Primary Care Physician Geriatric
The Primary Care Physician (PCP) is a licensed/Board Certified/Board Eligible trained professional in internal, family medicine or General Practitioner who plays a key role as part of the clinical operations team providing direct patient care and providing assessments primarily in the ambulatory health care center setting, or occasionally in acute care, nursing homes, skilled nursing facilities (SNF) and home settings depending on the nature of the assignment. The responsibilities include but are not limited to: geriatric assessment, medical history, physical exam, diagnosis and treatment, development of the plan of care, health education, specialty referrals, case management referrals, follow-up and clear documentation according to Reliance Medical Centers standards for quality, service, productivity and teamwork. It also includes the participation in clinical rounds and conferences plus in-depth documentation through written progress notes and summaries.
The PCP will serve as a leader in driving the Care Focus Team which consists of a high staff-to-physician ratio including the Primary Care Provider (small panel sizes typically 1:400 patients), 2 Medical Assistants and 1 dedicated Medical Concierge.
The Care Focus Team delivers innovative patient-centered initiatives and services impacting the overall health and wellness of individuals and the entire populations to which they belong including but not limited to, program enhancement, planning, implementation of strategy, and oversight of programming, including, but not limited to, care management, condition management, and utilization management.
The PCP will be required to demonstrate the ability to function both independently and in collaboration with other health care professionals. The PCP will consult with the applicable managers and medical director to ensure compliance with guidelines along with participating in risk and quality management programs, clinical meetings and other meetings as required.
The PCP will adhere to strict departmental goals/objectives, standards of performance, regulatory compliance, quality patient care compliance, and policies and procedures.
Our focus is on changing the face of healthcare by providing quality, proactive patient care in a collaborative patient-centric environment.
Functions independently as a primary care practitioner as part of a patient care team.
Independently assesses acute and non-acute clinical problems. Performs and documents physical assessments and patient histories, analyzes trends in patient conditions, and develops, documents and implements a patient management plan in response to the data obtained. This also includes assisting in the development of the plan of care in addition to providing appropriate patient/ family/significant other counseling and education.
Patient management includes the following:
- writing admission, transfer and discharge orders;
- ordering and interpreting appropriate laboratory and diagnostic studies:
- ordering of appropriate medication and treatments;
- referring patients for consultation when clinically appropriate i.e. dermatology, neurology, ophthalmology, endocrine, surgery, intensive care, infectious disease, hematology, psychiatry, social service, dietary, etc.;
- Documentation through in-depth progress notes and summaries.
Participates in patient care rounds and conferences. Communicates patient management strategies to members of the patient care team. Collaborates with members of the multidisciplinary team to ensure that patient management strategies are successful in meeting patient care needs.
Recognizes situations which require the immediate attention and initiates life-saving procedures when necessary.
Uses advanced communication skills to problem solve complex situations and to improve processes and service to patients.
Collaborates with other multidisciplinary team members to analyze and evaluate current systems of health care delivery to identify and implement new practice patterns as appropriate.
Participates in outside activities that enhance personal and professional growth and development.
Continuity/Transition Management-transitioning of the patient to the appropriate level of care needed. Initiates arrangements and writes orders for discharges and completes appropriate paperwork.
Works collaboratively with physicians, nurses, PT, social workers, family and key caregivers to transition the patient to a lower level of care as soon as medically appropriate.
ADVOCACY & EDUCATION
Advocacy & Education-ensuring the patient has an advocate for needed services and any needed education. Introduce self to patient/family and explain primary care provider role. Facilitate patient/family conferences to review treatment goals, optimize resource utilization, provide family education and identify needs.
Utilization/Financial Management-managing resource utilization and reimbursement for services. Facilitates discharge to appropriate level of care and uses preferred providers when additional services are required.
EDUCATION / SPECIALIZED REQUIREMENTS:
- Current licensure in the state of practice is required
- Certification in Basic Cardiac Life Support required.
- Board certification in Internal Medicine or Family Medicine is preferred.
- Must have a current DEA number for schedule II-V controlled substances.
- Prefer minimum of one (1) year clinical experience in geriatric, adult of family practice setting.
KNOWLEDGE, SKILLS, ABILITIES:
- Critically analyzes data and evidence for improving clinical practice and patient care.
- Integrates knowledge from the humanities and sciences.
- Translates research and other forms of knowledge to improve practice processes and outcomes.
- Develops new practice approaches based on the integration of research, theory, and practice knowledge.
- Prior geriatric experience is preferred. Internal Medicine Experience.
- Medical knowledge about established and evolving biomedical, clinical, epidemiological and social behavioral sciences and application of this knowledge to patient care
- Interpersonal and communication skills that result in effective information exchange and collaboration with patients, their families and other health professionals
- Possession of or acquisition of sufficient computer skills to effectively utilize Electronic Medical Records
- Practice-based learning and improvement that involves investigation and evaluation of their own patient care, appraisal and assimilation of scientific evidence and improvements in patient care.
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