Primary Care Physician (53969)

Redwood Coast PACE with Humboldt Senior Resource Center is looking for either a part-time or full-time Primary Care Physician to provide care for our participants. Redwood Coast PACE — a Program of All-inclusive Care for the Elderly — is a comprehensive health plan for older adults who wish to remain living in their home and community. We provide medical, social, nutritional, rehabilitation, and support services for eligible adults. At Redwood Coast PACE, the goal is to help people stay as healthy and independent as possible. Because their health is monitored on a regular basis, many PACE participants report fewer health crises and better overall health.

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JOB SUMMARY: Under the general supervision of the Chief Medical Officer, provides comprehensive primary care and medical management to Redwood Coast PACE participants in accordance with professional standards, applicable laws and regulations, and PACE program requirements. Works collaboratively with the Interdisciplinary Team (IDT), Clinic team, Nurse Practitioners, Registered Nurses, specialists, hospitals, skilled nursing facilities, hospice, assisted living facilities, and other care providers to coordinate and ensure continuity of participant care. Provides clinical care across a variety of settings, including the PACE clinic, participants’ homes, residential care settings, skilled nursing facilities, hospitals, and other appropriate care settings. Participates in the development and oversight of individualized Plans of Care, supports quality improvement and program development activities, and provides medical consultation and leadership to the clinical team.

ESSENTIAL DUTIES & RESPONSIBILITIES:

1. Performs initial assessment, including comprehensive history and physical, of assigned participants at intake, and at least every 6 months in cooperation with family member and/or caregiver and Interdisciplinary Team (IDT) members.
2. Develops and implements a therapeutic Plan of Care at least every 6 months and when participant conditions change. Monitors Plan of Care on an ongoing basis. Presents and coordinates the Plan of Care with the IDT.
3. Helps ensure that participants experience a smooth transition into Redwood Coast PACE by coordinating with previous medical providers.
4. Provides evaluation, treatment, and ongoing monitoring of episodic illness.
5. Refers participants to medical specialist as indicated.
6. Provides oversight of hospitalized participants (in collaboration with a hospitalist as appropriate) including, but not limited to providing primary care responsibilities for management, providing updates to the team on a regular basis, judiciously utilizing medical specialty consultants, and coordinating discharge planning with the IDT.
7. Provides primary care to participants in accordance with professional standards and applicable laws and regulations. Provides care in a variety of settings, including the clinic, skilled nursing facilities, participants’ homes, assisted living facilities, hospice inpatient units, and hospitals, as appropriate to meet participant care needs. Maintains timely and effective communication and coordination with hospital, skilled nursing, hospice, and assisted living staff to support continuity and quality of participant care.
8. Collaborates with internal Nurse Practitioners by providing consultation and medical leadership.
9. Participates as an active member of the IDT by attending IDT meetings, family meetings and clinical case conferences, consulting with Nurses and other team members as medical care issues arise, and attending team and other meetings, as applicable.
10. Provides on-call medical coverage to participants after normal Clinic business hours.
11. Participates actively in Redwood Coast PACE Quality Assessment and Performance Improvement (QAPI) activities.
12. Works closely with Redwood Coast PACE Nurse Practitioners and Registered Nurses to provide clinical care. Assigns, orders, and delegates appropriate nursing interventions to Registered Nurses, as determined by the participant’s Plan of Care.
13. Participates in primary care program development and implementation as determined by the needs of Redwood Coast PACE.
14. Understands fiscal issues and is appropriately involved in meeting budget targets.
15. Complies with safety policies and procedures, including identifying and immediately reporting unsafe acts or conditions to the Chief Medical Officer and Director of Redwood Coast PACE. Takes necessary measures to ensure a safe environment.
16. Continually seeks better ways for delivering services and communicating with participants.
17. Understands the importance of community involvement and participates as appropriate in activities that link Redwood Coast PACE to the community.
18. Effectively collaborates with staff peers and contractors to meet Redwood Coast PACE goals and further success.
19. Complies with all policy and procedures of Redwood Coast PACE.
20. Participates in the process of teaching, training, and mentoring student interns, and volunteers working within the program area.
21. Acts in a manner consistent with agency values.
22. Additional duties may be assigned, as needed, that align with the responsibilities of the position and support the vision, mission, and values of the organization.