Primary Care Physician Compass PLUS Program

Primary Care Physician - Compass PLUS Program Mass General Brigham Community Physicians, Inc. - 4.0 Somerville, MA Job Details Full-time 1 day ago Qualifications Collaborate with healthcare professionals BC/BE Internal Medicine Doctor of Medicine Medicine Home health care assistance Treating patients as a physician Outpatient clinic experience In-home healthcare experience Mid-level Outpatient Outpatient facility experience Client-centered treatment planning Transitional care planning in clinical case management Doctor of Osteopathy Relationship management Multidisciplinary team collaboration for treatment planning Internal medicine Patient interaction Care plan implementation BC/BE Family Medicine General practice Interdisciplinary behavioral health coordination Family medicine

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Mass General Brigham Community Physicians, Inc. Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. Job Summary Compass PLUS is a home and community-based care management program for the 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. Qualifications Mass General Brigham Community Physicians Organization | Greater Boston, MA About Compass PLUS Compass PLUS is designed for clinicians who thrive in high-need, outpatient environments. This innovative program supports patients facing complex medical and social challenges, using a hands-on and highly collaborative care approach that prioritizes individual patient needs. Care is delivered outside traditional offices, with teams—including a Nurse Practitioner, Nurse, Behavioral Health Clinician, and Community Health Worker—working directly in patients' homes or community spaces. Most patients stay connected to their existing PCP, but for those with the greatest needs, the Compass PLUS physician takes over care, aiming to eventually transition them back to standard primary care. For patients requiring the most intensive support, the Compass PLUS physician becomes their primary provider, focusing on meeting their holistic needs and reintegrating them into traditional outpatient care when feasible. About the Role This role is ideal for primary care physicians seeking to spend more time with fewer patients—managing 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 Responsibilities Deliver comprehensive outpatient primary care to a small group of high-acuity patients, focusing on relationship-based, intensive care Work closely with multidisciplinary care teams in community and home settings Create and execute personalized care plans that address medical, behavioral, and social needs Consult with PCPs and teams across the system, sharing expertise in managing complex patients Support transitions between inpatient, emergency, and outpatient care, always with a patient-centered approach Collaborate with patients and teams to improve health outcomes and decrease unnecessary hospital use Practice Details Panel size of about 100 patients enables more dedicated, intensive care Care is primarily delivered in homes and community locations with traditional office space available as needed Work is centered in the Greater Boston area Local travel is necessary, with occasional regional trips (1-2 times per month) No evening or weekend call obligations Enjoy significant clinical autonomy within a supportive, collaborative environment Qualifications MD or DO in Internal Medicine or Family Medicine Board certified or board eligible Preference for candidates with outpatient experience in high-need environments, such as health centers or home care Interest in population health and health equity Proven ability to work effectively in collaborative care settings Comfort with independent practice across varied care environments Eligible for Massachusetts medical license and DEA For more information about this opportunity, or to apply, please send your CV to Michele Gorham, Senior Physician Recruiter, at Additional Job Details (if applicable) Physical Requirements Standing N/A = (0%) Walking N/A = (0%) Sitting N/A = (0%) Lifting N/A = (0%) Carrying N/A = (0%) Pushing N/A = (0%) Pulling N/A = (0%) Climbing N/A = (0%) Balancing N/A = (0%) Stooping N/A = (0%) Kneeling N/A = (0%) Crouching N/A = (0%) Crawling N/A = (0%) Reaching N/A = (0%) Gross Manipulation (Handling) N/A = (0%) Fine Manipulation (Fingering) N/A = (0%) Feeling N/A = (0%) Foot Use N/A = (0%) Vision - Far N/A = (0%) Vision - Near N/A = (0%) Talking N/A = (0%) Hearing N/A = (0%) Remote Type Hybrid Work Location 399 Revolution Drive Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America)

EEO Statement:

6010 Mass General Brigham Community Physicians, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642. Mass General Brigham Competency Framework At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.