****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

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_ 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