Cano Health

Key Responsibilities

• • Lead educational initiatives, as recommended by the VP of Quality Care & Medical Integrity to improve provider performance, quality of care, and adherence to standard of care practices.
• • Ensure noncompliant PCPs are identified and addressed weekly through structured clinical review and follow-up discussions.
• • Perform medical record audits quarterly to evaluate compliance with established clinical pathways.
• • Noncompliant PCPs require monthly audits.
• • 3 Days with patients and 2 administrative days
• • Must have managed care experience
• • Conduct monthly discussions with PCPs identified as having clinical management opportunities and assign relevant continuing medical education (CME) courses to support improvement.
• • Conduct monthly meetings to review physician scorecards and KPIs as it relates to ED/admissions, referral management, HEDIS gaps, patient visits, patient satisfaction surveys, new enrollments, and create individualized improvement plans.
• • Work with the Territory Medical Director to develop and implement quality improvement projects, and provide education as it relates to quality of medical record documentation and HEDIS audits.
• • Assist the Territory Medical Director in optimizing utilization of Cano’s services and resources.
• • Participate in Medical Director team meetings to review clinical performance, discuss interventions and policies, and implement Cano Health protocols.
• • Participate in the implementation of policies and procedures as required by regulatory agencies that govern the practice of medicine in collaboration with the Territory Medical Director, CMO, Legal, and Human Resources Departments.
• • Ensure compliance with adverse incident reporting requirements and escalates to Operations, Territory Medical Director, and Risk Management.
• • Meet monthly with Health Center Managers and DOs to review operational and quality results, including NPS scores, provider schedules, and patient access metrics.
• • Collaborate with district administrative staff (District Directors of Operations, Project Managers, Provider Support Specialists, etc.) as it relates to the locking of patients medical records, and address EHR-related tasks.
• • Evaluate and address medical grievances from providers, and coordinate solutions in partnership with Territory Medical Director, VP of Operations, and escalates to CMO.
• • Participate in provider onboarding, clinical skills workshops, and targeted training sessions to address performance gaps.
• • Ensure and maintain proper clinician staffing at all assigned medical centers.
• • Experience leading and successfully managing providers.
• • Duties as assigned.
• • Oversee and provide leadership to a group of providers within the district.
• • Serve as the primary mentor for district physicians, fostering a supportive environment for clinical excellence, professional growth, and patient-centered care.
• • Conduct regular performance reviews, providing actionable feedback, measurable improvement plans, and recognition of achievements.