Our technology-enabled complex care programs are designed to improve care and outcomes for our most vulnerable members who have chosen to entrust their care with us as patients to our dedicated team of physicians. Clover wants to take accountability for these members' healthcare journeys and provide high-quality personalized care that is consistent with their values and preferences.
Our leading complex care offering is the Clover In-Home Care program. This program provides vulnerable members, including those with major complex chronic conditions, frailty, and advanced illness, with in-home primary care services from an interdisciplinary team of physicians, nurses, medical assistants, and social workers. Our providers are trained in geriatrics and supportive care and are able to focus on the symptoms and conditions that matter most to complex older adults.
Our ideal PCP candidate must be deeply humanistic with strong clinical skills, excellent at communicating with patients and caregivers, detail oriented and meticulous in follow up, committed to lifelong learning, and passionate about innovation, program improvement, and team-based care. Both physicians and nurse practitioners are welcome to apply.
As a Primary Care Provider for In-Home Care you will:
- Visit Clover Health members in their homes.
- Assume primary medical responsibility for assigned patients.
- Provide person-centered care by eliciting members values and preferences and structuring care plans to reflect these desires.
- Routinely determining patients' prognoses and structuring care plans, including advanced care planning, to reflect these prognoses.
- Routinely determining primary drivers of hospitalization risk and structuring care plans to minimize these risks.
- Achieve high performance on CMS and NCQA-determined Stars and HEDIS quality metrics, respectively.
- Provide care that is consistent with medical evidence, including identified clinical protocols.
- Identify obstacles to care and medical decision-making and collaborating with the In-Home Care team to address these obstacles.
- Lead interdisciplinary team (IDT) meetings.
- Ensure execution of patient care plans by the interdisciplinary team through clinical personnel supervision and training.
- Determine the need for consultation from medical, surgical, rehabilitative, and/or psychiatric specialties.
- Determine the need for and facilitating care by an emergency department, hospital, skilled nursing facility, home health agency, hospice and/or community-based organization as appropriate and consistent with patients’ goals of care.
- Document all clinical encounters in a timely and accurate manner, including in proprietary Clover tools.
- Participate in ongoing professional development and self-improvement.
- Collaborate with the practice Medical Director and Practice Manager in efforts of continuous quality improvement.
- Collaborate with the practice Medical Director and Practice Manager in efforts to pilot new care delivery models.
- Support Clover’s efforts to establish a positive image for the In-Home Care practice in the medical community.
You will love this job if:
- You are passionate about helping others and practicing team-based collaborative care.
- You love developing relationships with your patients and their caregivers.
- You embrace technology and clinical protocols as a means for driving high quality clinical care.
- You are flexible and comfortable working in an evolving environment that values innovation.
- You embrace measurement and performance management to drive improved member outcomes.
- You are passionate about caring for our most vulnerable elders, including those with major complex conditions, frailty, and advanced illness.
You should get in touch if:
- For Physician (PCP) candidates only: You have a MD/DO degree and are Board Certified or Board Eligible in Family, Internal or Geriatric Medicine.
- For Nurse Practitioner (NP) candidates only: You have a BSN from an accredited program AND a master's degree in advanced clinical practice nursing or a post Master’s certificate.
- You have an active license to practice.
- You desire to work full-time or are open to working a minimum of 33 hours a week.
- You have demonstrated clinical competencies in such areas as age-specific care, cultural assessment and health education.
- You enjoy working with patients of diverse social, ethnic, and cultural backgrounds.
- You are comfortable walking up at least 3 flights of stairs as some residences may not have elevators.
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. We are an E-Verify company.