About the Role:
Monogram Health is seeking a full-time physician, specialized in palliative care, to join the team in Jackson, MS. This physician will be an in-market specialist and care for the seriously ill population in their community, including patients with CKD/ESRD, COPD, and CHF. The Palliative Care physician will be integrated into their local market with the pod Medical Director and primarily renders care in the home and through telemedicine visits.
Monogram Health physicians are quality-driven physicians who apply their clinical expertise in a managed care, population health context. They also engage in population health management in a sophisticated, outcomes-driven manner that promotes palliative care where clinically appropriate and focuses on patient quality of life, education, and shared-decision making.
Key Responsibilities
• Collaborate with market Medical Director and the care team to proactively identify patients who
qualify for palliative care services and build a patient panel
• Developing and presenting metrics to executive leadership, as requested
• Responsible for the outcomes for patient panel, driving both predetermined clinical and financial Key
Performance Indicators (KPIs) through interventions outlined below
• Treat panel of patients both in-home and virtually, as necessary, to drive healthcare outcomes
• Evaluate and treat symptoms that may interfere with quality of life, like pain, depression, anxiety,
insomnia, etc.
• Refer members to appropriate specialists to drive clinical care (Monogram-based specialists or locally-
aligned specialists)
• Conduct goals of care and family meetings as needed and document patient/family wishes in state
AD/POLST forms
• Support patients utilizing our IDT, including Palliative Care Chaplain
• Assist with hospice transitions as appropriate
• Develop key relationships with local providers (PCP, nephrologists, specialists) to improve market
alignment
• Participate in monthly meetings with RMD/CMO in areas of KPI and expectations around KPIs
• Educate and support team around palliative care, hospice care, advance directives, symptom
assessment, and communication
