Adult Primary Care Physician Specialist

LAC+USC Medical Center is the cornerstone of the safety net for the largest county in the United States. As one of the largest public hospitals in the US, we are the busiest Level 1 trauma center, and one of only 3 Burn units, in Los Angeles County. We are home to one of the largest GME training centers in the US, with >950 residents and fellows, representing nearly 1% of all post graduate trainees in the US. We also serve as the primary teaching hospital for the University of Southern California, Keck School of Medicine. Our mission is to provide fully integrated, accessible, affordable and culturally sensitive care, one person at a time. LAC+USC Medical Center is also one of the largest sites within the Department of Health Services providing essential primary care to patients from across the greater Los Angeles County.

Services are provided in a safe, patient-centered environment through a network of 8 medical home clinics that deliver primary care for both adults and children. LAC+USC Medical Center practices in a patient-centered medical home model and patients are provided services by the same team of healthcare providers to support all their health needs. The medical home serves as a hub for the larger network of hospitals, emergency departments, urgent care centers, behavioral health providers, and specialists within the Los Angeles County Department of Health Services.

LAC+USC Medical Center is now seeking qualified adult primary care physicians (FM, IM, Internal Medicine/Pediatrics) to provides direct care to, and assume responsibility for, all patients within their assigned panel. The provider oversees clinical panel management provided by the entire PCMH team through regular communication with the care team. The provider collaborates with and supports the nursing team and nurse care manager in the care of high-risk patients. The provider works with all team members to achieve and maintain desired patient outcomes in a cost-effective manner. The provider plays a central role in the development, implementation, and evaluation of shared care plans for individual patients and groups of patients in collaboration with other PCMH team members. May perform back-up provider duties as indicated for patient care/safety needs.

Roles and Responsibilities:

·Provides clinical direct patient care (DPC) to patients empaneledwithin the PCMH.

·Adheres to template structure and maximizes the use ofavailable visits to address clinic and patient needs.

·Reviews and acts upon diagnostic test results as appropriate; ensurespatients are aware of test results; documents acknowledgement of results and actions taken in patients’ORCHID record.

·Responds within 3 business days to ORCHID Inbox messages, proposed orders, and notifications from other DHS staff; some orders may require a prompter response (e.g., medication renewals)

·Initiates and follows up on specialty and ancillary care referrals viaeConsult, communicates with specialists as appropriate and carriesout specialists’ recommendations or closes eConsults in a timelyfashion.

·Through regular communication, assists the Care Manager inprioritizing high-risk patients, understanding factors which contribute to their high-risk assignment, and the provision of complex care management.

·Leads multidisciplinary family conferences for high-risk, complex casesas needed.

·Reviews Empanelment scorecard and initiates team actions (e.g., outreach) to close care gaps and improve chronic disease management for empaneled patients based on registry performance; communicates patient management priorities to PCMH team based on scorecard and guidance from clinical leadership; makes final decisions about satisfying clinical measures in ORCHID; determines when an registry or measure does not apply to a patient (requestsexclusion); requests attribution for patients with incorrect empanelment; and alerts the Enterprise Help Desk when data integrity problems are detected.

·Leads/participates in team huddles to review day-of-care plan forscheduled patients.

·Closes care gaps using ORCHID’s Health Maintenance tab orRegistries Recommendations.

·Clearly documents all patient encounters in the electronic record onthe day of the visit.

·Communicates patient care priorities, especially follow-up plans thatinvolve non-providers (e.g., high-risk patients that need Care Manager follow-up), to medical home team members.

·Serves as expert clinical resource for medical home team, includingurgent and non-urgent situations.

·Refers patients to appropriate resources as indicated by screeningfor social and behavioral determinants of health (SBDOH).

·Responds to Code Assist calls within the facility as assigned.

·Participates in PCMH and multi-disciplinary team meetings.

·Communicates PCMH team issues or needs to leadership asappropriate.

·Participates in performance/quality improvement (PI/QI) activities.

·Responds to patient complaints and grievances in a timely fashion.

·May be required to assist with emergency nursingresponsibilities in the event of an emergent need, critical staff shortage, or nursing redeployment.

·Direct patient care – 90%, non-direct patient care/clinical administration– 10%

The hospital is in the Boyle Heights neighborhood of Los Angeles. It has over 100,000 residents and has a majority Latino population. It is located east of the Los Angeles River and its neighboring communities include Lincoln Heights, Chinatown, East Los Angeles and Downtown Los Angeles.

Job Features

Job CategoryFamily Medicine, Internal Medicine

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Job Type

Physician Specialist (Non-Megaflex)