Collaborate with clinical team members associated with pod (Community Health Workers, Medical Social Workers, Nurse Navigators, Care Managers, Patient Care Coordinators, etc.) Develop and participate in APP clinical development (Evidenced based care, professionalism, etc.) Lead and participate in high-risk huddles and ensure all patients discussed have a plan of care documented and includes all care management team members Build team-based culture and work collaboratively with clinical team members Conducts 10 chart audits per month or per state regulations, whichever is higher Act as resource for clinical team members for patient care questions/concerns and participate in difficult conversations with patients/family members as requested by team Routinely conduct panel reviews with APPs Sign DME, death certificates, and other orders as needed on behalf of APP (as regulated by state) Frequently review Quality metrics, pod level performance and identify areas for improvement leading to superior Quality (HEDIS) performance Frequently review clinician capacity and productivity performance. Partner with Site Medical Directors to develop countermeasures and support their implementation when provides are off track Work collaboratively with Regional Medical Director (RMD) to identify opportunities for care improvement Assists with service inquiry, resolution of patient complaints and requests for Pod as needed Assist pod providers to achieve higher EMR efficiency Participate in patient care to assigned panel and other patients as needed (High risk or complex patients, Physician face to face requirements, cognitive assessments, etc.) Participate and lead clinical education regarding accurate diagnosis, documentation and management of chronic conditions Assist with compliance and HR resolutions Responsible for discipline actions and performance reviews for direct reports Additional duties as assigned by the Regional Medical Director as related to clinical pod performance and outcomes.