Medicare Manager Jobs in Rio Rancho, NM (NOW HIRING)

Location Address:
6100 Pan American Freeway NEAlbuquerque, NM 87109Type of Opportunity: Full timeFTE: 1.00
Summary:
Provider cares for patients, by providing outpatient, primary care services that focus on patient centric measures such as access to care, value aligned prescribing, diabetes care, cardiovascular care. Provider will lead and work collaboratively with a team, including nurses, medical assistants, case and care managers, behavioral health clinicians, pharmacist clinicians, and clerical staff to provide care to patients. The position requires regular communication and
collaboration with others. Panel size will be kept small to ensure good access, reduced costs and reduced need for the Emergency Department. Candidates will need to be versed in Value aligned care.
Job Description:
At Presbyterian, it's not just what we do that matters. It's how we do it. How we do things here makes all the difference.
Presbyterian Medical Group seeks a Board Eligible / Board Certified Family Medicine or Internal Medicine trained physician to join our Medicare Advantage Clinic in New Mexico. We're all about well-being, starting with yours. We offer a nationally competitive salary with relocation allowance available, CME allowance and fully paid malpractice insurance.
Practice Highlights:

• Provide comprehensive medical care to patients with acute and chronic illnesses through in-person, telehealth, and asynchronous encounters
• Collaborate with Social Worker, Community Health, PHP benefits, pharmacy.
• Orchestrate treatments, medications, and non-pharmacologic therapy plans in partnership with patient and their caregivers/family
• Promote population health management programs and services to patients
• 14-16 patients per day

Responsibilities:
Provide comprehensive medical care to patients with acute and chronic illnesses with a focus on access, cost management, and reduced ED and hospital utilization.
Make professional medical judgments in the care of patients seen.
Order, conduct, and interpret appropriate diagnostic x-ray and lab tests.
Prescribe treatments, medications, and non-pharmacologic therapies with a strong alignment toward value.
Document all patient encounters and communications appropriately.
Manage the provider/patient relationship.
Receive and resolve patient complaints.
Involved in education and counseling of individuals, families, and groups.
Serve as a health care resources, interdisciplinary consultant, and patient advocate.
Work autonomously as well as in collaboration with other health care providers and staff as needed. Serve as a model site for the growth and development of value aligned care.
Participate in the recruitment and replacement of other providers.
Participate in system-wide health management initiatives.
Provide input into the practice sites financial, clinical, and service quality performance; budget, capital plan, and personnel issues.
Provides clinical input into the development and review of appropriate clinical protocols and processes.
Enhance professional growth and development through participation in educational programs, literature review, in-services, and workshops.
Perform other functions as required.
Attend and participate in all scheduled meetings including PCC, provider and site meetings.
Modifies assessment techniques according to patients condition, culture, age, and stage of development.
Maintain coding and encounter data standards for completeness, accuracy, timeliness and reimbursement level, including legible documentation.
Additional Job Description:
MD, Board Eligible or Certified in Internal Medicine or Family Medicine. State of New Mexico Medical License, DEA & NM Controlled Substance Registration.
We offer more than the standard benefits!
Presbyterian employees gain access to a robust wellness program, including free access to our on-site and community-based gyms, nutrition coaching and classes, wellness challenges and more! In addition, we offer all employees a robust, day one effective benefits plan consisting of medical, dental, vision and more. Exceptional retirement plans - 403b retirement savings program with both matching programs and employer contributions.
Learn more about our employee benefits
Presbyterian is not just a great place to practice medicine, it's where you'll find a different way to make a difference. Our commitment to safe, high-quality care is at the heart of everything we do. Here's a glimpse of what sets us apart:

• Technology and digital platforms allow our clinicians to focus on meaningful work and reduce friction in your practice.
• Innovative care models improve access and free providers to focus on our patients. Clinicians spend more time connecting patients with affordable, innovative solutions that keep them healthy.
• All employees have a Strongline silent alarm badge to help you be - and feel -- safer at work.
• The RESET program is a multi-day immersive retreat designed for clinicians, fostering personal and professional growth. Through interactive sessions, self-reflection, and peer support, participants gain insights, tools, and practices to enhance well-being, resilience, and intentional living.

About Presbyterian Healthcare Services:
Presbyterian Healthcare Services exists to improve the health of patients, members and the communities we serve. We are locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with over 14,000 employees - including 1,200 providers and 4,000 nurses.
Our health plan serves more than 600,000 members statewide and offers Medicare Advantage, Medicaid and Commercial health plans.
About Our Regional Delivery System
Presbyterian's Regional Delivery System is a network of six hospitals and medical centers throughout rural New Mexico including locations in Clovis, Espanola, Ruidoso, Santa Fe, Socorro and Tucumcari. Our regional facilities are home to more than 1,600 clinical and non-clinical employees who help make Presbyterian the state's largest private employer with nearly 14,000 statewide employees. With a variety of services ranging from general surgery to pediatrics to heart and cancer care, our regional employees are proud to provide close-to-home care for their communities.
Living and Working in New Mexico
Beyond the professional advantages, living in New Mexico offers a unique blend of culture, outdoor adventures, and a diverse community.

• Cultural richness. Immerse yourself in the cultural richness of New Mexico, from historic adobe structures to vibrant festivals celebrating our diverse heritage.
• Outdoor paradise. With over 300 days of sunshine annually, indulge in outdoor activities ranging from hiking the Sandia Mountains to skiing in nearby Taos.
• Community spirit. Our communities are known for their warmth and hospitality, making your transition seamless and enjoyable.

Learn more about New Mexico
AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses