Lead Primary Care Physician – Complex Chronic Care

AbsoluteCARE Medical Center & Pharmacy; Cleveland (OH); On-site; USD 180,000 - 230,000; Full time

Job summary

AbsoluteCare Medical Center & Pharmacy seeks a licensed physician experienced in internal medicine or family practice to manage complex, chronic conditions and lead a multidisciplinary care team. The role emphasizes transitions of care, hospital-to-home coordination, and adherence to the PCMH model.

The ideal candidate will collaborate with social work, case management, behavioral health, pharmacy, nutrition, and other providers to develop effective plans of care and prevent readmissions.

Qualifications

• Licensed Physician in the state of Practice (Ohio)
• Board certified in Internal Medicine or Family Practice
• BLS certification required
• Mission-driven to serve the underserved
• Ability to work in a multidisciplinary team
• Experience with EMR
• Strong problem-solving and creative thinking abilities

Responsibilities

• Lead a multidisciplinary team to manage complex and chronic conditions.
• Develop and implement comprehensive care plans for panel patients across hospital to home care.
• Coordinate transitions of care with hospitals, ER, SNFs, and home care services.
• Facilitate appropriate discharges and transitions to lower levels of care as needed.
• Educate patients on chronic disease progression and advance directives when applicable.
• Practice evidence-based medicine within the PCMH model of care.

Skills

Team collaboration

EMR experience

Problem solving

Communication

Education

Medical license in Ohio

Board certification in Internal Medicine or Family Practice

BLS certification

Tools

EMR

Job description

AbsoluteCare Medical Center & Pharmacy seeks a licensed physician experienced in internal medicine or family practice to manage complex, chronic conditions and lead a multidisciplinary care team. The role emphasizes transitions of care, hospital-to-home coordination, and adherence to the PCMH model.

The ideal candidate will collaborate with social work, case management, behavioral health, pharmacy, nutrition, and other providers to develop effective plans of care and prevent readmissions.