PACE Primary Care Provider
Nexus HR ServicesOrange County, CA, USJob Description
Job Description
PACE Primary Care Provider - Orange County, California
Compensation : $240,000 - $280,000
Overview : Nexus HR is looking for a PACE Primary Care Provider for a reputable client in the Orange County, California area. The ideal candidate should be board certified and must be enrolled in Medi-Cal.
Client-highlighted qualifications - Board certified and currently 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 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 :
- Triage
- Appointment scheduling
- Abnormal labs
- Medication refills
- Missed appointments
- Order reconciliation
- Standing orders
- 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 pharmacy to utilize 340b pricing whenever possible
- Complex Case Management (CCM)
- Oversight of IDT Team
Qualifications :