Responsibilities:
• Provide primary care and acute illness evaluation and treatment for a panel of approximately 150 participants
• Perform comprehensive assessments for participants and coordinate with the interdisciplinary team (IDT) to develop a comprehensive care plan for each participant
• Be an active member of the IDT communicating participant changes, collaborating on care planning decisions and coordinating 24-hour care delivery
• Work collaboratively with network providers and other members of the IDT to ensure effective care coordination, particularly around hospital discharge, short-term and long-term placement
• Provide direction and support to Nurse Practitioners
• Oversee and manage participant’s use of medical specialist and inpatient care
• Participate in rotating night and weekend call
• Manage all care of participants in the nursing home providing regular visits as dictated by Stockton PACE’s standards and participants’ needs
• Review outcomes and utilization data, including adverse events, hospitalizations, and use of specialists and collaboration with IDT to identify opportunities for improved care and operations
Qualifications:
• Strong commitment to our purpose of helping vulnerable seniors reach their full potential
• Creative and enthusiastic commitment to the “triple aim” – dedication to improving experience, health, and value for PACE participants
• Demonstrated ability to build strong working relationships with other providers and care team
• Excellent clinical, organizational, and communication skills in settings with frail, elderly participants, their families, and the IDT
• Current knowledge of chronic care/geriatric issues and best practices
• Active California physician license without restrictions
• Specialty in Geriatrics (preferred), Internal Medicine, or Family Practice