Job Responsibilities AbsoluteCare is seeking a dynamic, mission driven Lead Physician, Primary Care to put the principles of team-based collaborative care and population health into action for our medically complex & socially vulnerable members AbsoluteCare cares for some of the most medically complex and socially vulnerable individuals. Our model moves care out of the ER and into a comprehensive, person-centered environment that delivers dignity, access, and whole person support.

You will work in a model built around

• Smaller patient panels - 10-12 patients per day
• Longer visits & deeper relationships
• Interdisciplinary, team based care
• A focus on prevention, reduced utilization, and better outcomes

There are 4 key areas for responsibility for the Lead Physician

• 1- Provide excellent primary care to a panel of members, leading your pod interdisciplinary care team
• 2- Coach fellow providers in how to provide excellent primary care / urgent care / or community care to their members, and effectively lead their interdisciplinary care teams. Mentor care teams during population health huddle to achieve their quality and utilization goals.
• 3- Alongside the Medical Director, the Lead Physician is the clinical leader in the center. They address questions from and provide clinical guidance to nurses, MAs, and fellow providers about clinical cases as they arise.
• 4- The Lead Physician is core part of the center and market's leadership team. They are accountable for driving the market toward successfully achieving its quality, utilization and engagement goals. Alongside the medical director, they partake in leadership meetings, and will also be AbsoluteCare's ambassador to community based organizations, hospital systems, and payer partners.
• Duties and Responsibilities
• Provide high-quality primary care to a panel of members, including management of chronic conditions, acute exacerbations, and post hospital/ER/SNF follow-up needs.
• Lead and collaborate within an interdisciplinary team (behavioral health, nursing, social work, pharmacy, nutrition, care management) to implement and adjust patient care plans.
• Coach and mentor physicians and Advanced Practice Providers on best practices in value based and evidence based care.
• Assess when patients can be safely treated within AbsoluteCare and when escalation to higher level care is required.
• Accept same day, next-day and urgent appointments for members needing intensified physician or care management intervention to prevent admissions or readmissions.
• Monitor patient health trends and proactively act to reduce ER visits, hospitalizations, and readmissions.
• Practice evidence based medicine aligned with PCMH principles, ensuring quality, prevention, and continuity.
• Develop and manage transitional care plans, tracking paneled patients across the entire continuum of care.
• Achieve and maintain quality metric goals, leveraging data and EHR tools to support performance and efficiency.
• Provide on call coverage on a rotating basis.
• Dedicate approximately 70-80% of time to direct clinical care.
• Perform additional duties consistent with chronic care and disease management services as needed.

Qualifications

• Active, unrestricted medical license in the state of employment.
• Clinical and administrative experience leading interdisciplinary teams.
• Experience working for a clinic, community-based organization & inpatient unit.
• Experience with training and mentoring.
• Strong problem solving, project management and organization skills.
• Independent self-starter and critical thinker interested in population health, healthcare utilization management, and the ongoing development of our care model.