Job Description

A physician-led and mission-driven, primary care organization is currently one of the most successful full-risk Medicare Advantage providers in the nation and has a vision to be America’s leading primary care provider, transforming care of the neediest population. The mission is to honor seniors with affordable VIP care that delivers better health. In order to achieve this vision and deliver this mission, we need the best primary care providers that are seeking to fulfill purpose and personal opportunity and join the organization.

ESSENTIAL JOB DUTIES/RESPONSIBILITIES:

• The PCP independently provides care for patients with acute and chronic illnesses encountered in the older adult patient.
• The PCP will take full accountability for patient care and outcomes and will appropriately seek consultation from specialists when needed, though will still stay involved in, and be responsible for, the detailed care of the patient.
• It is expected that the PCP will engage with the hospitalist whenever one of their patients is in the hospital (regardless of whether the hospitalist works for the organization or not).
• The PCP is responsible for assessment, diagnosis, treatment, management, education, health promotion, care coordination, and documentation for patients with acute and complex chronic health needs.
• The PCP leads their care team consisting of care promoter (medical assistant), care facilitator, and care coordinator for patients able to come to the office.
• For patients that are unable to come to the office—in hospital, SNF, LTC, or homebound—PCP will engage with the transitional care team and others including case managers, acute and transitional-care physicians, and other resources that may be available depending on the market.
• PCP will have an active role in the management of their center and will help cover for other providers who may be out for various reasons. It is also expected that each PCP will take an active role as needed in recruiting patients for the center and additional providers for the company.
• Supervises, collaborates with, participates with, or functions within a practice or collaborative agreement with an Advanced Practice Practitioner (APP) and remains accountable for the actions of the APP while employed with the company.
• Performs other duties as assigned and modified at manager’s discretion.

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