Conduct brief telehealth intake visits for older adults to establish medical necessity for care navigation services, identify high-risk conditions, and surface unmet social needs. These visits focus on structured E/M or Annual Wellness Visits and help determine eligibility for ongoing support. The role also involves validating individualized care plans and coordinating closely with care advocates and nurse care managers.
Key Responsibilities
- Conduct telehealth-based E/M visits or Annual Wellness Visits to establish medical necessity for care navigation services.
- Identify high-risk medical conditions, unmet social needs, and factors affecting eligibility for ongoing support.
- Document findings in the platform with accurate coding, diagnoses, risk factors, and SDOH Z-codes.
- Validate and approve individualized care plans aligned with the patient’s medical treatment plan.
- Collaborate with care advocates and nurse care managers to finalize patient-specific care plans.
- Ensure patients are enrolled safely, compliantly, and appropriately into the right level of support.
Required
- M.D. or D.O. with an active, unrestricted U.S. medical license.
- At least 2 years of experience in primary care, telehealth, or care management.
- Proficiency with EMRs, care management platforms, and telehealth workflows.
- Familiarity with Medicare programs, including care navigation, incident-to requirements, and SDOH documentation.
Preferred
- Board certification in Internal Medicine, Family Medicine, or Geriatrics.
- Broad multistate licensure, with IMLC participation or 50-state coverage preferred.
Benefits & Perks
- Remote, flexible 1099 contractor arrangement.
- Opportunity to help shape a tech-enabled care advocacy model.
- Work with a multidisciplinary team including care advocates and nurse care managers.