Complex Adult Care Provider

ERIE FAMILY HEALTH CENTER • , IL

1d • $110,000 - $205,000 • Onsite

About The Position

Erie Family Health Centers is seeking a mission-driven Complex Adult Care Provider, either a physician or advanced practice provider, to deliver high-quality, comprehensive primary care to adults with high medical and social complexity. The clinician manages a dedicated panel of approximately 550–750 patients, depending on the clinician’s template and FTE. Patients are identified using an Epic emergency department or hospitalization risk score above 50%, representing the top 5% of complexity across Erie, and may have complex medical disease, mental health needs, or social drivers of health.

The role focuses on longitudinal, relationship-based primary care; management of chronic and multimorbid conditions; care planning and coordination; completion of health maintenance and quality measures; and reducing avoidable emergency department visits and hospital utilization. The provider works with interdisciplinary teams and patient supports to address medical, behavioral, and social needs, coordinate transitions of care, and develop individualized plans aligned with patient goals and evidence-based standards.

The role may be filled by an Advanced Practice Provider or a Physician. The posted salary range is $110,000–$205,000 per year, with compensation depending on licensure, specialty, experience, skills, and education. The position provides care Monday through Friday, except during PTO, holidays, or continuing medical education, and participates in a fair and equitable share of evening, weekend, and holiday work. A reduced clinic template reflects the complexity and depth of visits: physician target of 9 patients per session (10 scheduled), or APP target of 8 patients per session (9 scheduled).

Requirements

• Intermediate computer skills.
• Knowledge and experience caring for complex adult patients.
• Customer service skills.
• Ability to work independently and collaboratively.
• Cultural competency for working with a diverse patient population.
• Commitment to health equity and high-quality care for underserved populations.
• Demonstrated required skills in medical documentation, as assessed by chart review.
• At least three years of healthcare experience.
• Experience and/or strong interest in complex adult care, chronic disease management, multidisciplinary care coordination, and reducing preventable hospital and emergency department utilization.
• MD/DO in Internal Medicine, Family Medicine, or Medicine/Pediatrics; or an Advanced Practice Provider credential as an Adult/Gero Nurse Practitioner, Family Nurse Practitioner, Family Physician Assistant, or Adult Physician Assistant.
• Active Illinois license or eligibility, DEA, and board certification or eligibility, as applicable.

Nice To Haves

• Intermediate proficiency in Microsoft Office.
• Strongly preferred bilingual fluency in English and Spanish; may be required to assist or work with patients or guests who speak only a language other than English or Spanish.
• Familiarity with Epic and other risk stratification tools.
• Intermediate to advanced skills with the Epic Electronic Health Record.
• Demonstrated success in quality improvement or interdisciplinary team collaboration.
• Clinical FTE of 0.75 or higher is strongly preferred.
• Prior experience in community health, population health, or complex care models.
• Fellowship in geriatrics.

Responsibilities

• Provide comprehensive, longitudinal primary care to a panel of approximately 550–750 complex adult patients, depending on clinician template and FTE.
• Manage chronic and multimorbid conditions, emphasizing stabilization, disease control, prevention of acute exacerbations, and maximizing or restoring function and longevity.
• Conduct patient-centered visits focused on assessment, education, and care planning.
• Provide high-touch, relationship-based care to improve quality outcomes and patient experience.
• Refer patients to specialists as necessary, follow up on recommendations, integrate them into comprehensive care plans, and address them at subsequent primary care visits.
• Collaborate with family members or patient supports as needed or desired by the patient.
• Document patient care activities according to Erie standards.
• Provide care Monday through Friday except when away for PTO, holidays, or continuing medical education.
• Participate in a fair and equitable share of evening, weekend, and holiday work.
• Collaborate with interdisciplinary teams, including care managers, behavioral health, pharmacy, nursing, and social services, to address medical, behavioral, and social drivers of health.
• Develop and oversee individualized care plans aligned with patient goals and evidence-based standards.
• Coordinate transitions of care following hospitalizations, emergency department visits, or specialty referrals.
• Establish the cadence of primary care based on patients’ chronic conditions to achieve desired outcomes.
• Apply best practices to reduce unnecessary emergency department visits, hospital admissions, and readmissions.
• Identify and proactively address barriers to care access, adherence, and self-management.
• Find creative and innovative ways to connect with hard-to-reach patients, reduce no-shows, and return patients to care.
• Participate in team huddles at the beginning of each clinical session.
• Serve as a clinical resource and mentor for staff regarding best practices in complex adult care.
• Advise on transitions of patients to a different primary care provider when complexity requires it.
• Participate in care management conferences for patients on the provider’s panel, as applicable.
• Maintain a reduced clinic template reflecting visit complexity: physician target of 9 patients per session (10 scheduled); APP target of 8 patients per session (9 scheduled).

Benefits

• Medical, dental, vision, life, and disability insurance.
• Flexible Spending Account for health care or childcare.
• 401(k) program with Erie matching $0.50 for every $1.00 up to the first 5% of the employee’s biweekly salary.
• Annual paid time off starting at 20 days.
• Eight paid holidays.
• Competitive salary and annual merit increases.
• Room for growth and career advancement.

What This Job Offers

• Job Type: Full-time
• Education Level: Ph.D. or professional degree