PCP Physician

0b2b5d5d-7b7f-4686-adde-fc7be4a3673e•Oceanport, NJ

9h•$135,000 - $200,000

About The Position

BoldAge PACE is an all-inclusive program of care personalized to meet participants’ health and well-being needs, helping older adults live meaningful, independent lives at home with dignity. The PCP Physician delivers primary care and continuous healthcare services to PACE participants in alignment with PACE Program standards. The role works closely with the clinical care team to conduct assessments and reassessments, develop care plans, and provide comprehensive primary care. The physician emphasizes individualized evaluation and team-based care, including collaboration with the Interdisciplinary Team (IDT), Medical Director, and collaborating pharmacist. The role supports participants across care settings, including hospitalizations and facility stays, and contributes to safe transitions, quality improvement, staff development, and effective clinical operations. The position includes participation in a 24/7 on-call rotation.

Requirements

MD, DO, APRN, or PA qualification.
Current state license.
For physicians in New Jersey: licensure or authorization from the New Jersey State Board of Medical Examiners to practice medicine in New Jersey.
For nurse practitioners in New Jersey: certification by the New Jersey State Board of Nursing.
State CDS Certification and DEA Registration.
BLS certification is required within 90 days of employment.
Reliable transportation, a valid driver’s license, and at least the minimum state-required liability auto insurance.
Medical clearance for communicable diseases and up-to-date immunizations before direct participant contact.
Pass a comprehensive criminal background check, which may include federal and state Medicare/Medicaid exclusion lists, criminal history, education and license verification, reference checks, and a drug screen.

Nice To Haves

Board certification in geriatrics.
Two years of experience providing direct patient care.
One year of experience working with a frail or elderly population; training will be provided upon hiring if this experience is absent, where applicable.

Responsibilities

Provide high-quality primary care, beginning with comprehensive histories and physical examinations and emphasizing individualized evaluation.
Collaborate with the IDT before specialist referrals to ensure referrals are appropriate and continuity of care is maintained.
Work with the Medical Director on specialist referrals, initiate appropriate treatment before referral when indicated, review specialist notes promptly, and communicate care plans incorporating clinical judgment and consultation findings.
Manage and monitor participants’ medications, including medication reconciliation and interactions, in coordination with the Medical Director and collaborating pharmacist vendor as appropriate.
Stay informed about participant status during hospitalizations and facility stays and provide guidance for safe transitions and continuity of care.
Share responsibility for all participants in the center, regardless of individual assignment, as part of the IDT model of team-based care.
Participate in daily IDT meetings and contribute clinical insights to participant-centered care plans.
Complete participant assessments and documentation accurately and on time in accordance with policy, regulatory, and quality standards.
Review and respond to laboratory results, imaging, and consultations promptly; incorporate findings into care plans and communicate changes to the IDT.
Educate participants and caregivers about self-care, medication use, and wellness practices.
Use the Emergency Department judiciously, prioritizing PACE resources unless symptoms may be life-threatening.
Document diagnoses accurately, including appropriate coding to support risk adjustment and quality reporting.
Provide coverage for the 24/7 on-call rotation and ensure timely responses, hand-offs, and communication.
Contribute to discharge planning and support smooth transitions across care settings.
Assist with staff training and mentoring and contribute to clinical policy development and implementation of best practices.
Participate in ongoing performance and quality improvement initiatives.
Step into other roles, as permitted by licensure and experience, when needed to support the team.
Maintain and report clinical resource needs to the Medical Director.
Uphold safety, privacy, and compliance standards.