PACE Primary Care Provider - Orange County, California

Compensation:  $280,000 per year

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

i. Triage 

ii. Appointment scheduling 

iii. Abnormal labs 

iv. Medication refills 

v. Missed appointments 

vi. Order reconciliation 

vii. Standing orders 

viii. 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 the pharmacy to utilize 340b pricing whenever possible 

•  Complex Case Management (CCM) 

• Oversight of IDT Team

Qualifications:

• Board-certified in Family Medicine or Internal Medicine

• 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