Job Details

Job Responsibilities

Healthcare Delivery

• Provide medical triage of patients, medical care management, and patient education and counseling to a panel of patients
• Make referrals to specialty providers and follow-up to ensure that patients' bio-psychosocial needs are addressed
• Deliver evidenced based care that supports our aim for improved health outcomes, exceptional patient experience and efficient use of resources.
• Perform routine, acute, urgent, preventive, curative, and rehabilitative medical care to patients and determine appropriate regimen.
• Serve as a member of the cross-functional team of providers, engaged in routine and preventive primary care, care for chronic illnesses, urgent care, and telephone triage
• Prescribe medications, treatments or therapies and order medical diagnostic or clinical tests

Patient Experience

• Deliver well and chronic disease care with cultural humility to a diverse patient population of all ages.
• Have flexibility in meeting patients' needs, and participating in evening and Saturday rotation clinics.
• Develop a positive rapport with patients and families to foster the provider/patient relationship.
• Conduct in-home assessment of patients as appropriate

Collaboration & Mentorship

• Serve as a member of the cross-functional team of providers consulting on the assessment, management and treatment of complicated cases, chart review, co-signing, and case conferences.
• Consult with physicians on the management, assessment and treatment of specific cases as needed, and per protocol
• Suggest improvements for clinic flow, patient scheduling and service delivery, and collaborate professionally with interdisciplinary team members, including providers, health educators, medical assistants, registered nurses, and case managers.
• Supervision of medical assistants by providing patient consultation as needed

Minimum Job Requirements

Knowledge

• Knowledge and experience with Electronic Health Record programs, such as NextGen or Epic.
• High degree of interpersonal competence with both staff and patients, and thorough knowledge of evidence based care
• Cultural competence working in diverse/low income communities
• Familiarity with Electronic Panel Management

Abilities

• Ability to deal courteously and effectively complex patient profiles, and maintain good working relationships with other staff
• Must have the physical stamina to function effectively in a position that involves heavy lifting (50lbs)
• Ability to work courteously and effectively as a team member to support the quality/efficiency standards established for the clinic; work independently; exercise good judgment; communicate effectively orally and in writing, make and thorough manner with speed and accuracy with minimal supervision
• Ability and willingness to work under pressure and as part of an interdisciplinary team
• Demonstrate flexibility and ability to accept changes gracefully
• Ability to work and communicate with people from various ethnic, socio-economic, educational and life experience
• Ability to keep accurate and clear records of patient information
• Top-notch time management skills and evidence based approaches to medical care
• English/Spanish proficiency preferred but not required