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PACE Primary Care Provider

PACE Primary Care Provider

Nexus HR ServicesOrange County, CA, US
28 days ago
Job description

Job 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 :

  • Board certified
  • Enrolled in Medi-Cal
  • Prior experience in a professional capacity may be preferred.
  • Computer skills.
  • Analytical aptitude, problem-solving skills, and the ability to manage a busy workload under pressure.
  • Experience in overseeing and leading a team
  • Benefits :
  • Dental
  • Vision
  • Medical
  • 401k
  • Paid Leave
  • Others