Senior Primary Care Physician - Chronic Care & Coordination

AbsoluteCare; Cleveland (OH); On-site; USD 200,000 - 280,000; Full time

Job summary

AbsoluteCare in Cleveland, OH seeks a physician to manage and improve care for patients with multiple chronic conditions. You will lead a multidisciplinary team spanning social work, case management, behavioral health, pharmacy, and nutrition, and develop comprehensive transition plans from hospital discharge to home care.

You will treat acute exacerbations, coordinate with inpatient and post-acute facilities, and educate patients on disease progression and advanced directives.

Qualifications

• Licensed Physician in the state of practice.
• Board certification in Internal Medicine or Family Practice.
• BLS certification required.
• Mission-driven to serve the underserved.
• Work without ego and build strong team relationships.
• Ability to work in a multidisciplinary team.
• Experience and comfort with EMR systems.
• Strong problem-solving and creative thinking.

Responsibilities

• Focus on managing and improving health for patients with complex, chronic conditions.
• Lead a multidisciplinary team including social work, case management, behavioral health, pharmacy, nutrition.
• Develop transitional care plans and track paneled patients through discharge to home care.
• Coordinate with hospitals, ERs, and post-acute facilities to ensure safe discharges.
• Assess and manage acute exacerbations and determine escalation needs.
• Accept urgent and same-day appointments to prevent readmissions.
• Educate patients on chronic disease progression and advanced directives.

Skills

MD licensed

Board certified

BLS certified

Team collaboration

EMR experience

Clinical problem-solving

Clinical communication

Patient-centered care

Tools

EMR

Job description

AbsoluteCare in Cleveland, OH seeks a physician to manage and improve care for patients with multiple chronic conditions. You will lead a multidisciplinary team spanning social work, case management, behavioral health, pharmacy, and nutrition, and develop comprehensive transition plans from hospital discharge to home care.

You will treat acute exacerbations, coordinate with inpatient and post-acute facilities, and educate patients on disease progression and advanced directives.