Primary Care Physician Compass PLUS Program

Compass Plus Primary Care PhysicianCompass PLUS is a home and community-based care management program for patients with the highest complexity and hospital utilization in the Mass General Brigham MassHealth Accountable Care Organization (ACO). All participants receive clinical and support from a multi-disciplinary care team. The Compass PLUS Primary Care Physician (PCP) is responsible for the care of a small panel of highly complex patients in the Compass PLUS program. Patients who see the Compass PLUS PCP typically have difficulty engaging in office-based primary care or are hospitalized too frequently to attend outpatient visits.This role is ideal for primary care physicians seeking to spend more time with fewer patientsmanaging a small panel of approximately 100 medically and socially complex individuals. You'll serve as the PCP for those fully transitioned into the Compass PLUS program and consult with other providers caring for high-risk patients. The majority of your work will be conducted in homes and community settings, allowing you to address barriers directly and build strong relationships with patients.Key ResponsibilitiesDeliver comprehensive outpatient primary care to a small group of high-acuity patients, focusing on relationship-based, intensive careWork closely with multidisciplinary care teams in community and home settingsCreate and execute personalized care plans that address medical, behavioral, and social needsConsult with PCPs and teams across the system, sharing expertise in managing complex patientsSupport transitions between inpatient, emergency, and outpatient care, always with a patient-centered approachCollaborate with patients and teams to improve health outcomes and decrease unnecessary hospital usePractice DetailsPanel size of about 100 patients enables more dedicated, intensive careCare is primarily delivered in homes and community locations with traditional office space available as neededWork is centered in the Greater Boston areaLocal travel is necessary, with occasional regional trips (12 times per month)No evening or weekend call obligationsEnjoy significant clinical autonomy within a supportive, collaborative environmentQualificationsMD or DO in Internal Medicine or Family MedicineBoard certified or board eligiblePreference for candidates with outpatient experience in high-need environments, such as health centers or home careInterest in population health and health equityProven ability to work effectively in collaborative care settingsComfort with independent practice across varied care environmentsEligible for Massachusetts medical license and DEA