Medical Director California

22 hours ago

Fresno, California, United States BoldAge PACE Full-time $210,000 - $215,000 Contract
Join BoldAge PACE and Make a Difference Why work with us?
• A People First Environment: We make what is important to those we serve important to us.
• Make an Impact: Enhance the quality of life for seniors.
• Professional Growth: Access to training and career development. Competitive Compensation:
• Medical/Dental
• Generous Paid Time Off
• 401K with Match
*
• Life Insurance
• Tuition Reimbursement
• Flexible Spending Account
• Employee Assistance Program BE PART OF OUR MISSION Are you passionate about helping older adults live meaningful, independent lives at home with grace and dignity? BoldAge PACE is an all-inclusive program of care, personalized to meet the individual health and well-being needs of our participants. Our approach is simple: We listen to our participants and their caregivers to truly understand their needs and desires. Medical Director
- California JOB SUMMARY  The Medical Director delivers high-quality primary and continuous healthcare services to PACE participants while serving as a clinical resource for primary care providers and the interdisciplinary team (IDT). This role maintains an active participant panel and provides day-to-day clinical guidance, mentoring, workflow support, and escalation assistance in partnership with the Chief Clinical Officer and Physician Leader. The Medical Director promotes consistent, participant-centered care, timely documentation, regulatory compliance, sound utilization practices, and continuous quality improvement across the PACE program. ESSENTIAL DUTIES AND

RESPONSIBILITIES:
• Provide high-quality, person-centered primary care to an assigned panel of PACE participants, beginning with a comprehensive history and physical examination and using individualized clinical judgment to guide diagnostic evaluation and treatment.
• Serve as a clinical resource for primary care providers, other providers, nursing staff, and the IDT; provide real-time guidance on complex cases, changes in condition, participant safety, and appropriate escalation.
• Support the clinic with day-to-day clinical coordination, provider workflow, coverage planning, and consistent application of clinical standards, policies, and evidence-informed practices.
• Lead by example in daily IDT meetings by presenting clear clinical recommendations, promoting productive discussion, resolving barriers, and ensuring participant-centered care plans are actionable and communicated.
• Collaborate with the IDT and before referring participants to specialists, ensuring referrals are clinically appropriate, PACE resources are considered, and continuity of care is maintained.
• Manage specialist referrals initiate treatment before referral when appropriate, promptly review consult notes, and incorporate recommendations into the participant plan of care.
• Manage and monitor participant medications, including accurate medication reconciliation, deprescribing when appropriate, and identification of interactions, duplications, and adherence concerns.
• Remain actively informed of participant status during emergency department visits, hospitalizations, skilled nursing stays, and other transitions; guide timely follow-up and safe, coordinated transitions of care.
• Assume shared clinical responsibility for participants at the center, regardless of individual assignment, and help coordinate timely provider response when the assigned clinician is unavailable.
• Review and respond to laboratory results, imaging, consults, diagnostic reports, and participant messages within established timeframes; communicate clinically significant findings and changes to the IDT.
• Complete and support timely completion of initial, semiannual, annual, change-in-status, and other required PACE assessments, reassessments, care planning, orders, and documentation.
• Monitor documentation quality and clinical workflow trends; coach primary care providers on clear, complete, and clinically supported documentation, including accurate diagnosis coding and risk-adjustment practices.
• Mentor and orient primary care providers and other clinical team members; provide practical feedback, share best practices, and identify education or competency needs for review with the Chief Clinical Officer .
• Facilitate clinical case reviews, huddles, or educational sessions as assigned, with emphasis on complex geriatric care, avoidable utilization, medication safety, goals of care, and participant outcomes.
• Promote appropriate use of emergency and acute-care services by assessing changes in condition promptly and using available PACE, home-based, clinic, and after-hours resources whenever clinically appropriate.
• Participate in the 24/7 on-call rotation, respond promptly to participant needs, and ensure complete handoffs, follow-up, and communication with the participant, caregivers, providers, and IDT.
• Contribute to discharge planning and transitional-care processes, ensuring medication, follow-up, equipment, service, caregiver, and safety needs are addressed across care settings.
• Partner with the Chief Clinical Officer and operational leaders on quality improvement, utilization management, audit readiness, policy development, and corrective action initiatives; help track results and sustain improvements.
• Identify clinical resource, staffing, workflow, or safety concerns and promptly communicate recommendations and escalation needs to the Chief Clinical Officer and appropriate leaders. EXPERIENCE AND

EDUCATION:
• Master’s or doctoral degree in nursing from an accredited nurse practitioner program or physician assistant program.
• Current, unrestricted Nurse Practitioner/Advanced Practice Registered Nurse or Physician Assistant license and prescriptive authority in the state of practice.
• **NJ: Each nurse practitioner shall be certified by the New Jersey State Board of Nursing and meet all applicable joint protocol requirements.
• Current state-controlled substance registration/certification and federal DEA registration, as required for the position.
• Current national board certification as a Nurse Practitioner or Physician Assistant in an applicable population focus; Adult-Gerontology or Family certification strongly preferred.
• Board certification or advanced training in geriatrics, palliative care, or complex chronic care preferred.
• Current BLS certification required or must be obtained within 90 days of employment.
• Minimum of five years of advanced practice clinical experience, including at least two years caring for medically complex older adults; PACE, geriatrics, home-based care, or value-based care experience strongly preferred.
• Prior experience providing clinical leadership, mentoring providers, leading case review, or supporting quality and workflow improvement preferred. At least one year of experience working with a frail or elderly population is required unless otherwise permitted by applicable PACE regulations and completed through an approved training plan.