Lead Primary Care Physician – Complex Chronic Care

AbsoluteCare; Maryland; On-site; USD 180,000 - 240,000; Full time

Job summary

AbsoluteCare in Maryland is seeking a physician specialized in Internal Medicine or Family Practice to lead care for patients with multiple chronic conditions. You will work within a team including social work, case management, behavioral health, pharmacy, and nutrition to coordinate comprehensive plans.

You will develop transitional care plans across hospital, ER, SNFs, and home care, facilitate safe discharges, manage acute exacerbations, and ensure timely urgent appointments.

Qualifications

• Licensed Physician in the state of Practice.
• Board certified in Internal Medicine or Family Practice.
• BLS certification required.
• Mission-driven to serve the underserved.
• Work without ego, and thoughtfully build successful relationships with team members and our partners.
• Experience using EMR systems.
• Problem-solving and creative thinking.

Responsibilities

• Manage health outcomes for patients with multiple complex chronic conditions.
• Lead a multidisciplinary team and implement care plans.
• Develop transitional care plans across hospital, ER, SNFs and home care.
• Coordinate with inpatient and post-acute facilities for safe discharges.
• Address acute exacerbations with appropriate interventions.
• Schedule urgent/next-day visits for high-need patients.
• Monitor patients to prevent ER visits, admissions, and readmissions.
• Apply PCMH principles to specialist and primary care.
• Educate patients on chronic disease progression and advanced directives.
• Practice evidence-based medicine per PCMH model.

Job description

AbsoluteCare in Maryland is seeking a physician specialized in Internal Medicine or Family Practice to lead care for patients with multiple chronic conditions. You will work within a team including social work, case management, behavioral health, pharmacy, and nutrition to coordinate comprehensive plans.

You will develop transitional care plans across hospital, ER, SNFs, and home care, facilitate safe discharges, manage acute exacerbations, and ensure timely urgent appointments.