Care Transitions Physician Lead: Elevate Outcomes

Central Health; Austin (TX); On-site; USD 180,000 - 240,000; Full time

Job summary

Central Health seeks an Associate Medical Director to lead post-acute and care-at-home transitions, overseeing TOC programs including SNFs, TCAH, and hospital-based care. The physician champion drives clinical operations, quality and safety, and provider engagement, partnering with Dell Medical School and community organizations to improve outcomes and equity.

The role leads interdisciplinary teams, guides program development and strategic growth, and ensures patient-centered care aligns with

Qualifications

• MD or DO degree from an accredited medical school.
• Completion of a Residency in Internal Medicine or Family Medicine.
• Board certification in Internal Medicine or Family Medicine.
• Experience in a primary care setting/ambulatory clinic, acute care setting, or post-acute setting with focus in patient navigation and complex transitions of care.
• Experience working with underserved populations.

Responsibilities

• Direct Clinical Care and Care Coordination across Transition of Care programs (TOC).
• Lead clinical rounds with APPs and direct care teams.
• Collaborate with diverse care teams to plan daily care and safe transitions.
• Educate patients and families regarding diagnoses, treatment plans, and transitions of care.
• Lead quality improvement and data-informed efforts in TOC programs.

Education

MD or DO degree

Residency in Internal Medicine or Family Medicine

Board certification in Internal Medicine or Family Medicine

Job description

Central Health seeks an Associate Medical Director to lead post-acute and care-at-home transitions, overseeing TOC programs including SNFs, TCAH, and hospital-based care. The physician champion drives clinical operations, quality and safety, and provider engagement, partnering with Dell Medical School and community organizations to improve outcomes and equity.

The role leads interdisciplinary teams, guides program development and strategic growth, and ensures patient-centered care aligns with