Business Overview: Humana Inc., headquartered in Louisville, Kentucky, is one of the nation's largest publicly traded health benefits companies. Humana offers a diversified portfolio of health insurance products and related services - through traditional and consumer-choice plans - to employer groups, government-sponsored plans, and individuals.
Today, Humana is a leader in consumer engagement. Throughout its diversified customer portfolio, the company provides guidance that can both help lower costs and lead to a better health plan experience.
Role: Clinical Innovations / Clinical Advisor, MD
Assignment: Endocrinologist
Location: Miami, FL
Are you a fit?
CAC-Florida Medical Centers is seeking a Board Certified Endocrinologist. The candidate will enjoy providing high quality health care in a professional and caring environment to a primarily geriatric population and work in collaboration with the Diabetes Disease Management team. CAC-Florida Medical Centers has the presence of 11 medical centers throughout the greater Miami area and Homestead. We offer competitive salaries and a rich benefits plan including paid personal time off, CME, malpractice insurance, 401K and more.
Assignment Capsule
Practice medicine following standard of care and evidence-based medicine guidelines in order to guide patients towards positive health and well-being outcomes.
• Has the necessary skills and appropriate licensure / certification to provide superior guidance at points along the clinical continuum.
• Must be Board Certified or Eligible in the given specialty with the knowledge and skills to follow standard of care guidelines and maintain appropriate documentation. Recommend services for Humana Plan members utilizing care alternatives available within the community and nationally.
• Examine clinical programs information to identify members for specific case management and / or disease management activities or interventions by utilizing established screening criteria.
• Conduct admission review and post-discharge outpatient follow-up
• Able to make appropriate patient assessments and provide guidance for plan of care. Advises on health maintenance and disease management programs. Understands medical utilization and management. Has experience working with a geriatric population
• Understands and has experience with electronic medical records. Understands and follows medical record documentation guidelines.
• Maintains a professional and collegial attitude towards patient population and staff. The ability to encourage and engaging in a team approach to health and wellness.
Key Competencies
Acts Strategically: Has vision, anticipates future consequences and trends accurately; has broad knowledge and perspective; creates competitive and breakthrough strategies and plans.
Communication: Ensures understanding regardless of the communication vehicle; understands the needs and perspectives of others and tailors delivery accordingly; shares information appropriately; actively listens.
Innovates: Introduces or develops new ideas and processes which improve performance and productivity. Generates insights through thought leadership. Leverages business intelligence, data, insights, and other research to drive differential value and expand Humana's capability to compete.
Leadership: Tells the Humana story; inspires extraordinary results by engaging others, leading change, valuing diversity, and shaping the culture to support a high performance environment.
Qualifications
Role Essentials
• Active Florida medical license
• Current DEA license
• Ability to be licensed in multiple states without restrictions
• Board Certified or Board Eligible in given specialty
• Bilingual – English and Spanish
• Experience with electronic medical record documentation
Role Desirables
• Advanced work experience in a hospital setting or private practice
• Previous Medicare/Medicaid Experience a plus
• Experience with eClinicalWorks EMR a plus
• Creole and other languages are beneficial
Reporting Relationships
You will report to the regional medical director of CAC Florida Medical Centers.
Role: Clinical Innovations and Health Practitioners
Work Enviroment: Office
Travel: Yes, 10 % of the Time