Infectious Disease Physician Prince George County

About the role

This role provides physician services to include patient consultation, primary management of people living with HIV and other chronic infectious diseases. These services include developing a diagnostic and treatment care plan, counseling patients regarding the most appropriate setting to meet their healthcare needs, educating them about their illnesses, advising appropriate specialist services, and end of life programs.

Responsibilities

• Provide care for people living with HIV and associated medical conditions and patients with other chronic infectious diseases.
• Provide outpatient care consultation and ongoing treatment of chronic infectious diseases.
• Deliver comprehensive care for patient panel, including management of chronic diseases directly or through collaboration with primary care physicians and specialist.
• Work in a team environment (with social work, care management, integrated behavioral health, pharmacy, nutrition, health education etc.), process feedback, and facilitate open discussion.
• Implement plans of care in collaboration with the patient, their family and other team members.
• Develop strong transitional care plans and able to keep track of paneled patients along the whole continuum of care including hospital discharges, ER, skilled nursing facilities and home care.
• Vigilant in keeping track of patients and their disease processes to avoid ER visits, admissions to the hospital and readmissions.
• Absorb same day/next day or urgent appointments for patients from home or discharged from the hospital/ER/skilled nursing facility in need of intensified physician or case management/social work services to ensure acute episode has resolved and the patient is not admitted/readmitted.
• Vigilant in keeping track of patients and their disease processes to prevent ER visits, admissions to the hospital, and readmissions.
• Understand the PCMH model of care as pertains to specialist care, only utilizing this higher level of care as needed, and not a substitute for a well-trained primary care physician with evidence based clinical skills.
• Educate members on chronic disease progression and the need for advanced directives where applicable.
• Practices evidenced based medicine and in accordance with the PCMH model of care.

Qualifications

• Unrestricted Medical License in the state of practice
• Board certified Internal Medicine or Family Practice
• Certified by AAHIVM OR Board Certification in Infectious Diseases
• BLS DEA
• Experience in population health management is preferred.
• Experience in working with psychosocially and medically complex patients is strongly preferred.
• Knowledge or experience with NCQA PCMH model is preferred.
• Must be able to work as part of a multidisciplinary team with constant collaboration within and across provider teams.
• Innovative and creative and innovative self-starter to help solve patient's problems.
• Experience and comfort around maximizing EMR systems.
• Excellent interpersonal and communications skills.
• Effectively adapt and respond to a complex, fast-paced, and results-oriented environment.
• Knowledge and experience using Electronic Medical Records and ability to analyze and leverage their reporting capabilities.
• Working knowledge of Microsoft Office Suite (Word, Outlook, PowerPoint, and Excel).