Conduct brief telehealth intake visits for older adults to establish medical necessity for care navigation services, identify high-risk conditions, and assess unmet social needs. These structured visits support eligibility for ongoing advocacy and care coordination, with documentation of diagnoses, risk factors, and SDOH-related needs. The role also involves reviewing and approving individualized care plans in collaboration with advocates and clinical operations.
Key Responsibilities
- Conduct telehealth E/M visits or Annual Wellness Visits to establish medical necessity for care navigation.
- Identify high-risk conditions, unmet social needs, and other factors affecting care access.
- Document findings in the platform, including accurate coding, diagnoses, risk factors, and SDOH Z-codes.
- Validate and approve individualized care plans aligned with the patient’s medical treatment plan.
- Coordinate with advocates and clinical operations to support safe and compliant enrollment.
- Use EMRs, care management platforms, and telehealth workflows to complete intake and documentation.
Required
- M.D. or D.O. degree.
- Active, unrestricted U.S. medical license.
- At least 2 years of experience in primary care, telehealth, or care management.
- Familiarity with Medicare programs, care navigation, incident-to requirements, and SDOH documentation.
- Proficiency with EMRs, care management platforms, and telehealth workflows.
Preferred
- Broad multistate licensure, including IMLC participation or 50-state coverage.
- Board certification in Internal Medicine, Family Medicine, or Geriatrics.
- Bilingual skills.
Benefits & Perks
- Remote 1099 contractor role.
- Flexible telehealth work.
- Opportunity to help shape an integrated, tech-enabled care advocacy model.
- Work with a mission-driven team supporting older adults.