Job Description

$285,000.00 - $315,000.00 Exempt On-Site role in San Marcos, CA.

Join the Team Voted Best Place to Work!

Why Work for Gary and Mary West PACE?

Because you're looking for more than just a job - you want work/life balance and the opportunity to make a meaningful impact in the lives of North County seniors and their families.

At Gary and Mary West PACE, we support your personal and professional well-being with:

• Generous pay and a comprehensive benefits package focused on your health and wellness.
• 11 paid holidays, 18 days of PTO, and 5 days of sick time.
• A 5% employer match to our 403(b) retirement plan.

We invest in our team with an annual education allowance and a commitment to professional growth, helping you expand your skills and advance your career.

You'll thrive in a supportive, mission-driven culture where collaboration feels like family. As part of our multi-disciplinary team, your voice is heard, and your work is truly valued.

Join us and do your best work-because here, your contribution matters.

About PACE

Philanthropists Gary and Mary West founded West Health with the mission of enabling seniors to successfully age in place with access to high-quality, affordable health and support services that preserve and protect their dignity, quality of life, and independence. The Gary and Mary West PACE (Program of All-inclusive Care for the Elderly), affiliated with West Health ( is a non-profit that delivers medical, social, and behavioral services to the frail elderly to the North County of San Diego. This PACE center is entrepreneurial in nature and focuses on innovations and bringing new processes to the traditional PACE environment.

We're looking for passionate healthcare providers who want to be part of a team dedicated to enable seniors to live in their communities as independently as possible by providing compassionate, comprehensive health and supportive care.

Position Summary:

Under supervision of the Medical Director, the PACE Physician provides assessment, planning, primary care, and continuous medical coverage to PACE participants in an interdisciplinary team environment and in accordance with Gary and Mary West PACE standards.

Essential Functions:

• Provide complex primary care and acute illness evaluation and treatment for participants on an as needed basis via in person, at home or telehealth visits.
• Perform in-person comprehensive assessments on participants and coordinate with the IDT to develop a comprehensive care plan for assigned participant panel of up to 110 participants.
• Be an active member of the IDT communicating participant changes, collaborating on care planning decisions and patient centered care in line with West PACE mission.
• Work collaboratively with case management RN's and other members of IDT to provide clinical input and care coordination in Transitions of Care scenarios and participate in facility and family care conferences as needed.
• Conduct post hospital and post ED discharge visits within 1 week of discharge as well as acute visits focused on ED and hospital utilization reduction for high risk patients.
• Provide clinical guidance and support to Nurse Practitioners and Physician Assistants . Supervising NP's and PA's may be required.
• Along with the Medical director, serve as a liaison outpatient and inpatient specialist to communicate and improve care for PACE participants.
• Participate in every 5-6 week rotating telephonic only nights and weekends.
• Provide home or SNF visits as needed based on clinical criteria and/or by Gary and Mary West PACE's standards and participants needs.
• At the direction of the Medical Director, review outcomes, coding and utilization data, including review of necessity of hospitalizations and use of specialists; establish best practices with the Medical Director, and collaborate with clinical staff, Community-Based PACE Physicians, and IDT to make policy and procedural improvements to reduce unnecessary utilization and improve participant health.
• At the direction of the Medical Director, special projects may be assigned to help improve care and experiences at West PACE.
• Protect privacy and maintain confidentiality of all company procedures and information about employees, participants and families.
• Follow Gary and Mary West PACE policies and procedures and participate in any required QI activities, staff training and meetings.
• Maintain professional licensure and certifications.
• Act only within the scope of practice.

Education and Certification:

• Successful completion of a residency program accredited by the Accreditation Council for Graduate Medical Education.
• MD or DO degree.
• Board Certification - Internal Medicine or Family Practice.
• Additional certifications in Geriatrics, Hospice and Palliative Care, Addiction Medicine or Pain is desirable but not required.
• Active CA physician license without restrictions.
• Hospital privileges highly encouraged.
• Current Basic Life Support (BLS) training.
• State CDS Certification and DEA Registration.
• Current driver's license and proof of auto insurance.

Skills and Experience:

• Current knowledge of chronic care/geriatric issues and best practices.
• Current medical knowledge of behavioral health and substance use management.
• Interest or experience in post-acute care or transitions of care role.
• Work well in a managed care environment with an interdisciplinary team (IDT).
• Ability to build strong and collegial working relationships with other providers and care.
• Creative and enthusiastic commitment to the "triple aim" - dedication to improving experience, health, and value for PACE participants.
• Interest or experience in community-based healthcare interventions aimed at keeping high risk seniors in the home setting while providing patient centered care.
• Critical thinking skills required to demonstrate care with participants and utilization of services.
• Excellent clinical, organizational, and communication skills in settings with frail, elderly participants, their families, and the IDT.
• Working knowledge of PACE regulations would be a bonus.

Medical Clearance:

Employees must have medical clearance for communicable diseases and up-to-date immunizations before having direct participant contact.

Job offers are contingent upon a successful pre-employment drug screen, background check, and physical assessment.

Gary and Mary West PACE provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, pregnancy, military and veteran status, age, physical and mental disability, genetic characteristics, gender, gender identity, gender expression or sexual orientation or any other considerations made unlawful by applicable state or local laws.

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