JOB SUMMARY: This job is for the care of Kaiser Permanente (KP) members in the Skilled Nursing Facility (SNF) setting. The provider will manage the care of the member, collaborate with other KP colleagues on the SNF rounding team, and interact with the SNF facility staff. The provider will manage members across facilities with the assistance of an NP and Acute Transitional Case Manager. They will escalate facility issues and patient care problems to the facility staff and appropriate KP staff in a timely manner. The providers' job responsibilities will be managed on-site in the facility. Round on Kaiser Permanente (KP) members at assigned contracted skilled nursing facilities (SNF) at least twice-weekly to address medical needs and concerns, as well as help with care planning going forward.
Lead a team in SNF including a NP and KP Acute Transitions Case Manager to assure that the appropriate level of care is being provided and progress is being made towards goals in a timely manner.
Discuss goals of care, transition planning, and advanced directives/POLST, in collaboration with the SNF facility staff and the KP Acute Transitions Case Manager
Attend meetings with SNF staff, NP and KP Acute Transitions Case Manager to assist with discussions of ongoing care planning, discharge planning and coordination of care for members.
Collaborate with evaluating KP specialists and other outside specialists as needed to drive care forwards while the member is in the SNF.
Work with KP Acute Transitions Case Manager and transitions team to facilitate timely post-discharge follow-up for members after discharge from SNF.
Work with KP Quality Resource Management Department, Care Without Delay and other teams as needed to accomplish regional goals.
Establish and maintain good working relationships with other KP providers, on-site KP Acute Transitions Case Manager, contracted SNF medical and administrative staff, and transitions team.
Assess alignment of patient care goals with care provided by SNF staff, identify systems barriers, and escalate issues when appropriate.
Anticipate and plan for needs between visits, including potential discharge planning changes.
Timely documentation of progress notes, discharge summaries, medicine reconciliation, etc. in KP HealthConnect
Participate in departmental meetings.
Obtain and maintain privileges at all assigned skilled nursing facilities.
Take night call rotation during the week and throughout the weekend. Ability to work weekends if necessary.
Must be able to drive distances between facilities to make rounds, lift 10 lbs. or more, alternatively sit and stand throughout the day, work on-site in a SNF.
Excellent interpersonal skills
MINIMUM EDUCATION AND EXPERIENCE REQUIREMENTS: Licensed physician in the State of Georgia.
Board Eligible "New Graduates" in credentialed specialty when hired must become Board Certified within four years of the date of the earliest eligibility for the appropriate board to continue employment with TSPMG. Clinicians that are hospital based must follow the hospital policy for board certification requirements.
Internist, Family Practitioner, Hospitalist, Geriatrician or Palliative Care Physician with an interest in managing inpatients in a skilled nursing facility.
PREFERRED EDUCATION AND EXPERIENCE: MD or DO
One year of experience working in a Skilled Nursing Facility, Hospitalist, or outpatient clinical setting
The Southeast Permanente Medical Group (TSPMG) is one of Georgia's largest independent, physician-owned, multi-specialty medical groups. More than 500 physicians and 150 associate practitioners work together in a unique integrated care model to provide high-quality care to over 300,000 Kaiser Permanente members. Care is delivered at 26 medical offices featuring state-of-the-art equipment, labs, imaging services, and pharmacies. We also provide surgical services and around the clock care at some of the area's top hospitals. TSPMG offers a competitive salary, a generous retirement package, paid time off, health, dental, vision, and life insurance, long and short-term disability, relocation allowance, and more. We also offer numerous clinical and non-clinical learning opportunities and physician leadership development. Atlanta, our home for more than 30 years, is a thriving metropolis that blends southern charm with modern art, music and culture. Learn more about our beautiful southern city at . We are an equal-opportunity employer. All applicants will be considered for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, veteran or disability status. We maintain a drug free workplace and perform pre-employment substance abuse testing.