The Geriatrician provides comprehensive, patient-centered medical care to older adults across two primary settings: (1) outpatient clinic and (2) community-based environments. This role is intentionally split 50% in-clinic (evaluation, longitudinal management, consultations) and 50% in the community (home-based primary care, assisted living/SNF visits, transitional care, and outreach). The clinician will emphasize function, quality of life, medication safety, goals-of-care alignment, and coordination across the care continuum. *Work Schedule & Location* * *Schedule:* Full-time split *50% clinic / 50% community* * *Clinic Location(s):* *Attleboro, MA* * *Community Coverage Area:* *Bristol & Norfolk Counties* * *Travel:* Required for community visits; valid driver's license and reliable transportation * *On-call:* *None / Shared rotation / After-hours phone triage* *Key Responsibilities* *A. Outpatient Clinic (50%)* *Comprehensive Geriatric Assessment* * Conduct multidimensional evaluations including medical complexity, functional status, cognition, mood, fall risk, nutrition, sensory impairment, caregiver support, and social determinants of health. *Chronic Disease Management* * Provide evidence-informed management of common geriatric conditions (e.g., frailty, dementia, delirium risk, polypharmacy, osteoporosis, urinary incontinence, heart failure, COPD, diabetes in older adults). *Medication Optimization* * Perform structured medication reviews, deprescribing when appropriate, and reconciliation after transitions of care. *Cognitive and Behavioral Health Care* * Diagnosing and managing dementia, mild cognitive impairment, delirium risk, depression, anxiety, and behavioral symptoms in partnership with caregivers and community support. *Preventive Care & Risk Reduction* * Tailor screening and preventive strategies to life expectancy, function, patient values, and clinical context; address falls prevention and mobility preservation. *Care Planning & Advance Care Planning* * Facilitate goals-of-care discussions; document advanced directives/POLST/MOLST where applicable; align treatment plans with patient preferences. *Consultation & Co-Management* * Provide geriatric consults for complex older adults and collaborate with PCPs and specialists. *B. Community-Based Care (50%)* *Home-Based and Community Geriatrics* * Deliver medical care in patient homes and community settings (e.g., assisted living, adult day programs, supportive housing) for patients with mobility, cognitive, or access barriers. *Post-Acute & Facility-Based Rounding (as applicable)* * Provide continuity visits in skilled nursing facilities (SNFs) or other residential settings, coordinate with facility staff on care plans and safety. *Transitional Care Management* * Support hospital-to-home (or SNF-to-home) transitions, including timely follow-up, medication reconciliation, symptom monitoring, and coordination with home health and caregivers. *Urgent Access & Acute Issue Management (in scope)* * Evaluate and manage subacute changes (e.g., delirium triggers, falls, dehydration, infection risk) while reducing avoidable ED visits/hospitalizations when clinically appropriate. *Interdisciplinary Team Collaboration* * Partner with nursing, social work, care management, pharmacy, PT/OT, behavioral health, and community agencies to address medical and social needs. *Caregiver Support & Education* * Provide caregiver coaching, anticipatory guidance, and linkage to community resources. *Safety & Environmental Assessment* * Identify home safety risks (falls hazards, medication storage, nutrition access, caregiver strain) and implement mitigation strategies. *Cross-Cutting Responsibilities (Both Settings)* * *Documentation & Coding* * Maintain timely, accurate documentation in the EHR; ensure appropriate billing/coding for clinic and community-based services. * *Quality & Population Health* * Participate in quality improvement initiatives (e.g., falls, polypharmacy, avoidable utilization, readmissions, dementia care metrics). * *Communication* * Communicate clearly with patients, families, caregivers, and referring clinicians; provide concise care summaries and follow-up plans. * *Compliance & Safety* * Adhere to organizational policies, privacy regulations, infection control standards, and community-visit safety protocols. * *Teaching/Leadership (optional)* * Mentor learners (residents, fellows, students) and contribute to program development in geriatrics/community care models. *Required Qualifications* * *MD or DO* from an accredited institution * *Board Certified/Board Eligible* in Geriatric Medicine (or Internal Medicine/Family Medicine with geriatrics expertise), per organizational requirements * Unrestricted medical license (or eligible) in *MA* * *DEA* registration (or eligible) * Demonstrated experience with complex older adults, chronic disease management, and interdisciplinary care * Ability to travel for community visits; valid driver's license as applicable *Preferred Qualifications* * Experience in *home-based primary care*, PACE, SNF/ALF rounding, or complex care management programs * Training/experience in *palliative care*, dementia care, or transitional care * Comfort with telehealth and remote monitoring tools * Prior quality improvement or program development experience *Core Competencies* * Expertise in geriatrics: frailty, multimorbidity, functional decline, cognitive disorders, polypharmacy, falls * Strong clinical judgment in risk/benefit decision-making for older adults * Patient- and family-centered communication; shared decision-making * Team-based care, care coordination, and systems thinking * Cultural humility and commitment to health equity * Organizational skills for mobile/community practice (time, routing, documentation) *Physical & Environmental Demands* * Ability to work in outpatient clinical environments and community settings (homes/facilities) * May require standing/walking, transport a medical bag/equipment, and navigating variable home environments (stairs, pets, limited space) Salary Range:$196,992.72-$313,150.49 *Sturdy Memorial Hospital is an equal employment opportunity employer. There is no discrimination because of race, color, creed, age, gender, sexual orientation, national origin, veteran status or disability.* *Compensation Information:* $ / Annually - $ / Annuallyaa415a4b-8b21-40fc-a65c-70d2b25ca29a