PHYSICIAN - PACE

Job PurposeThe purpose of this role is to deliver comprehensive in-home and in-center assessments and determine appropriate levels of care for participants, ensuring their needs are accurately identified and addressed. The role involves active participation in quality assurance programs and audits to maintain and enhance service standards. As a key member of the Interdisciplinary Team (IDT), the role is crucial in collaborating with other disciplines to develop and refine individualized care plans, ensuring a coordinated and effective approach to participant care.Duties and ResponsibilitiesPerforms an initial comprehensive history and physical assessment on new enrollees, interval assessments on established participants (semi-annually, as condition necessitates or as requested) and documents in the medical record as required.Functions as a member of the Interdisciplinary Team (IDT), communicates participant changes to team members, and participates in IDT meetings. Provides updates to the IDT on a regular basis.Assists in the development, implementation and evaluation of the participant plan of care as described in policy. Develops care planning goals based on the expressed wishes and preferences of participants within the context of their medical and psychosocial conditions.Evaluates and treats participants with episodic illnesses and documents in the medical record as required by policy.Provides, promotes, and educates participants and families on health maintenance of their chronic medical conditions and actively participates in family conferences.Regulates and adjusts participant medications as needed and in accordance with their changing health conditions. Collaborates with pharmacists, as needed.Communicates with attending physicians when participants are hospitalized and advocates for care that is consistent with the participant’s expressed wishes and values.Coordinates discharge planning with the IDT and hospital discharge planners.Manages participant’s care if admitted to a skilled nursing facility (SNF). Regularly visits the SNF for participant evaluation. Communicates with SNF staff as requested/required.Participates in committees, work groups, and Quality Improvement activities as needed.Participates in the coordination of the participant’s 24-hour delivery of care services.Maintains current accurate documentation of diagnoses, health care services provided, coordinated or contracted.Promptly addresses inquiries from medical records staff and coding specialists.Collaborates with the Medical Director and Advance Practice Professionals in the provision of medical care.Performs home visits, when needed, and participates in a 24-hour on call rotation with other Primary Care Providers.Evaluates the effectiveness of the participant’s plan of care and revises as appropriate.Obtains a complete health history and records the findings in a systematic organized manner.Performs physical examinations, orders and evaluates appropriate laboratory and diagnostic tests in a cost-effective manner, and records systematically.Performs functional status evaluation and/or mental status examinations using standardized procedures.Identifies and describes behavior patterns of the chronically ill.Triages status changes in participants and facilitates appropriate management of problem identified.Provides preventive health care and health promotion for PACE participants.Treats and manages acute chronic illnesses in the day health center, nursing home, group home, or in participants’ homes.Regulates and adjusts medications as needed and in a cost-effective manner.Provides inpatient attending coverage when participant is hospitalized or admitted to a nursing home and communicates participant status the PACE IDT team.Works as supervising physician with the nurse practitioner or clinical nurse specialist. Functions as a member of the interdisciplinary team and participates in the development of the comprehensive plan of care and ongoing monitoring of the participant’s health status, providing geriatric and medical knowledge when needed. Maintains current, accurate documentation of health care services provided and coordinated or contracted for.Prepares and submits reports including services provided as required.Attends pertinent health care conferences and courses to maintain knowledge of current trends in geriatric health care.Protects privacy and maintains confidentiality of employee, participant and sensitive agency information. Strictly adherence to DHCS and CMS regulations and participate in audits. Performs related duties as assigned.QualificationsEducation:Must be licensed to practice medicine in the State of California. DEA registration and ability to obtain and maintain staff privileges at contracted hospitals also required. Board Certified in Internal Medicine or Family Practice; advanced certification in geriatrics preferred and/or palliative medicine is preferred.Active California Physician License without Restrictions Must be currently enrolled or eligible for enrollment to provide services to Medicare and Medi-Cal participants.BLS/First Aide certification required.Able to speak Cantonese/Mandarin preferred.Experience: A minimum of two years primary care experience with a frail or elderly population desiredSkills and Knowledge:Knowledge of physical, mental and social needs of frail older adults.Effective skills in physical assessment and chronic disease management for frail older adults.Effective listening and oral and written communication skills.Demonstrated ability to work effectively within the interdisciplinary team setting.Computer proficiency.Able to manage changing priorities per participant needs.Strong organizational skills.Demonstrates necessary skills and knowledge as outlined in the position-specific Competency Assessment Profile.Other:Must be able to work required schedule.Requires physical strength to perform essential functions of the job.Occasional travel between sites, nursing/group homes and to members’ homes required.Requires use of personal vehicle.Requires valid driver’s license.Requires proof of automobile insurance coverage at the following minimum amounts in order to be reimbursed for mileage: $100,000/$300,000 personal liability and $100,000 property damage.May require use of personal cell phone for business purposes (may be eligible for stipend)Physical DemandsMust be able to remain in a stationary position 50% of the time.Ability to occasionally move about inside the office to access file cabinets, office machinery, etc.Able to operate a computer and other office productivity machinery, such as a calculator, copy machine, and computer printer.Able to constantly position yourself to maintain files in file cabinets such as reaching with hands and arms, kneeling, crouching, etc.The ability to communicate, detect, converse with, discern, convey, express oneself, and exchange information is crucial for this role.Compliance with the Americans with Disabilities Act (ADA) Our center is dedicated to fostering an environment that is inclusive and accessible, welcoming everyone with open arms. We strictly follow the guidelines outlined by the Americans with Disabilities Act (ADA), which includes a prohibition on discrimination in employment practices and other terms and conditions of employment. By joining us, you will become part of an organization that cherishes diversity, inclusivity, and equal opportunity. Together, we can make a meaningful difference in our community and positively influence the lives of those we serve.

Salary : $250,000 - $280,000