Primary Care Clinician

Primary Care Clinician

THE ORGANIZATION

Outer Cape Health Services (OCHS) provides a full range of primary health care and supportive social services that promote the health and well-being of all who live in or visit the ten outermost towns of Cape Cod. With locations in Harwich Port, Wellfleet and Provincetown, OCHS cares for more than 20,000 patients annually, and no one is denied access to services due to an inability to pay.

Founded in 1987 through the merger of Health Associates of Provincetown (established in 1972) and the AIM Medical Center in Wellfleet (established in 1966). As a Patient-Centered Medical Home, OCHS holds itself to the highest standards. Ensuring patients have access to care when they need it and request it and validating that staff are working at the top of their licensures are foundations of this model. Outer Cape Health Services, Inc. (OCHS) is a 501(c)(3) non-profit organization and is governed by a Board of Directors representative of its community. All board members live on Cape Cod, and the majority are OCHS patients.

OCHS offers competitive benefit plans and is an inclusive and equal opportunity employer.

Primary Purpose of Position:

Reporting to the Site Medical Director, the Primary Care Clinician serves as a clinical leader within an interdisciplinary care team and provides comprehensive, continuous care to a panel of patients. The clinician collaborates with team members to coordinate care, promote health, manage chronic disease, and improve patient outcomes in alignment with OCHS’s mission and team-based care model.

Essential Functions:

• Lead and collaborate within an assigned care team (including RNs, LPNs, Medical Assistants, Behavioral Health Clinicians, and Patient Access staff) to manage the health of a patient panel and champion shared accountability for outcomes.
• Maintain an assigned patient panel and meet access and productivity expectations while balancing quality, continuity, and team-based care principles.
• Participate in and/or lead daily team huddles to anticipate patient needs, identify care gaps, and coordinate workflow.
• Provide clinical oversight, mentorship, and support to nursing and allied health staff to ensure team members work at the top of their licensure.
• Collaborate with Integrated Behavioral Health providers and Community Health Workers to address social determinants of health and mental health needs.
• Support same-day access, urgent care needs, and flexible scheduling strategies to meet patient demand.
• Participate in patient care audits, performance improvement initiatives, population health activities, and value-based care efforts to improve clinical quality and outcomes.
• Complete documentation in a timely manner consistent with organizational standards and regulatory requirements.
• Collaborate with leadership and staff on care delivery improvements, workflows, and quality initiatives.
• Participate in on-call responsibilities, weekend coverage, and skilled nursing facility coverage as assigned.
• Maintain collaborative and professional relationships across clinical and administrative teams.
• Participate in provider meetings, team meetings, and organizational initiatives as directed by the Site Medical Director or Chief Medical Officer.
• Model professionalism, collaboration, and accountability consistent with OCHS values.
• Perform other related duties and projects as assigned.