A health system-based palliative care program serving adult patients in home, assisted living and office settings:

• Oversees interdisciplinary palliative care across the continuum of care, including home and office-based practices
• Integrated with an inpatient palliative care team, home health and hospice services
• Innovative program offering Palliative Care in primary care clinics, as well as in specialty settings
• Demonstrates a shared model of care in offering palliative services as part of a House Calls and Hospital at Home practice
• Serves patients in urban, suburban and rural environments
• Partnership with Albuquerque Ambulance and community services organizations to provide continuous coverage and optimal care transitions 
• Experience in using health system data to identify potential patients; expertise in clinical documentation in the Epic environment
• Deep experience with new palliative care payment models including a shared capitation arrangement with the system’s health plan, as well as expertise in optimizing fee for service billing
• Rigorous onboarding and training program for new program staff