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 visits support enrollment into ongoing advocacy and care management, with additional responsibilities that include validating individualized care plans and aligning documentation with the patient’s medical treatment plan.
Key Responsibilities
- Conduct structured telehealth E/M visits or Annual Wellness Visits to support intake and eligibility determination.
- Identify high-risk conditions, social determinants of health, and other factors affecting care needs.
- Document findings in the care platform with appropriate diagnoses, risk factors, coding, and SDOH Z-codes.
- Validate and approve individualized care plans for continued medical necessity.
- Collaborate with care advocates and nurse care managers on patient enrollment and care planning.
- Use EMR, care management, and telehealth workflows to support compliant, efficient visits.
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
- Board certification in Internal Medicine, Family Medicine, or Geriatrics.
- Broad multistate licensure, such as IMLC participation or 50-state coverage.
Benefits & Perks
- Remote 1099 contractor position.
- Flexible telehealth work.
- Opportunity to help build an integrated, tech-enabled care advocacy model.
- Work with care advocates and nurse care managers in a collaborative support model.