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