Umbra Health Advocacy

Umbra Health Advocacy is a leading independent health advocacy firm dedicated to helping individuals navigate the complexities of the healthcare system. We specialize in providing personalized support for patients facing insurance challenges, medical billing issues, and complex care needs. Our team of experts works tirelessly to ensure that our clients receive the care and services they deserve.

We are seeking a Supervising Provider to join our dynamic team. In this role, you will conduct initiating visits (typically E/M visits) via telehealth to determine the need for Principal Illness Navigation, Community Health Integration, Transitional Care Management, and Chronic Care Management services. You will also provide clinical oversight, general supervision, and guidance to ensure that the healthcare services provided by Auxiliary Personnel align with best practices and regulatory requirements, including appropriate documentation for Medicare billing through your NPI.

This is a remote position with the flexibility to work from home, while making a meaningful impact on patient outcomes and care coordination. Please note: while the position is remote, you must be in the U.S. 

Clinical Oversight and Initiating Visits (E/M Visits):

• Conduct initiating visits (E/M visits) to establish patient eligibility for services, including performing comprehensive assessments and determining appropriate care plans.
• Perform and document the required evaluation and management (E/M) services in accordance with Medicare guidelines and Umbra policies and procedures, ensuring accurate coding and thorough documentation of all visits.

General Supervision of Auxiliary Personnel:

• Provide oversight to Auxiliary Personnel, including Community Health Workers (CHWs), to ensure that all services provided are compliant with CMS guidelines.
• Ensure that the necessary clinical protocols and documentation standards are followed by Auxiliary Personnel in their interactions with patients.
• Perform or oversee the completion of Social Determinants of Health (SDOH) assessments performed by Auxiliary Personnel and ensure proper documentation for billing purposes.

Billing and Documentation:

• Review and approve documentation, ensuring that accurate CPT codes are used before the billing team submits on your behalf.

Case Review and Clinical Guidance:

• Provide clinical guidance on complex cases and care coordination, ensuring that patients receive the appropriate services based on their needs and eligibility.
• Review patient records as needed and offer recommendations for ongoing care.

Quality Assurance:

• Ensure that all clinical services and interactions with patients meet established standards of care and compliance with relevant regulations.

Collaboration:

• Work closely with the advocacy team to ensure that patient needs are met and that appropriate clinical services are provided.
  

Education:

• Current, unrestricted medical license (MD, DO, NP, or PA) in the United States. Multi-state licenses are preferred.
• Board certification or equivalent in a relevant clinical specialty preferred.

Experience:

• Minimum of 5 years in a clinical setting, with at least 2 years in a supervisory role.
• Experience with billing Medicare services, including knowledge of appropriate CPT codes and documentation requirements.
• Experience working with Auxiliary Personnel (e.g., Community Health Workers, patient advocates) is preferred, but not required.

Skills:

• Strong clinical assessment and decision-making abilities.
• Excellent communication and interpersonal skills.
• Expertise in identifying and assessing non-medical needs.

Attributes:

• Detail-oriented and committed to patient-centered care.
• Ability to work independently and manage remote clinical responsibilities.
• Passion for helping patients navigate complex health and social needs and commitment to reducing barriers to needed care.
  

Impact: Play a pivotal role in improving patient outcomes and navigating complex healthcare challenges.

Flexibility: Work remotely with a schedule that accommodates your lifestyle.

Support: Join a collaborative team committed to delivering quality care to our patients.

Umbra Health Advocacy is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.