Description

JOB SUMMARY: Responsible for the medical care of children from infancy to adolescence, The pediatrician
provides general medicine, growth and development monitoring, and immunization tracking and administering;
ease children with chronic conditions and offer support and advice to parents about children’s health, safety
nutrition, and fitness needs.

DUTIES AND RESPONSIBILITIES:
Diagnosing and treating illnesses, medical conditions, and injuries.
Ordering, performing, and interpreting diagnostic tests.
Collecting, recording, and maintaining patients' information and histories.
Prescribing and administering treatments, therapies, medications, vaccinations, and other specialized
medical care.
Explaining procedures and discussing test results or prescribed treatments with patients and family
members.
Monitoring patients' conditions and progress.
Directing, coordinating, consulting with, and referring patients to nurses, students, assistants, specialists,
therapists, and other medical staff.
Advising patients, parents, and guardians on diets, activities, hygiene, and disease prevention.
Conducting research and remaining up to date on current trends, discoveries, and developments in the
field.
Directs and coordinates medical care at the medical office.
Serves as a clinical director and medical practitioner for the medical office.
Provides clinical supervision for medical office staff: physicians, nurses, physician assistants, etc.
Participates in administrative decision making, establishes policies, procedures and guidelines designed
to ensure the provision of adequate, comprehensive care across all specialties.
Develops, revises, and implements policies and procedures for patient care, infection prevention and
control, quality management and patients' rights.
Understands and ensures compliance with the medical offices policies and procedures for safety,
infection prevention and control, hazardous materials, and waste, etc.
Communicates with the medical staff regarding policies, standards, and specific patient problems.
Serves as a member of the organized medical staff, attends medical staff meetings, and ensures
adherence to the medical staff bylaws and rules and regulations.

Participates in the development and implementation of educational programs for staff and the
community.
Provides recommendations to CEO regarding capital expenditures for equipment and the facility.
Able to evaluate medical services provided by the medical office and makes recommendations as
appropriate.
Available for consultation for clinical staff.
Knowledgeable of social, regulatory, political, and economic factors that relates to patient care services.
Performs all aspects of patient care in an environment that optimizes patient safety and reduces the
likelihood of medical/health care errors.
Supports and maintains a culture of safety and quality.
Advises CEO concerning the adequacy and appropriateness of the medical office’s scope of services for
patients, its professional and support staff, and its medical equipment.
Monitors and evaluates the quality and appropriateness of medical services as an integral part of the
overall quality management program.
Provides medical leadership for research and development activities in patient care.
Articulates the medical practice’s mission to the community.
QUALITY IMPROVEMENT:
Assists with the development and implementation of the Quality Improvement Plan of the organization.
Provides an annual review of staff performance, including tracking staff hours, patient encounters,
productivity, member complaints and member satisfaction surveys.
Monitors the results of the Physician Satisfaction Surveys and implements corrective action when
necessary.
Refers appropriate cases to the Quality Management Committee for action and problem resolution.
Assists the organization in obtaining accreditation status.
Assists the CEO in the development and expansion of a system wide wellness program.
UTILIZATION REVIEW:
Develops, implements, and monitors the Utilization Review Plan.
Develops practice guidelines for high volume diagnoses in conjunction with the appropriate specialists.
Educates staff about utilization practices to promote high-quality, cost-effective care.
Develops written policies for the resolution of utilization problems.
Plans and conducts interventions with outlier physicians.

Assists in the growth and development of the Case Management program.
Acts as a resource for the Utilization Review Coordinators.
Reviews frequent or unusual referral requests.
Interfaces with health plan Medical Directors as needed on utilization issues.

Qualifications

PROFESSIONAL REQUIREMENTS:
Adheres to dress code, appearance is neat and clean.
Maintains regulatory requirements, including all federal, state, local regulations, and accrediting
organization standards.
Always maintains patient confidentiality.
Wears identification while on duty.
Represents the organization in a pleasant, positive, and professional manner.
Complies with all organizational policies regarding ethical business practices.
Communicates the mission, ethics, and goals of the facility, as well as the focus statement of the
department.
EDUCATION REQUIREMENTS:
Medical degree (M.D. or D.O.)
Successful completion of a residency and fellowship in pediatrics.
Currently licensed to practice pediatrics in the State of California.
Current Board Certification or eligibility in internal medicine, family medicine, or pediatrics.
Current Drug Enforcement Administration (DEA) Registration.
Presentation of Certificate of Insurance.
BLS Certification.
Previous experience in a managed care environment, including experience in quality and utilization
management.

LANGUAGE SKILLS:
Able to communicate effectively both verbally and in writing.
Excellent communication and interpersonal skills as well as the ability to relate to children.

SKILLS & ABILITIES:
Basic computer knowledge.
Expert diagnostic skills.
Good organizational, leadership and teamworking skills.
A caring and compassionate nature when working with children and their families.
ENVIRONMENTAL/WORKING CONDITIONS:
Combination of medical office and exam/procedure room settings.
Well-lighted, well-ventilated, adequate space.
Exposure to communicable diseases and other conditions common to clinic setting.
PHYSICAL/MENTAL DEMANDS:
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential
functions of the position without compromising patient care.
Please note that this job description is intended to provide only basic guidelines for meeting job requirements.
Responsibilities, knowledge, skills, abilities and working conditions may change as needs evolve.

Requirements

1. Resume (if available). 
2. Application/Candidate Profile.
3. Complete interview with the Chief Dental Officer (CDO) or Patient Services Manager (PSM).
4. Immunization record (showing completion of MMR, HEP B, Flu, Covid-19 Booster (Comirnaty or Spike)
5. PPD documentation within 1 year. (Individuals with a history of a positive PPD must provide a note for their provider indicating they are free of active disease, a blood test or chest x-ray with the last year.)