and improving health outcomes for individuals with chronic kidney and end-stage renal disease.

At Monogram Health we believe in fostering an inclusive environment in which employees feel encouraged to share their unique perspectives, leverage their strengths, and act authentically. We know that diverse teams are strong teams and welcome those from all backgrounds and varying experiences.

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. Your Impact Monogram Health physicians are quality-driven physicians who apply their clinical expertise in a managed care, population health context. They also engage in population health management in a sophisticated, outcomes-driven manner that promotes palliative care where clinically appropriate and focuses on patient quality of life, education, and shared-decision making. Highlights & Benefits?<ul><li> Opportunity to work in a dynamic, fast-paced and innovative organization that is transforming the delivery of polychronic disease care </li><li> Autonomous schedule with In-home visits in a value-based care model? </li><li> Competitive salary plus company bonus program? </li><li> Full benefits including medical, dental, vision and life insurance? </li><li> Paid time off and 401(k) with matching contributions </li><li> Relocation assistance and sign on bonus on case-by-case? </li></ul>Roles & Responsibilities?<ul><li> Collaborate with MPE and the care team to proactively identify patients who qualify for palliative care services and build a patient panel </li><li> Developing and presenting metrics to executive leadership, as requested? </li><li> Responsible for the outcomes for patient panel, driving both predetermined clinical and financial Key Performance Indicators (KPIs) through interventions outlined below? </li><li> Treat panel of patients in-home to drive healthcare outcomes? </li><li> Evaluate and treat symptoms that may interfere with quality of life, like pain, pruritis, depression, anxiety, insomnia, etc.? </li><li> Refer members to appropriate specialists to drive clinical care (Monogram-based specialists or locally-aligned specialists)? </li><li> Conduct goals of care and family meetings as needed and document patient/family wishes in state AD/POLST forms? </li><li> Support patients utilizing our IDT, including Palliative Care Chaplain? </li><li> Assist with hospice transitions as appropriate? </li><li> Develop key relationships with local providers (PCP, nephrologists, specialists) to improve market alignment </li><li> Participate in monthly meetings with RMD/CMO in areas of KPI and expectations around KPIs? </li><li> Educate and support team around palliative care, hospice care, advance directives, symptom assessment, and communication </li></ul>Position Requirements <ul><li> Desire to practice in a forward-looking renal care environment focused on population health management </li><li> Demonstrated experience applying evidence-based clinical criteria </li><li> Comfort and skill in goals of care discussions and advance care planning </li><li> Experience with high-need Medicare Advantage and managed Medicaid populations, as well as commercial populations </li><li> Experience integrating acute and behavioral health care and appreciation of social determinants of health and the value of social workers </li><li> Expertise in managing medication panels for complex patients </li><li> Current state medical license without restrictions to practice and free of sanctions from Medicaid or Medicare.? </li><li> Willingness to become licensed in multiple states as company and patient needs require </li><li> Doctorate Degree in Medicine </li><li> Board Certified in Hospice and Palliative Medicine </li><li> Must have reliable transportation? </li></ul>About Monogram Health? Monogram Health is a next-generation, value-based chronic condition risk provider serving patients living with chronic kidney and end-stage renal disease and their related metabolic disorders. Monogram seeks to fill systemic gaps and transform the way nephrology, primary care and chronic condition treatment are delivered. Monogram's innovative, in-home approach utilizes a national nephrology practice powered by a suite of technology-enabled clinical services, including case and disease management, utilization management and review, and medication therapy management services that improve health outcomes while lowering medical costs across the healthcare continuum. By focusing on increasing access to evidence-based care pathways and addressing social determinants of health, Monogram has emerged as an industry leader in championing greater health equity and improving health outcomes for individuals with chronic kidney and end-stage renal disease.? At Monogram Health we believe in fostering an inclusive environment in which employees feel encouraged to share their unique perspectives, leverage their strengths, and act authentically. We know that diverse teams are strong teams, and welcome those from all backgrounds and varying experiences.? <img src="https://www.jobg8.com/Tracking.aspx?rejziz%2bYbr0benwAg2cbaww" width="0" height="0" />

**Palliative Care Physician**

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.

**Job Description**

- Collaborate with MPE and the care team to proactively identify patients who qualify for palliative care services and build a patient panel
- Develop and present 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
- 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

**Requirements**

- 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 a case-by-case basis

**About Monogram Health**

Monogram Health is a next-generation, value-based chronic condition risk provider serving patients living with chronic kidney and end-stage renal disease and their related metabolic disorders. Monogram seeks to fill systemic gaps and transform the way nephrology, primary care, and chronic condition treatment are delivered. Monogram's innovative, in-home approach utilizes a national nephrology practice powered by a suite of technology-enabled clinical services, including case and disease management, utilization management and review, and medication therapy management services that improve health outcomes while lowering medical costs across the healthcare continuum. By focusing on increasing access to evidence-based care pathways and addressing social determinants of health, Monogram has emerged as an industry leader in championing greater health equity and improving health outcomes for individuals with chronic kidney and end-stage renal disease.

At Monogram Health we believe in fostering an inclusive environment in which employees feel encouraged to share their unique perspectives, leverage their strengths, and act authentically. We know that diverse teams are strong teams and welcome those from all backgrounds and varying experiences.

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 Palliative Care physician will be integrated into their local market with the pod Medical Director and primarily renders care in the home and through telemedicine visits. Your Impact Monogram Health physicians are quality-driven physicians who apply their clinical expertise in a managed care, population health context. They also engage in population health management in a sophisticated, outcomes-driven manner that promotes palliative care where clinically appropriate and focuses on patient quality of life, education, and shared-decision making. Highlights & Benefits?<ul><li> Opportunity to work in a dynamic, fast-paced and innovative organization that is transforming the delivery of polychronic disease care </li><li> Hybrid schedule with In-home, in-person, and travel opportunities </li><li> Competitive salary plus company bonus program? </li><li> Full benefits including medical, dental, vision and life insurance? </li><li> Paid time off and 401(k) with matching contributions </li><li> Relocation assistance and sign on bonus on case-by-case? </li></ul>Roles & Responsibilities?<ul><li> Collaborate with market Medical Director and the care team to proactively identify patients who qualify for palliative care services and build a patient panel </li><li> Developing and presenting metrics to executive leadership, as requested? </li><li> Responsible for the outcomes for patient panel, driving both predetermined clinical and financial Key Performance Indicators (KPIs) through interventions outlined below? </li><li> Treat panel of patients both in-home and virtually, as necessary, to drive healthcare outcomes? </li><li> Evaluate and treat symptoms that may interfere with quality of life, like pain, pruritis, depression, anxiety, insomnia, etc.? </li><li> Refer members to appropriate specialists to drive clinical care (Monogram-based specialists or locally-aligned specialists)? </li><li> Conduct goals of care and family meetings as needed and document patient/family wishes in state AD/POLST forms? </li><li> Support patients utilizing our IDT, including Palliative Care Chaplain? </li><li> Assist with hospice transitions as appropriate? </li><li> Develop key relationships with local providers (PCP, nephrologists, specialists) to improve market alignment </li><li> Participate in monthly meetings with RMD/CMO in areas of KPI and expectations around KPIs? </li><li> Educate and support team around palliative care, hospice care, advance directives, symptom assessment, and communication </li></ul>Position Requirements <ul><li> Desire to practice in a forward-looking renal care environment focused on population health management </li><li> Demonstrated experience applying evidence-based clinical criteria </li><li> Comfort and skill in goals of care discussions and advance care planning </li><li> Experience with high-need Medicare Advantage and managed Medicaid populations, as well as commercial populations </li><li> Experience integrating acute and behavioral health care and appreciation of social determinants of health and the value of social workers </li><li> Expertise in managing medication panels for complex patients </li><li> Current state medical license without restrictions to practice and free of sanctions from Medicaid or Medicare.? </li><li> Willingness to become licensed in multiple states as company and patient needs require </li><li> Doctorate Degree in Medicine </li><li> Board Certified in Hospice and Palliative Medicine </li><li> Must have reliable transportation? </li></ul>About Monogram Health? Monogram Health is a next-generation, value-based chronic condition risk provider serving patients living with chronic kidney and end-stage renal disease and their related metabolic disorders. Monogram seeks to fill systemic gaps and transform the way nephrology, primary care and chronic condition treatment are delivered. Monogram's innovative, in-home approach utilizes a national nephrology practice powered by a suite of technology-enabled clinical services, including case and disease management, utilization management and review, and medication therapy management services that improve health outcomes while lowering medical costs across the healthcare continuum. By focusing on increasing access to evidence-based care pathways and addressing social determinants of health, Monogram has emerged as an industry leader in championing greater health equity and improving health outcomes for individuals with chronic kidney and end-stage renal disease.? At Monogram Health we believe in fostering an inclusive environment in which employees feel encouraged to share their unique perspectives, leverage their strengths, and act authentically. We know that diverse teams are strong teams, and welcome those from all backgrounds and varying experiences. <img src="https://www.jobg8.com/Tracking.aspx?QW%2bxEYNw4gzymjhi%2f2QZxwu" width="0" height="0" />

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