Primary Care Opportunity - PACE

Under the guidance of the medical director, the Primary Care Physician (PCP) delivers essential medical services to participants of the PACE Organization (PO). This role involves evaluating patient needs, collaborating with the interdisciplinary team to formulate care plans, providing direct medical attention, and assessing the effectiveness of these plans. The PCP also works closely with other healthcare professionals, making independent decisions regarding patient care and executing necessary medical procedures.

• Engage as a member of the interdisciplinary team (IDT) during initial, semi-annual, unscheduled, and annual assessments; participate in daily morning updates and communicate any changes in participants' baseline conditions to relevant staff.
• Conduct initial and ongoing assessments of participants, develop care plans, and implement these plans. Ensure that the primary care treatment strategy aligns with the overall care plan created by the interdisciplinary team.
• Refer participants to medical specialists as needed. Manage the care of participants residing in nursing homes by conducting regular visits, collaborating with the IDT, and maintaining communication with nursing home staff for continuous monitoring; admit nursing home participants to hospitals when necessary.
• Oversee and manage participants' interactions with medical specialists and inpatient care, ensuring effective communication and follow-up regarding the outcomes of specialist visits.
• Actively participate in interdisciplinary team meetings, maintaining regular attendance and contributing to discussions about participant changes, care planning, and coordination for 24-hour care delivery.
• Review medical outcomes, statistical data, and utilization metrics under the direction of the Medical Director, including evaluating hospitalization necessity and specialist usage. Collaborate with the Medical Director to identify best practices and implement procedural or operational changes to enhance participant health and reduce unnecessary hospitalizations.
• Complete all necessary documentation and utilize appropriate diagnostic coding.
• Advise the Medical Director on improving accountability for PO services to participants and referral sources, while keeping the Medical Director informed about required resources as the program expands.
• Assist in developing policies, procedures, and standards of care; continuously monitor and evaluate patient care practices and service delivery; provide guidance and training to staff on medical and quality assurance matters.

• Doctorate Degree (MD or DO) with a current and active plenary physician license to practice in the state of PO. CDS Certification and DEA Registration are required, along with current BLS certification.
• Board Certification in Internal Medicine or Family Practice is mandatory; Board Certification in Geriatrics is preferred.
• A minimum of one (1) year of experience working with frail or elderly populations is required.
• Must possess a valid driver’s license, proof of insurance, and reliable transportation.
• Should be proactive, possess business acumen, manage conflicts effectively, focus on customer service, demonstrate high-quality decision-making, and adapt to ongoing changes with organizational agility. Ability to work independently and exercise sound judgment is essential.
• Exhibit strong interpersonal skills to foster collaboration, commitment, and productivity when working with cross-functional teams, customers, and end users. Comfort in a virtual, collaborative leadership environment is necessary.
• Demonstrate excellent written and verbal communication skills, tailored to the audience's understanding. Ability to engage effectively with diverse groups.
• Proficient in the Microsoft Office Suite (Word, Excel, PowerPoint, etc.) and capable of using other software as needed to fulfill job responsibilities.
• Possess outstanding organizational skills, capable of managing multiple tasks related to daily operations while maintaining excellent customer service. Ability to handle frequent interruptions and adapt to changing priorities is crucial. Strong problem-solving skills are required.
• Must demonstrate critical thinking abilities and prioritize workload effectively.
• This position requires occasional travel within the geographic region of the Centers.

• Comprehensive benefits package available, including immediate medical coverage, dental and vision insurance, paid time off, a 403B plan, and educational assistance.
• Access to daily earned wages through Daily Pay.
• Opportunities to earn incentives through the Employee Referral program.
• A warm and supportive work environment with a strong focus on patient-centered care.
• Extensive orientation and professional development opportunities available.