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Folioworks is seeking a physician to conduct brief initial telehealth assessments for older adults and clinically complex members, focusing on identifying needs, risks, and barriers after discharge or during transitions. This role emphasizes coordination with community health workers, social workers, and care navigators to set prioritized goals and a care plan.
Requirements include an active MD or DO license, board certification in Family/Internal Medicine or Geriatrics, telehealth experience,
The physician conducts brief initial telehealth assessments for older adults and clinically complex members, with a focus on identifying medical needs, risks, and barriers to care after hospital discharge or during care transitions. The visit establishes prioritized clinical goals and a plan for the broader team to carry forward over months of support. This is a relationship-driven, whole-person care model that emphasizes coordination with community health workers, social workers, and care navigators.