Geriatrician
Job Description
The Geriatrician provides comprehensive, patient-centered medical care to older adults across two primary settings: (1) outpatient clinic and (2) community-based environments. This role is intentionally split 50% in-clinic (evaluation, longitudinal management, consultations) and 50% in the community (home-based primary care, assisted living/SNF visits, transitional care, and outreach). The clinician will emphasize function, quality of life, medication safety, goals-of-care alignment, and coordination across the care continuum.
\nWork Schedule & Location
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Schedule: Full-time split 50% clinic / 50% community
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Clinic Location(s): Attleboro, MA
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Community Coverage Area: Bristol & Norfolk Counties
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Travel: Required for community visits; valid driver's license and reliable transportation
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On-call: None / Shared rotation / After-hours phone triage
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Key Responsibilities
\nA. Outpatient Clinic (50%)
\nComprehensive Geriatric Assessment
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Conduct multidimensional evaluations including medical complexity, functional status, cognition, mood, fall risk, nutrition, sensory impairment, caregiver support, and social determinants of health.
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Chronic Disease Management
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Provide evidence-informed management of common geriatric conditions (e.g., frailty, dementia, delirium risk, polypharmacy, osteoporosis, urinary incontinence, heart failure, COPD, diabetes in older adults).
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Medication Optimization
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Perform structured medication reviews, deprescribing when appropriate, and reconciliation after transitions of care.
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Cognitive and Behavioral Health Care
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Diagnosing and managing dementia, mild cognitive impairment, delirium risk, depression, anxiety, and behavioral symptoms in partnership with caregivers and community support.
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Preventive Care & Risk Reduction
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Tailor screening and preventive strategies to life expectancy, function, patient values, and clinical context; address falls prevention and mobility preservation.
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Care Planning & Advance Care Planning
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Facilitate goals-of-care discussions; document advanced directives/POLST/MOLST where applicable; align treatment plans with patient preferences.
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Consultation & Co-Management
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Provide geriatric consults for complex older adults and collaborate with PCPs and specialists.
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B. Community-Based Care (50%)
\nHome-Based and Community Geriatrics
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Deliver medical care in patient homes and community settings (e.g., assisted living, adult day programs, supportive housing) for patients with mobility, cognitive, or access barriers.
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Post-Acute & Facility-Based Rounding (as applicable)
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Provide continuity visits in skilled nursing facilities (SNFs) or other residential settings, coordinate with facility staff on care plans and safety.
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Transitional Care Management
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Support hospital-to-home (or SNF-to-home) transitions, including timely follow-up, medication reconciliation, symptom monitoring, and coordination with home health and caregivers.
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Urgent Access & Acute Issue Management (in scope)
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Evaluate and manage subacute changes (e.g., delirium triggers, falls, dehydration, infection risk) while reducing avoidable ED visits/hospitalizations when clinically appropriate.
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Interdisciplinary Team Collaboration
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Partner with nursing, social work, care management, pharmacy, PT/OT, behavioral health, and community agencies to address medical and social needs.
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Caregiver Support & Education
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Provide caregiver coaching, anticipatory guidance, and linkage to community resources.
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Safety & Environmental Assessment
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Identify home safety risks (falls hazards, medication storage, nutrition access, caregiver strain) and implement mitigation strategies.
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Cross-Cutting Responsibilities (Both Settings)
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Documentation & Coding
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Maintain timely, accurate documentation in the EHR; ensure appropriate billing/coding for clinic and community-based services.
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Quality & Population Health
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Participate in quality improvement initiatives (e.g., falls, polypharmacy, avoidable utilization, readmissions, dementia care metrics).
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Communication
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Communicate clearly with patients, families, caregivers, and referring clinicians; provide concise care summaries and follow-up plans.
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Compliance & Safety
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Adhere to organizational policies, privacy regulations, infection control standards, and community-visit safety protocols.
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Teaching/Leadership (optional)
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Mentor learners (residents, fellows, students) and contribute to program development in geriatrics/community care models.
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Required Qualifications
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MD or DO from an accredited institution
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Board Certified/Board Eligible in Geriatric Medicine (or Internal Medicine/Family Medicine with geriatrics expertise), per organizational requirements
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Unrestricted medical license (or eligible) in MA
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DEA registration (or eligible)
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Demonstrated experience with complex older adults, chronic disease management, and interdisciplinary care
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Ability to travel for community visits; valid driver's license as applicable
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Preferred Qualifications
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Experience in home-based primary care, PACE, SNF/ALF rounding, or complex care management programs
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Training/experience in palliative care, dementia care, or transitional care
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Comfort with telehealth and remote monitoring tools
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Prior quality improvement or program development experience
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Core Competencies
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Expertise in geriatrics: frailty, multimorbidity, functional decline, cognitive disorders, polypharmacy, falls
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Strong clinical judgment in risk/benefit decision-making for older adults
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Patient- and family-centered communication; shared decision-making
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Team-based care, care coordination, and systems thinking
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Cultural humility and commitment to health equity
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Organizational skills for mobile/community practice (time, routing, documentation)
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Physical & Environmental Demands
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Ability to work in outpatient clinical environments and community settings (homes/facilities)
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May require standing/walking, transport a medical bag/equipment, and navigating variable home environments (stairs, pets, limited space)
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Salary Range:$196,992.72-$313,150.49
\nSturdy Memorial Hospital is an equal employment opportunity employer. There is no discrimination because of race, color, creed, age, gender, sexual orientation, national origin, veteran status or disability.
