PACE Family Medicine Physician

4 weeks ago


Sacramento, United States Nexus HR Services Full time

PACE Primary Care Provider - Orange County, California

Compensation:  $280,000 per year

Overview: Nexus HR is looking for a PACE Primary Care Provider for a reputable client in Orange County, California. The ideal candidate should be board-certified and must be enrolled in Medi-Cal.

About the Job

Our Client is looking for a PACE Primary Care Provider for their team in Orange County, California. This is a great opportunity for a Physician who has recently completed their advanced practice degree as for established practitioners looking for a new position. This is an excellent practice for a provider to grow a long-term career and patient base.

Duties and Responsibilities:

  • Oversight of clinical care provided to PACE participants by Mid-Level Providers

  •  Complete annual Mid-Level Provider reviews 

  • Participates in provider meetings 

  • Ensure appropriate provider coding 

  • Coordinate appropriate PACE specialist network for PACE participants 

  • Participation in the PACE QAPI program 

  • Participation in PACE quality initiatives 

  • Ensure appropriate and efficient clinical operation workflows 

  • Continually monitor, evaluate and adjust clinic workflows to ensure appropriate  efficiency including, but not limited to the following workflows: 

i. Triage 

ii. Appointment scheduling 

iii. Abnormal labs 

iv. Medication refills 

v. Missed appointments 

vi. Order reconciliation 

vii. Standing orders 

viii. Rooming of participants 

  • Ensure appropriate inpatient and nursing facility utilizations 

  • Ensure appropriate outpatient specialty utilization

  • Ensure proper transitions of care 

  • Ensure POLST is completed and followed   

  • Communicate regularly with hospitals, nursing facilities and urgent care facilities.

  • Communicate and educate outpatient specialists on the PACE model of care.

  •  Work with pharmacists and specialists to utilize generic medications whenever possible

  • Work with in-house specialists on frequency of visits and the transition of stable  participants back to PCP 

  • Work with the pharmacy to utilize 340b pricing whenever possible 

  •  Complex Case Management (CCM) 

  • Oversight of IDT Team

Qualifications:

  • Board-certified in Family Medicine or Internal Medicine

  • Enrolled in Medi-Cal

  • Prior experience in a professional capacity may be preferred.

  • Computer skills.

  • Analytical aptitude, problem-solving skills, and the ability to manage a busy workload under pressure.

  • Experience in overseeing and leading a team

Benefits:

  • Dental

  • Vision

  • Medical

  • 401k

  • Paid Leave



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