Summary of Position:
Evernorth Home Based Care (ENHB), a division of The Cigna Group, is the premier home-based healthcare provider and medical services company. We are an innovative, multi-specialty practice experiencing tremendous growth nationwide.
At ENHB our focus is comprehensive care at home to improve outcomes and reduce total healthcare costs. We are a group of clinical professionals that understand the needs of patients, medical professionals, health systems and payers. A main focus of our practice is:
Comprehensive Health Risk Assessments (HRA): health plans contract with ENHB to conduct in-home comprehensive health assessments in order to ensure patient’s medical well–being and to provide accurate data for HCC (Hierarchical Condition Categories) coding, STAR ratings and reimbursement.
ENHB In Home Primary Care Program (Model 2): health plans look to us to conduct in-home longitudinal care for medically complex patients with chronic illnesses in an effort improve clinical outcomes. Our team collaborates with the patients’ primary care physicians (PCPs), and our visits serve as an adjunct to the care delivered by the PCP.
ENHB In Home Primary Care Program (Model 1): ENHB contracts with and receives referrals from health plans to assume primary care of chronically ill patients with high admission rates and multiple emergency department visits in an effort to improve clinical outcomes. Nurse practitioners work alongside physicians delivering care in the patient’s home.
Duties & Responsibilities:
General duties:
Function as day-to-day clinical leader, providing decision support to nurse practitioners and collaborating with the multidisciplinary team
Perform preventive visits daily to optimize chronic conditions, assess home environment, and develop proactive care plans
Educating patients and/or patient’s family on chronic medical conditions, preventative care, and medication adherence compliance;
Perform urgent care visits in the home and telephonically to avoid unnecessary ED transfers and hospital admissions
Leverage the support of care team such as: nurse care manager, behavioral health, social work, and pharmacy to meet patients’ medical, biopsychosocial, and financial needs
Assume responsibility as home based PCP in some cases where there is no PCP and in other cases co-manage the patient with the PCP and serve as an extension of clinical care into the home
Coordinate with other physicians across the continuum of care, including hospitalist, specialists, PCP’s (in some cases), and SNF providers to smooth transitions and prevent readmissions
Perform Telehealth visits at times when needed
Complete appropriate and thorough clinical documentation of acute and chronic health issues through patient encounter in EMR system;
Complete EMR documentation in a timely manner; Ensuring all appropriate consent forms are signed and dated; Interpreting laboratory data and diagnostic testing when available to assist in diagnosis of medical conditions;
Performing ADL and fall risk assessments; cognitive impairment, depression, and nutritional health screening; BMI measurement; medication reconciliation;
Participating in frequent telephonic clinical meetings and web-based trainings; however, provider will occasionally be required to attend on-site training for which the provider will be reimbursed;
Complete chart reviews for advanced practice providers as determined by market Participating in quality processes such as medical documentation audits and quality projects;
Serving as a mentor or coach to advance practice providers in ongoing quality and performance improvement processes;
Improving provider relations through direct communication, knowledge of appropriate evidence-based clinical information, and the fostering of positive collegial relationships;
Performing other duties as assigned by the practice manager or medical director.
Perform HRA (health risk assessments) on patient panel
Interpreting laboratory data and diagnostic testing when available to assist in diagnosis of medical conditions;
Care Management duties:
Performing home visits with patients enrolled in ENHB’s Complex Care Program. Initial visits are comprehensive evaluations with subsequent visits targeting risk factors for disease exacerbations and hospitalizations;
Collaborating with the multidisciplinary team which may include: patients’ PCPs and health plan case managers;
Sharing after hour on-call coverage with other providers on the team;
Working with telephonic/office nurse care coordinators and case managers;
Working with telephonic social workers (practice dependent);
Working with office medical assistants;
Having the ability and the experience to prescribe medications, order labs or diagnostic testing, and recommend sub-subspecialty referrals and collaborating with the community PCP if appropriate.
Knowledge, Skills, Abilities and Requirements:
Board Certification (MD or DO) in Internal Medicine or Family Medicine;
Must have active/unrestricted license in Alabama
Geriatric Medicine subspecialty training or experience preferred;
DEA license and State Controlled Substance license upon hire;
Must have current BLS certification
Candidate must be willing to travel up to a 30-60 mile radius from their home zip code;
Must have valid state driver’s license, be able to drive your car, provide your own vehicle, and have proof of adequate automobile insurance;
Must be able to be credentialed by Medicare, Medicaid, and other Private Insurance Companies
Experience with electronic medical records is required.
Proficiency with various computer based applications such as Microsoft Office;
Highly motivated, self-directed professional with strong organizational skills and comfortable working independently on a daily basis;
Strong background/interest in primary care and preventative medicine;
Excellent clinical assessment and analytical skills;
Effective leadership and interpersonal skills; facilitates problem resolution and maintains a professional demeanor in difficult situations;
Excellent verbal and written communication skills;
Proven ability to perform comprehensive, adult and geriatric physical exams;
Demonstrated ability to identify, diagnose and document acute and chronic disease in adults;
Demonstrated ability to recognize conditions, characteristics, and behaviors that place seniors at risk
Proven ability to pursue feedback, continuing education and professional development
Proof of yearly influenza vaccination, Hepatitis B vaccination, and TB testing required.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
For this position, we anticipate offering an annual salary of 184,100 - 306,900 USD / yearly, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus and long term incentive plan.
We want you to be healthy, balanced, and feel secure. That’s why you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna.
About Evernorth Health Services
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.
Cigna has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
