Physician (Primary Care Value-Based Care / PACE Model)

Under the supervision of the Medical Director, provides primary medical care to assigned Community Care Program members, including assessment, development of a plan of care in collaboration with the interdisciplinary team, provision of direct medical care and evaluation of effectiveness of the plan of care. The Physician functions in a collegial relationship with the other health professionals, making in- dependent decisions regarding medical needs and health regimens, and carries out medical procedures as indicated. The quality of the medical care is under the direction of the CMO and Medical Director.

Organizational Responsibilities

Title and Description

Member Experience

Achieves member outcomes and goals through adherence to standards of care and best practices.

Interacts with members and their families with the highest level of respect, compassion and integrity.

Identifies and/or participates in efforts to continuously improve the quality of member care and services.

Fosters our member-centered culture on a daily basis.

Employees

Participates in efforts to enhance work experiences.

Actively seeks and participates in training and development opportunities.

Provides honest feedback and ideas to help CCI become a more competitive employer.

Participates in team, department, and site activities, as appropriate.

Operations

Supports the achievement of operational goals by adhering to operational standards, and complying with contractual, regulatory, and CCI policy requirements and expectations.

Identifies and elevates ideas for operational improvement.

Finances

Identifies, delivers and/or coordinates and monitors member care/services that consider member needs, outcomes and cost.

Supports a culture of effective cost management. Identifies and elevates cost-improvement opportunities.

Supports new business development, as needed.

Job Specific Responsibilities

Title and Definition

Health History and Findings

Obtains a complete health history and records findings, and maintains documentation of health care services.

Physical Exams and Care Planning

Performs physical examinations, functional status evaluation and/or mental status evaluations as indicated. Treats acute and chronic conditions based on member history, clinical assessment, laboratory and diagnostic testing, and member preferences and goals of care.

Preventative Care

Provides preventive health care, episodic care and health promotion for members, and arranges referrals as indicated.

Exercises clinical judgment when evaluating members for disease process, orders appropriate and clinically indicated testing, reviews and/or interprets screenings and selected diagnostic tests. Discriminates between normal and abnormal findings associated with aging, pathological processes, lifestyles, and/or family relationships as influenced by chronic illness. Develops plan for follow up based on results, which may include consultation.

Behavioral Health Evaluation

Identifies and describes behavioral patterns of the developmentally disabled, physically disabled and aged chronically ill and integrates developmental processes, life style and family relationships.

Supervision

Works as supervising physician with the nurse practitioner or clinical nurse specialist at designated site.

Triage and Follow-up

Triages status changes and facilitates appropriate management of problems. Treats and manages members' acute chronic illnesses.

Prescriptive

Regulates and adjusts medications as needed.

Documentation

Maintains documentation of provided, coordinated and contracted health care services.

Member/Caregiver Education

Educates members and families regarding health maintenance and acute and chronic illnesses.

Functions as a member of the interdisciplinary team and participates in the development of the comprehensive plan of care and ongoing monitoring of members health status, providing geriatric and medical knowledge when needed. Provides leadership to the team in utilizing appropriate resources to gather information and guide decisions. Assists the team in creative care planning for challenging cases.

Employee Orientation

Assists in the orientation and training of new employees.

Performs other related duties as assigned.

Core Competencies

Title and Description

Interpersonal skills

Establishes and maintains positive working relationships; practices attentive and active listening; gains trust and support of coworkers; expresses ideas appropriately; can manage diverse relationships.

Mission-centered

Demonstrates commitment to CCI's mission and ethical standards; recognizes own role in achieving our mission.

Adaptation to change

Copes with and manages change effectively; can comfortably handle risk and uncertainty; can decide and act without having the total picture; able to change approach for best outcome.

Demonstrates good judgment and critical thinking when making decisions; takes time to understand the problem or situation before acting; does not use "that's the way it's always been" to guide all actions.

Team-oriented

Works collaboratively; willingly shares time, resources and information with coworkers; participates actively in meeting team/department objectives; follows through on commitments and requests in a timely manner.

Qualifications and Requirements

Experience

Required

Minimum of 1 year recent primary care experience with an at risk or elderly population.

Preferred

Education

Program of Study

Required/Preferred

Doctorate

Required

Additional Requirements

Certifications/Licensures

Title and Definition

Medicine and Surgery

Medicine and Surgery

Medicine and Surgery

DEA Registration

DEA Registration

National Provider Identifier

National Provider Identifier

CPR & AED

CPR & AED

Additional certification information

Comments

Board Certification in Internal Medicine or Family Practice. Advanced certification in Geriatrics preferred.

Other Requirements

Analytical Skills

Strong attention to detail is essential.

Communication Skills

Excellent verbal and written communication skills.

Highly proficient in Microsoft Office Applications.

Maintains required certification(s) and/or licensure(s)

Stays current on requirements for certifications and licensures.

Organization Skills

Highly organized and effective in managing multiple priorities.

Provides coverage and/or on-call coverage

Provides coverage for other employees, at different sites, on weekends, holidays, and/or on-call coverage.

Regular Local Travel

Regular local travel, requiring use of personal vehicle, valid driver's license, and proof of required insurance coverage.

Uses personal cell phone for business purposes

Uses personal cell phone for work.

Participates on committees and/or workgroups as assigned. Participates in external associations as appropriate.

Meetings/Inservices

Attends and participates in meetings, in-services, and other trainings, as required.

Privacy/Confidentiality

Protects privacy and maintains confidentiality of sensitive employee, member, and agency information.

Maintains a clean and orderly work area.

Knowledge & Skill Development

Stays current on knowledge and skills relevent to role.

Physical Requirements

Level

Employee Statement of Understanding

The position description describes the general nature and level of work performance by employees assigned to this position and should not be interpreted as all inclusive. The employee may be required to perform other job-related duties as requested. All requirements are subject to change and may be modified to reasonably accommodate individuals with disabilities.

The position description does not constitute an employment agreement between the employer and employee and is subject to change as the needs of the employer and requirements of the job change.

It is Community Care’s policy to base hiring decisions solely on an individual’s ability to perform essential job functions. Persons with disabilities are eligible for this position provided they can perform those functions with reasonable accommodations.

I have read and understand the statements above and understand the description of the functions assigned to my position. As an employee, I will do my best to contribute to the organizational goals of Community Care, Inc., as well as the goals of my team and/or department.