Overview Looking to be part of something more meaningful? At HonorHealth, you’ll be part of a team, creating a multi-dimensional care experience for our patients. You’ll have opportunities to make a difference. From our Ambassador Movement to our robust training and development programs, you can select where and how you want to make an impact. HonorHealth offers a diverse benefits portfolio for our full-time and part-time team members designed to help you and your family live your best lives. Visit honorhealth.com/benefits to learn more. Join us. Let’s go beyond expectations and transform healthcare together. HonorHealth is one of Arizona’s largest nonprofit healthcare systems, serving a population of five million people in the greater Phoenix metropolitan area. The comprehensive network encompasses six acute-care hospitals, an extensive medical group with primary, specialty and urgent care services, a cancer care network, outpatient surgery centers, clinical research, medical education, a foundation, an accountable care organization, community services and more. With nearly 15,000 team members, 3,700 affiliated providers and close to 2,000 volunteers dedicated to providing high quality care, HonorHealth strives to go beyond the expectations of a traditional healthcare system to improve the health and well-being of communities across Arizona. Learn more at HonorHealth.com. Responsibilities Job Summary Provides direct patient care in accordance with evidence based treatment guidelines. They will deliver care in a team-centered approach; interact with patients and families to keep them informed and engaged in the decisions and direction of health care; provide counseling education and resource information on wellness, prevention of illness and health maintenance; and refer patients as appropriate for specialty care services and educational training for their conditions. Provides direct patient care to patients at the practice site in accordance with evidence based treatment guidelines in a Patient Centered Medical Home model. Delivers well care as well as a team centered approach to management of chronic disease states to improve the health of the practice’s patients. Interacts with patients and families to keep them informed and engaged in the decisions and direction of their health care. Provides counseling education and resource information on wellness, prevention of illness and health maintenance. Refers patients as appropriate for specialty care services and educational training as appropriate for their conditions. Uses disease registries to identify gaps and out of range values in care delivery to utilize support services and care managers to improve metrics of healthcare status. Participates in improving perceived and actual access to care for patients through participation in process improvement to deliver same day appointments and extended hours of availability. Works with the process team to improve efficiencies of care delivery in the office setting to utilize “top of license” care by the office team. Maintains, monitors and ensures accurate and timely documentation of patient encounter records to meet criteria set forth by coding guidelines, CMS, HIPAA and other governmental regulations. Works with Practice Development and Improvement Manager on the application process and assist practice in achieving benchmarks toward Patient Centered Medical Home status and NCQA certification. Participates in clinical integration including process improvement, working with care managers, and coordinating transition of care to specialists and inpatient services. Provide timely follow up following inpatient discharge for transition of care to the outpatient setting. Acts in a fiscally responsible manner. Strives to deliver value (quality/cost) to the patient by giving the right care by the right individual at the right time. Regularly attends meetings and events. Qualifications Education M.D. or D.O Required Experience Other Member of HonorHealth medical staff. Required