Job Description

Primary Accountability

The FHCN PACE Advanced Practice Provider has the responsibility for providing direct and indirect care to the participants of the PACE Program in the context of the Interdisciplinary Team (IDT).

Description of Primary Responsibilities:

1. Perform comprehensive history and physicals on new referrals.
2. Perform interval history and physicals on established participants, completed quarterly or as indicated.
3. Evaluate and treat participants with episodic illnesses.
4. Refer participants to Medical Specialist(s) as indicated.
5. Coordinate care of participants in an inpatient setting: (a) Provide primary care (attending) responsibilities for management; (b) Provide updates to the IDT regularly; (c) Judiciously utilize specialty consultants; (d) Responsible for coordinating discharge planning with the IDT.
6. Manage all care of participants who reside in nursing homes: (a) Provide regular visits; (b) Perform telephone contacts with nursing home staff as required; (c) Admit nursing home participants to the hospital when necessary.
7. Actively participate in family conferences regarding care planning and implementation.
8. Coordinate 24- hour care delivery.
9. Provides after-hour call coverage.
10. Document participant changes appropriately in the medical records and communicate participant changes to IDT promptly.
11. Participate as a member of the IDT. Attend staff meetings and take part in participant care planning.
12. Maintain and increase education regarding quality/clinical standards and best practices for the geriatric population.
13. Participate in the Ethics and Quality Improvement Committees and/or work groups as assigned.
14. Recognize department problems and take responsibility for documentation; demonstrate active participation in QI processes.
15. Encourages all participants to have Advanced Directives and provides education as needed; may discuss the Do Not Resuscitate (DNR) option with the participant and/or family members and may complete the Health Care Wishes form and write DNR orders in the medical record, in collaboration with a physician.
16. Meets Network and credentialing expectations for licensure and employment.
17. Responsible for adhering to the Attendance and Absenteeism Policy, recognizing that regular attendance is considered an essential function of all FHCN positions. Absenteeism is not being at work or failing to attend a paid workshop, training, or event unless the absence is protected by law.
18. Ability to present to and work at any FHCN location, both at the beginning of a shift or during a shift, based on business need.
19. Performs other duties as assigned.

Description of Primary Attributes

Professional & Technical Knowledge:

Effective June 1, 2026, all individuals hired into the role must:

1. Possesses specific advanced knowledge and skills, including written and verbal communication skills, computational, computer, and technical skills, and mathematical knowledge, frequently acquired through one of the following:
   1. Completion of an accredited Nurse Practitioner or Physician Assistant training program, with a minimum cumulative GPA of 2.5; or
   2. Successful attainment and maintenance of a valid, active professional license required for the role, issued by the appropriate governing or regulatory body.
2. Recent (within the last 12 months) active clinical practice.
3. Minimum two years of clinical experience preferred.
4. Able to work within the Interdisciplinary Team (IDT) setting.
5. Act within the scope of his or her authority to practice medicine.
6. Ability to learn, team, and research; ability to solve problems and think analytically; must possess skills necessary to treat geriatric participants; ability to get along with others in a team environment. Only act within the scope of his or her authority to practice.
7. Meet a standardized set of competencies for the specific position description established by the state and approved by CMS before working independently.
8. Be medically cleared for communicable diseases and have all immunizations up to date before engaging in direct participant contact.
9. Able to assess and manage the special needs of complex geriatric patients.
10. Culture and needs of the socially and ethnically diverse population.

Licenses & Certifications: Licensed in the state of California as a Nurse Practitioner or Physician Assistant. Current Federal Drug Enforcement Administration Certificate.

Communication Skills:

1. Requires the employee to effectively communicate their professional opinions and extrapolations of information they collect and synthesize/analyze.
2. Employees must determine appropriate methods of communicating information through the use of tables, graphs, charts, and other visual forms.
3. Duties require the preparation and execution of presentations to large groups.

Physical Demands and Work Environment:

The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.

Physical demands: Employees will be seeing elderly patients in a busy clinic environment. Employees must be able to stand, bend, walk, and sit for extended periods, as well as work at the computer for long periods. Employees are required to use their hands and fingers, especially for typing on the computer and using the mouse. Employees must be able to talk and listen, particularly for regular communication on the phone and with patients.

Work Environment: Employees must be able to work effectively within an interdisciplinary team model, interfacing and collaborating with a wide range of clinical and social services disciplines who work together to manage the FHCN PACE members' care. The work setting is in an Adult Day Health Center and primary care clinic environment with moderate noise levels and controlled office temperatures.

$142,853.66 - $228,565.86 PLUS SIGNIFICANT ADDITIONAL ANNUAL EARNING POTENTIAL through outpatient productivity and quality pay, generous retention payments, shift differential pay, and extra shift pay. Sign-on bonus/relocation assistance, annual CME days and reimbursement also available. Generous health and wellness benefits and retirement packages also offered.