Senior Care PCP: Outcomes-Driven Health Coach

PMR Virginia Holding; Hiawassee (GA); On-site; USD 210,000 - 290,000; Full time

Job summary

ChenMed is a physician-led, mission-driven primary care organization transforming care for needier populations. The Primary Care Physician (PCP) will manage a patient panel and lead care teams to deliver high-value, cost-conscious outcomes.

We are seeking innovative leaders who coach patients toward health goals, coordinate across hospital systems, and drive patient experience in a care model focused on accountability and collaboration.

Qualifications

• Strong clinical care and cost-conscious practice for older adults.
• Ability to coach patients and collaborate with health care teams.
• Excellent communication and leadership in a value-based care environment.

Responsibilities

• Provide care for patients with acute and chronic illnesses in older adults.
• Accept accountability for patient care outcomes and consult specialists when needed.
• Coordinate with hospitalists and other providers when patients are hospitalized.
• Manage assessment, diagnosis, treatment, education, and care coordination for complex needs.
• Lead the office care team including medical assistant and care coordinator.
• Engage with transitional care teams for patients outside the office.

Skills

Patient care

Team leadership

Clinical decisions

Education

MD/DO

Tools

EHR systems

Job description

ChenMed is a physician-led, mission-driven primary care organization transforming care for needier populations. The Primary Care Physician (PCP) will manage a patient panel and lead care teams to deliver high-value, cost-conscious outcomes.

We are seeking innovative leaders who coach patients toward health goals, coordinate across hospital systems, and drive patient experience in a care model focused on accountability and collaboration.