Lead Palliative Care Physician

Position: Lead Palliative Care Physician  Monogram Health is seeking a full-time physician specializing in palliative care to join our team amid continued nationwide growth. This is an in‑market, field‑based position requiring residence within one of our approved territories. As an in‑market specialist, this physician will care for seriously ill patients in their community, including individuals with CKD/ESRD, COPD, and CHF. The Lead Palliative Care Physician will work closely with the Market Physician Executive (MPE) and primarily deliver care in the home. Your Impact 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.  Highlights & Benefits  Opportunity to work in a dynamic, fast-paced and innovative organization that is transforming the delivery of polychronic disease care  Autonomous schedule with In-home visits in a value-based care model  Competitive salary plus company bonus program  Full benefits including medical, dental, vision and life insurance  Paid time off and 401(k) with matching contributions Relocation assistance and sign on bonus on case-by-case  Roles & Responsibilities  Collaborate with MPE 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 in-home to drive healthcare outcomes  Evaluate and treat symptoms that may interfere with quality of life, like pain, pruritis, 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 Position Requirements   Must be willing and able to obtain hospital privileges at required facilities. Desire to practice in a forward-looking renal care environment focused on population health management   Demonstrated experience applying evidence-based clinical criteria   Comfort and skill in goals of care discussions and advance care planning Experience with high-need Medicare Advantage and managed Medicaid populations, as well as commercial populations   Experience integrating acute and behavioral health care and appreciation of social determinants of health and the value of social workers   Expertise in managing medication panels for complex patients   Current state medical license without restrictions to practice and free of sanctions from Medicaid or Medicare.  Willingness to become licensed in multiple states as company and patient needs require Doctorate Degree in Medicine   Board Certified in Hospice and Palliative Medicine   Must have reliable transportation  About Monogram Health: Monogram Health is a leading multispecialty provider of in-home, evidence-based care for the most complex of patients who have multiple chronic conditions. Monogram health takes a comprehensive and personalized approach to a person’s health, treating not only a disease, but all of the chronic conditions...