Signify Health is seeking a mission-driven Physician Assistant to perform comprehensive in-home health evaluations for diverse, often vulnerable, patient populations. You will conduct detailed histories, physicals, and medication reviews; identify care gaps; and document findings using Signify Health's digital tools to support value-based care. Partnering with physicians, care coordinators, and health plan partners, you'll help shape individualized care plans and educate patients on chronic disease management. You'll thrive in a collaborative, data-informed, and flexible environment that values innovation, work-life balance, and improving outcomes at scale.
Responsibilities
- Perform comprehensive in-home health assessments for diverse, often vulnerable, patient populations.
- Review medical histories, medications, and social determinants to identify care gaps and risks.
- Document findings accurately in Signify Health's digital platforms and EHR systems.
- Collaborate with physicians, nurses, and care coordinators to develop and refine care plans.
- Educate patients and caregivers on chronic disease management, prevention, and follow-up care.
- Use evidence-based guidelines and data insights to support value-based care outcomes.
- Communicate assessment results to health plans and provider partners in a timely manner.
- Adhere to clinical quality, compliance, and documentation standards and protocols.
- Participate in continuous quality improvement, training, and performance feedback.
- Contribute to a collaborative, mission-driven culture focused on improving patient outcomes.
Required Skills
- Comprehensive physical assessment
- Chronic disease management (e.g., diabetes, CHF, COPD)
- Electronic Health Records (EHR) documentation
- In-home or field-based clinical care
- Value-based care and risk adjustment concepts
- Clinical decision-making and differential diagnosis
- Medication reconciliation and management
- Patient and caregiver education
- Care coordination and interdisciplinary teamwork
- Use of mobile clinical technology and telehealth tools
