CenterWell Senior Primary Care

Medical Billing and Coding

• Provides medical coding expertise and consultative support to Independent Practice Association (IPA) affiliates
• Analyzes trends, triages, and answers questions in real-time
• Delivers ongoing education, supports coding workflows
• Conducts quarterly chart reviews for assigned providers
• Supports daily operations of internal coding solutions
• Participates in a daily coder helpdesk providing real-time support to providers

Consultative Coder

Manager

• The Portfolio Manager governs the Primary Care Organization (PCO) Intake System, PCO Operating Model Process, and PCO Portfolio and Business ART in Jira Align.
• They are a key partner to the IT Portfolio Manager and our Product and Project Teams helping to ensure that all changes being made in the PCO follow our Operating Model and Process.
• This role will report to the Director, Clinic Operations Strategy.
• The Portfolio Manager will be a member of the Portfolio and Change Team (P&C Team).
• The P&C Team serves the PCO by managing changes of various types across the organization to provide and/or facilitate governance and decisioning, vetting and development support, delivery coordination, and sustainment activities.
• The P&C Team works with PCO and Enterprise matrixed teams to accomplish strategic goals.
• The Portfolio Manager manages change requests/intakes by working with our Product and Project Teams to triage them and enter them into Jira Align as Features for further action.
• Story writing is included.
• The Portfolio Manager also manages PCO work at the portfolio level via Jira Align through reporting and insight development, Planning Interval (PI) support, roadmap and release schedule data audits, and more.
• The Portfolio Manager supports executive body forums and large-scale change initiatives, as well as organizational continuous improvement efforts.

Business Portfolio Manager

Risk

• Identify and analyze potential sources of loss to minimize risk
• Estimate the potential financial consequences of an occurring loss
• Develop and implement controls and cost-effective approaches to minimize the organization's risks
• Assess and communicate information regarding business risks with functions across the organization
• Begin to influence department's strategy
• Make decisions on moderately complex to complex issues regarding technical approach for project components
• Work performed without direction, with considerable latitude in determining objectives and approaches to assignments

Senior Risk Management Professional

Pharmacist

• Report to a Supervising, Specialty Operations Pharmacist
• Inbound/Outbound calls to members
• Review prescriptions for accuracy
• Check for drug-drug interactions
• Evaluate appropriateness of disease state, dosage, directions and therapy
• Utilize electronic resources and guidelines to assist in professional decision making
• Develop and implement comprehensive care plans
• Monitor patient progress through regular assessments
• Provide medication education

Senior Specialty Consultative Pharmacist

General

• Responsible for administrative tasks in addition to patient care.
• Document patient symptoms in EMR
• Take and record vital signs
• Administer injections
• Perform diagnostic tests
• Collect specimens and draw blood
• Sterilize equipment
• Maintain examination rooms

Medical Assistant

• Develop/maintain contact with key hospital, skilled nursing, assisted living facility discharge planning services and/or management
• conduct facility visits to assist program clinical team
• ensure effective communication and collaboration with program staff
• participate in weekly program business development meetings
• assist program in processing of physician orders

Patient Care Coordinator, Home Health

• The Physician serves as a health-care clinician and can handle a variety of health-related problems.
• The Physician work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.
• The Physician focuses on outpatient medicine, continuity of care, health maintenance, and disease prevention.
• Keep a medical history and medical records.
• Refer the patient to specialists.
• Begin to influence department's strategy.
• Decide moderately complex to complex issues regarding technical approach for project components and perform work without direction.
• Exercise considerable latitude in determining goals and approaches to assignments.

Primary Care Physician

• The Physician serves as a health-care provider and able to handle a variety of health-related problems.
• The Physician work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.
• The Physician focuses on outpatient medicine, continuity of care, health maintenance, and disease prevention.
• Keep a medical history and medical records.
• Refer the patient to specialists.
• Begin to influence department's strategy.
• Makes decisions on moderately complex to complex issues regarding technical approach for project components, and perform work without direction.
• Exercise considerable latitude in determining goals and approaches to assignments.

• Oversee clinical operations for the location, including patient care delivery, staff management, documentation quality, and regulatory compliance, working onsite in-office
• Review referrals, determine admission appropriateness, assign clinicians, and ensure Plans of Care meet patient needs and agency standards
• Guide, support, and educate clinicians; help goal‑set, care planning, and clinical decision‑making; and remain available during operating hours for clinical support
• Ensure clinical documentation, audits, and billing meet Medicare, payer, and company standards; monitor case management quality and outcomes
• Participate in hiring, training, performance evaluation, coaching, and corrective action for clinical staff
• Conduct ongoing staff education based on documentation review, utilization review findings, and performance improvement data
• Coordinate communication among physicians, team members, and caregivers to support care coordination, discharge planning, and outcome achievement
• Participate in quality improvement, data tracking, budgeting activities, marketing initiatives, and community relationship development
• Provide direct patient care on a limited basis in exceptional or unplanned circumstances and act as Branch Director in their absence
• Perform additional tasks to support clinical operations and organizational goals

Weekend Clinical Manager, Home Health

• deliver comprehensive outpatient care to adult and senior patients.
• maintain accurate medical records and documentation.
• diagnose and manage moderately to complex medical conditions.
• coordinate referrals and collaborate with specialists.
• participate in clinical quality improvement projects.
• work with interdisciplinary teams to ensure holistic care.
• contribute to projects and innovations in care delivery.

Director

• responsible for the day‑to‑day operational performance, service quality, and client outcomes for all live programs and services
• owns service execution, SLA performance, issue management, and continuous improvement
• ensures operations are stable, compliant, and scalable
• accountable for operational performance and service quality for live services
• responsible for acceptance of implementations into steady state, staffing, capacity and operational readiness
• drive continuous improvement and operational optimization and client and stakeholder satisfaction for ongoing services

Director, Service Delivery

• Take a hands-on approach, addressing patient needs inside the exam room
• Understand how social determinants of health are affecting health outcomes
• Report to the Associate Medical Director
• Work onsite and in-person at the CenterWell Bossier City, LA clinic
• See 12-15 patients per day
• Spend 100% of your time clinically focused on direct patient care

• Provide comprehensive care to seniors following clinical standards
• Collaborate daily with your care team to ensure coordinated, high-quality care
• Maintain accurate and up-to-date medical histories and records

Nurse Practitioner / Physician Assistant

Therapist

• Plan and administer prescribed physical therapy treatment for patients, working onsite in their homes, to attain highest level of physical function.
• Assess and document patients' physical strengths to support physician evaluation and guide treatment goals.
• Develop and implement a rehabilitation program consistent with physician's Plan of Treatment and the goals of the patient team.
• Provide PTAs and Home Health Aides with clear written care instructions and oversee their performance and documentation.
• Document patient observations, interventions, and evaluations promptly and thoroughly.
• Report patient progress to the physician, Clinical Manager, care team, patient, and family, and submit all required evaluations, plans, progress notes, and discharge summaries.

Home Health Physical Therapist

• Use evidence-based medicine and clinical judgment to evaluate the suitability of pharmacotherapy for high-risk patients with chronic conditions, including diabetes, hypertension, heart failure and COPD
• Execute clinical protocols as allowed per organization and state regulatory agencies
• Optimize drug coverage benefits for appropriate care and reduced costs (preferred formulary products, lower cost alternatives and home delivery pharmacy)
• Collaborate with physicians, nurses, and other healthcare professionals to improve patient care
• Participate in high-risk rounds with a multi-disciplinary team to discuss patient progress and adjust treatment plans
• Excellent patient counseling skills to communicate complex medical information to patients and healthcare providers
• Participate in quality improvement initiatives aimed at enhancing medication safety and efficacy
• Post-discharge medication reconciliation for high-risk transition of care patients
• Document all activity within clinic EMR and other required pharmacy or clinical management systems
• Support CMS Stars and HEDIS quality measures for successful clinic performance
• Maintain accurate documentation of clinical interventions and patient care activities
• Conduct in-service education sessions for healthcare staff and develop and share educational materials related to pharmacotherapy
• Stay current with advancements in pharmacotherapy and clinical guidelines.
• Provide consultation to healthcare providers on complex medication management issues
• Respond to additional requests from the Primary Care Organization, providing support within the pharmacist's defined scope of practice to advance organizational goals.
• Address and implement targeted initiatives or priorities as directed by the National Director or Associate Directors of Pharmacy, according to best practices and regulatory standards.

Consultative Coder

Business Portfolio Manager

Senior Risk Management Professional

Senior Specialty Consultative Pharmacist

Medical Assistant

Patient Care Coordinator, Home Health

Primary Care Physician

Primary Care Physician

Weekend Clinical Manager, Home Health

Primary Care Physician

Director, Service Delivery

Primary Care Physician

Nurse Practitioner / Physician Assistant

Home Health Physical Therapist

Senior Integrated Clinic Pharmacist