This position is located in San Marcos, CA.Relocation package availablePosition SummaryUnder the direction and supervision of the Executive Director, provides leadership and is responsible for all PACE program medical services, including planning, development, implementation, and ongoing delivery of participant care and clinical outcomes. Defines and implements the role of PACE program physicians.
Essential Functions:- Lead, advise and inform the PACE program Leadership team and board of directors on PACE program medical care development and operations.
- Work with the Executive Director to develop plans and committee oversight for medical care, utilization review, and ethics, so that all PACE program quality, medical, and program standards are met. Oversee and implement quality requirements and monitor effective functioning of quality committees to maintain a high level of program quality.
- Implement and oversee the PACE program quality improvement (QI) program and report to the PACE program board on all clinical matters. On an annual basis, present QI work plan and prior year's outcomes to board of directors for review revision and formal approval.
- Conduct documentation audits regularly to include, in part, the following:
o Conduct monthly audits of Orders Tracking, Unsigned Notes, and Care Plan Interventions (QI will conduct quarterly audits).
o Assure that the team is documenting ED visits and other encounters properly, with a check-in and check-out process.
- Work collaboratively with the PACE QI and Compliance Director to compile, present, and act on all relevant data regarding program participants' utilization of services and medications, as well as compliance with state and federal regulations.
- Work with the Executive director and Contracting team to establish an array of medical service delivery contacts to complete the service network and set up the quality assessment and performance improvement infrastructure. Maintain positive relationships with network providers.
- Confer with the PACE Program Director on standards for interdisciplinary team care, participants and caregiver and satisfaction, quality, protocols, grievances and appeals, enrollment and dis-enrollment, infection and exposure control, emergency preparedness, data and medical records management, service access, and overall program performance.
- Oversee the development and annual review of PACE program policy and procedures on medical care.
- Promote safe work practices; conduct environmental rounds; attend to, investigate, and report accidents promptly; assist with medical surveillance; and provide PACE program-specific safety training.
- Oversee the Clinical Department annual budget and appropriately participate in efforts to consistently meet or exceed PACE program targets for productivity.
- Work with the PACE Executive director and HR Director to recruit, interview, credential, hire, and orient primary care physicians and nurse practitioners to work cohesively as a member of the interdisciplinary team.
- Provide supervision and performance evaluation to PACE Providers (NPs, PAs, MDs) to maintain high quality participant primary care and regulatory compliance.
- Coordinate clinical coverage and fill in for clinical role on emergency basis as needed.
- Work collaboratively with West Health Institute research team to meet the goals and projects agreed upon in the annual Statement of Work, aligning with the PACE organizational metrics.
- Demonstrate proficiency in delivering age-specific care, and provide direct primary care, including inpatient management, routine assessments, reassessments and episodic care, and medical record documentation during periods of program transition or emergency.
- Demonstrate respect for and promote participants rights including dignity, self-determination, access to care, confidentiality, and independence.
- Work collaboratively with the Clinical Services Director and Center Director, holding regular meetings to discuss participant care and clinic operations.
- Utilize interpersonal skills to maintain supportive relationships with the Leadership team and other PACE program staff.
- Participate in the continuing education and training of all PACE program staff.
- Communicate and uphold PACE program standards of care and how they are to be implemented to the physicians/providers, staff, and contractors, providing information and conducting presentations as required.
- Participating in pre-enrollment process, seeing prospects and conducting assessments as needed to develop better processes in collaboration with enrollment team.
- Participate in PACE program committees and work groups as required.
- Understand the importance of community involvement and participate as appropriate in activities that link PACE program to its communities.
- Coordinate educational rotations for residents and fellow employees.
- Comply with all policy and procedures of PACE program.
- Accept assigned duties in a cooperative manner; and perform all other related duties as assigned.
- Will require use of personal vehicle.
Education and Certification:- Graduate of an accredited school of medicine.
- Board certified in internal medicine or family practice. Board certification granted by the American Boards of Internal Medicine and Family Practice for Added Qualification in Geriatric Medicine preferred.
- Licensed by the California Medicine Board to practice medicine in California.
- Member of the American College of Physician Executives.
- Medicine Directors Certification preferred.
- Is medically cleared for communicable diseases and has all immunizations up-to-date before engaging in direct participant contact. TB screening and successful completion of a health examination by a hospital-designated nurse practitioner or physicians is required for employment.
- Basic Life Support certification.
- Valid DEA required.
- Original valid driver's license with proof of auto insurance.
Skills and Experience:- Minimum of five (5) years of experience in caring for seniors.
- Minimum of two (2) years of documented experience working with a frail or elderly population in a long-term care setting.
- Medical knowledge of physical, mental, and social needs of frail older adults.
- Knowledge and ability to maintain a consistent level of productivity.
- Understanding of detailed requirements in action plans and implementation.
- Knowledge required to commission and conduct data analysis for decision-making.
- Excellent interpersonal skills that result in team building, successful negotiation, conflict resolution, and effective handling of complex interpersonal situations.
- Leadership skills to work effectively within an interdisciplinary team setting.
- Ability to inspire confidence and open communication necessary for a learning environment.
- Ability to maintain a positive attitude and balance in relationships with others.
- Effective social interaction with physicians, management, board members, and business and community contacts.
- Strong organizational and supervisory skills.
- Ability to complete duties within an agreed-upon timeframe and adapt appropriately to change of priorities and workload and to adjust personal schedule, if required.
- Sound written and verbal communication skills to convey information effectively.
Medical Clearance:Employees must have medical clearance for communicable diseases and up-to-date immunizations before having direct participant contact.
