PACE Primary Care Provider - Orange County, California

Compensation:  $240,000 - $280,000

Overview:Nexus HR is looking for a PACE Primary Care Provider for a reputable client in the Orange County, California  area. The ideal candidate should be board certified and must be enrolled in Medi-Cal.

Client-highlighted qualifications - Board certified and currently enrolled in Medi-Cal

About the Job

Our Client is looking for a PACE Primary Care Provider for their team in Orange County, California. This is a great opportunity for a Physician who has recently completed their advanced practice degree as for established practitioners looking for a new position. This is an excellent practice for a provider to grow a long-term career and patient base.

Duties and Responsibilities:

• Oversight of clinical care provided to PACE participants by Mid-Level Providers
•  Complete annual Mid-Level Provider reviews 
• Participates in provider meetings 
• Ensure appropriate provider coding 
• Coordinate appropriate PACE specialist network for PACE participants 
• Participation in PACE QAPI program 
• Participation in PACE quality initiatives 
• Ensure appropriate and efficient clinical operation workflows 
• Continually monitor, evaluate and adjust clinic workflows to ensure appropriate  efficiency including, but not limited to the following workflows: 

1. Triage 
2. Appointment scheduling 
3. Abnormal labs 
4. Medication refills 
5. Missed appointments 
6. Order reconciliation 
7. Standing orders 
8. Rooming of participants 

• Ensure appropriate inpatient and nursing facility utilizations 
• Ensure appropriate outpatient specialty utilization
• Ensure proper transitions of care 
• Ensure POLST is completed and followed   
• Communicate regularly with hospitals, nursing facilities and urgent care facilities.
• Communicate and educate outpatient specialists on the PACE model of care.
•  Work with pharmacists and specialists to utilize generic medications whenever possible
• Work with in-house specialists on frequency of visits and the transition of stable  participants back to PCP 
• Work with pharmacy to utilize 340b pricing whenever possible 
• Complex Case Management (CCM) 
• Oversight of IDT Team

Qualifications:

• Board certified
• Enrolled in Medi-Cal
• Prior experience in a professional capacity may be preferred.
• Computer skills.
• Analytical aptitude, problem-solving skills, and the ability to manage a busy workload under pressure.
• Experience in overseeing and leading a team

Benefits:

• Dental
• Vision
• Medical
• 401k 
• Paid Leave
• Others