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:

1. Triage
2. Appointment scheduling
3. Abnormal labs
4. Medication refills
5. Missed appointments
6. Order reconciliation
7. Standing orders
8. 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