Physical Demands and Working Conditions:

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. In compliance with ADA requirements, reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.

Work Environment:

Employee 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 PACE participants’ care. The work setting is in an Adult Day Health Center and primary care clinic environment with moderate noise levels and controlled temperatures.

Physical Requirements:

Requires manual and finger dexterity and eye-hand coordination; the ability to use department equipment; and the ability to lift/carry up to 30 pounds using appropriate body mechanics with reasonable accommodation if needed.

Visual, Hearing and Communication Requirements:

Requires corrected vision and hearing to normal range, with or without reasonable accommodation. Ability to communicate by way of the telephone with participants, customers, vendors and staff.

Pressure Factor:

Requires working under stressful conditions. Working conditions may be noisy and crowded and fluctuating indoor temperatures. Moderate pressure to meet scheduled deadlines. Potential for exposure to verbal aggression by client, vendors, and staff.

Environmental Conditions:

May be exposed to a risk of bodily injury through contact with moving instrumentation, toxic substances, medicinal preparations, bodily fluids, communicable diseases and any other conditions common in a healthcare environment. Subject to unpleasant odors.

Duties and Responsibilities:

• Assume overall accountability and responsibility for the medical care of the participants. Oversee the medical provider team to promote quality and outcome goals. Directs delivery of and provides participant medical care.
• Overall responsibility for the implementation and oversight of the Quality Improvement (QI) activities, and QI plan.  Will study data, review procedures, identify problems and make necessary corrections to ensure the QI plan is viable, and data has integrity.
• Member of the Quality Improvement Committee.
• Provide medical oversight in the development of standards and uniform treatment policies and procedures to assure they are inclusive of the knowledge and values which guide  [ AHHC ].
• Develop and maintain written objectives, polices and procedures, an organizational plan, and a quality assurance program for the medical service. Review all medical policies at least annually.
• Coordinate and integrate medical services with other participant care services to provide a continuum of care for the participants
• Develop, implement, and monitor outcome measurements to assure appropriate and efficient utilization of all health care services including:
  • Hospital inpatient and ER utilization
  • Pharmaceuticals
  • Specialist referrals
  • Medication management
  • Nursing facility utilization
• When utilization problems are identified, research best practices and work with clinical staff and interdisciplinary team to make appropriate procedural and or operational changes to bring utilization into alignment with established PACE best practices.
• Supervise  [ AHHC ] primary care providers
• Recruit and train primary care physicians, nurse practitioners, and physician assistants.
• Assist in developing and maintaining written job descriptions for the provider staff. Participate in the review of credentials and delineation of privileges of medical staff members, and assign duties based upon education, training, competencies, and job descriptions.
• Participate in annual performance evaluations of primary care providers.
• Consult with primary care staff to discuss clinical and case management issues
• Monitor clinic operations to assure integration of primary care and nursing services.
• Be available to primary care staff for consultation as needed.
• Oversee and ensure appropriate diagnostic coding practices of primary care physicians.
• Participate in primary care, hospital and nursing home rounds, and the 24-hour on-call system to assure continuity of care for PACE participants.
• Ensure that medical staffing patterns are implemented.
• Act as community liaison with physician groups, specialists, and hospitals to represent  [ AHHC ] and assure good provider relationships.
• In conjunction with the Executive Director, participate in contract negotiations and monitoring with medical and health related providers.
• Provide leadership with medical staff, promoting the goals and needs of  [ AHHC ] and those it serves.
• Participate with the executive management group in internal operations, program development, and resource utilization.
• Participate in staff orientation and staff education activities.
• Participate in continuing education and training of all  [ AHHC ] staff.
• Participate in the National PACE Association physician network to assure representation and recognition.
• Identify opportunities for clinical and health care delivery research which will enhance the geriatric leadership role of  [ AHHC ] in clinical expertise and innovation.
• When acting as a primary care physician, maintain daily attendance at and participate in interdisciplinary team meetings, communicating participant changes, collaborating on care planning decisions, and coordination of 24 hour care delivery.
• When acting as a primary care physician, evaluate and treat participants during acute illness.  Oversee and manage participants’ use of medical specialist and inpatient care. Admit participant to the hospital, provide primary care or coordinate care with hospitalists, remain responsible for medical management and authorization of services, and provide updates to interdisciplinary team.  In conjunction with the interdisciplinary team, plan, and coordinate discharge.
• When acting as a primary care physician, collaborate with other PACE providers in the assessment and delivery of health care services to participant’s based upon the collaborative practice agreement.
• Participate in planning and budgeting for the Medical Services.
• Act only within the scope of practice.