Geriatric Primary Care Physician- House Calls

S

Sterling Employment Services

Geriatric Primary Care Physician- House Calls

Houston, TX
Full Time
Paid
  • Responsibilities

    Sterling Employment Services is partnering with one of our clients to fill multiple opportunities in the position of ****Geriatric Primary Care Physician- House Calls in Houston, TX.

    Duties & Responsibilities:

    General duties:

    • Function as day-to-day clinical leader, providing decision support to nurse practitioners and collaborating with the multidisciplinary team.
    • Perform preventive visits daily to optimize chronic conditions, assess home environment, and develop proactive care plans.
    • Educating patients and/or patient's family on chronic medical conditions, preventative care, and medication adherence compliance
    • Perform urgent care visits in the home and telephonically to avoid unnecessary ED transfers and hospital admissions.
    • Leverage the support of care team such as: nurse care manager, behavioral health, social work, and pharmacy to meet patients' medical, biopsychosocial, and financial needs.
    • Assume responsibility as home-based PCP in some cases where there is no PCP and in other cases co-manage the patient with the PCP and serve as an extension of clinical care into the home.
    • Coordinate with other physicians across the continuum of care, including hospitalists, specialists, PCP's (in some cases), and SNF providers to smooth transitions and prevent readmissions.
    • Perform Telehealth visits at times when needed.
    • Complete appropriate and thorough clinical documentation of acute and chronic health issues through patient encounter in EMR system
    • Complete EMR documentation in a timely manner; Ensuring all appropriate consent forms are signed and dated; Interpreting laboratory data and diagnostic testing when available to assist in diagnosis of medical conditions.
    • Performing ADL and fall risk assessments; cognitive impairment, depression, and nutritional health screening; BMI measurement; medication reconciliation.
    • Participating in frequent telephonic clinical meetings and web-based training; however, provider will occasionally be required to attend on-site training for which the provider will be reimbursed.
    • Complete chart reviews for advanced practice providers as determined by market Participating in quality processes such as medical documentation audits and quality projects.
    • Serving as a mentor or coach to advance practice providers in ongoing quality and performance improvement processes.
    • Improving provider relations through direct communication, knowledge of appropriate evidence-based clinical information, and the fostering of positive collegial relationships
    • Performing other duties as assigned by the practice manager or medical director.
    • Perform HRA (health risk assessments) on patient panel.
    • Interpreting laboratory data and diagnostic testing when available to assist in diagnosis of medical conditions.

    Care Management duties:

    • Performing home visits with patients. Initial visits are comprehensive evaluations with subsequent visits targeting risk factors for disease exacerbations and hospitalizations.
    • Collaborating with the multidisciplinary team which may include patients' PCPs and health plan case managers.
    • Sharing after-hour on-call coverage with other providers on the team.
    • Working with telephonic/office nurse care coordinators and case managers.
    • Working with telephonic social workers (practice dependent);
    • Working with office medical assistants.
    • Having the ability and the experience to prescribe medications, order labs or diagnostic testing, and recommend sub-subspecialty referrals and collaborating with the community PCP if appropriate.

    Knowledge, Skills, Abilities and Requirements:

    • Board Certification in Internal Medicine or Family Medicine
    • Geriatric Medicine subspecialty training or experience preferred.
    • DEA license and State Controlled Substance license upon hire
    • Experience with electronic medical records is required. Also required is proficiency with various computer-based applications such as Microsoft Office
    • Must have a valid state driver's license, be able to drive your car, provide your own vehicle, and have proof of adequate automobile insurance.
    • Highly motivated, self-directed professional with strong organizational skills and comfortable working independently daily
    • Strong background/interest in primary care and preventative medicine
    • Excellent clinical assessment and analytical skills
    • Effective leadership and interpersonal skills; facilitates problem resolution and maintains a professional demeanor in difficult situations.
    • Excellent verbal and written communication skills
    • Proven ability to perform comprehensive, adult and geriatric physical exams.
    • Demonstrated ability to identify, diagnose and document acute and chronic disease in adults.
    • Demonstrated ability to recognize conditions, characteristics, and behaviors that place seniors at risk.
    • Proven ability to pursue feedback, continuing education, and professional development.
    • Candidate must be willing to travel up to a 30-60 miles radius from their home zip code.
    • Proof of yearly influenza vaccination, Hepatitis B vaccination, and TB testing required. Covid Vaccine Status
    • Reside in the United States.

    NOTE: This job description is not intended to be all-inclusive. Employees may perform other related duties as negotiated to meet the ongoing needs of the organization.

    Certifications:

    • Board Certified (MD or DO) in Internal Medicine or Family Medicine
    • Must have current BLS certification.
    • Must have active/unrestricted license in state of position opening.
    • Must be able to be credentialed by Medicare, Medicaid, and other Private Insurance Companies

    Sterling Employment Services (SES) and its clients are an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.

    This policy applies to all employment practices within our organization, including hiring, recruiting, promotion, termination, layoff, recall, leave of absence, compensation, benefits, training, and apprenticeship. SES and our clients make hiring decisions based solely on qualifications, merit, and business needs at the time.