MD (JR227057)

Introduction

To heal, to teach, to discover and to advance the health of the communities we serve.

To learn more about the “Montefiore Difference” – who we are at Montefiore and all that we have to offer our associates, please click here.

Overview

The WeCARE Physician is the role of Review Physician supports the Medical Director in the implementation of standard operation policies and procedures to ensure that UBA WeCARE complies with all New York City's HRA contractual requirements.

Responsibilities

• To conduct medical reviews of Clinical Assessments/Clinical Reassessments for finalization, complete Wellness Plans dispositions for UBA WeCARE clients, and act as a clinical support for UBA WeCARE staff in the fulfillment of funder, (NYC HRA), contracted goals.
• Conduct medical reviews of Clinical Assessments completed by Qualified Health Professionals
• Displays knowledge of medical conditions and SSA disability criteria.
• Review prior WeCARE documentation, documentation provided by the client, prior and current Clinical Assessment/Clinical Reassessments, previous Medical Evaluation and Substance Use Assessment (when indicated).
• Review, address, and correct any inconsistencies in the history obtained by the QHP
• Order and review additional specialty assessments as indicated
• Review and update Reasonable Accommodations and work limitations.
• Determine appropriate medical diagnoses. Assess the stability of client's medical issues.
• Obtain medical documentation from EPIC, PSYCKES, and Bronx RHIO.
• Enter information/complete appropriate forms in HRA (funder) database (SEAMS).
• Complete off-line/paper when medical record system SEAMS, is not functioning completely or is partially working.
• Ensure all off-line paper documents and medical records obtained from outside sources are scanned into SEAMS within 24 hours.
• Review the SSA sequential evaluation process conducted by the QHP to ensure accuracy.
• Review provided wellness documentation from treatment providers
• Check for medical documentation in EPIC, PSYCKES, and Bronx RHIO
• Update and review reasonable accommodations and limitations
• Ensure the FCO is correct and that the FCO justification contains relevant information
• Review Wellness extensions with Medical Director and provide summary justifications for same
• Able to assist and motivate clients to comply with WeCARE process. Able to assist clients to access services to reduce barriers to compliance with WeCARE appointments.
• Knowledge of medical and behavioral health diagnoses.
• Knowledge of various software systems including SEAMS, EPIC, PSYCKES, Bronx RHIO, etc.
• Possess strong computer skills with knowledge of Microsoft Office applications.
• Knowledge of SSA disability application process is preferred.
  
  

Requirements

• Experience with NYC HRA preferred.
• Two years of professional experience in medical or clinical practice.
• Complete Wellness Enhancement Forms as indicated for Wellness track clients
• Medical and computer software (SEAMS, EPIC) and medical depository information databases (example PSYCKES, Bronx RHIO)