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POSITION TITLE: Staff Physician with Gender-Affirming Care (GAC)

                               Full or part-time 0.5-1.00 FTE  

REPORTS TO (TITLE): Medical Director and Team Clinician Lead – Lombardi campus

SALARY RANGE:  Physician: $211,660 - $255,709 DOE (Based on 1.00 FTE)

Join Us! United in heart, health, and justice, Santa Rosa Community Health (SRCH) provides high-quality, culturally responsive health care that meets the diverse needs of our community. Every day, we open our doors to care for patients in a way that honors them and meets their health care needs. We welcome everyone with compassion and respect for their culture, language, identity, and values—no matter what. Now in our 28th year, over 40,000 children, youth, families, adults, and elders rely on SRCH for the medical, dental, and mental health care and wrap-around services they need to get and stay well.

The ideal SRCH clinician is drawn to broad-based, full-spectrum primary care, including pediatrics, adult and geriatric care.  SRCH prides itself on being a regional leader in preventive care services, as we regularly score in the top bracket of our managed Medi-Cal (Partnership Health Plan) quality improvement measures.

Lombardi campus – located in the original site when SRCH first opened its doors in 1996, Lombardi Campus is deeply embedded in a Spanish-speaking and largely immigrant community in the Roseland neighborhood in southwest Santa Rosa. 

This campus is ideal for a clinician who is particularly skilled and drawn to work with a Latino population and thrives in a fully bilingual environment.  

Lombardi is also the original site for our FNP Residency; as such, supporting and working in partnership with FNP colleagues is a philosophy deeply embedded at the site.

The position includes a focus on Gender-Affirming Care (GAC); you will be part of a small team of other clinicians who specialize in this care.  A significant portion of your patient panel will be patients who identify as gender-diverse; patients represent a wide range of backgrounds, and many of whom are Spanish monolingual. Care of these patients includes, but is not limited to, counseling regarding options for Gender-Affirming Care; initiation and management of gender-affirming hormone therapy; mental health support (often in concert with in-house behavioral health and mental health support); and referrals to local specialty resources for treatments such as hair removal, speech therapy, and a range of gender-affirming surgeries. This clinic includes treatment of pediatric patients, though GAC for pediatric patients is not a requirement for this position.

As a focused provider of gender-affirming care, you will also see patients referred from both Santa Rosa Community Health campuses and outside clinical organizations (Sutter Health, other local FQHCs, Providence Health, et al). You may be asked to consult on management for SRCH patients seen in other clinics who may not need to be seen in Gender Clinic.

Dedicated administrative time is provided for management of Gender Clinic-related tasks, including coordinating with specialists regarding referrals; medication prior authorizations (in collaboration with administrative support staff); responding to referral denials; and other aspects of care coordination.

Additionally, you will have an opportunity to precept Residents - Family Medicine (MD/DO) or FNP – in your designated GAC clinic.

Specific Tasks/Competencies in Clinic:

Create an ongoing, continuity primary care relationship with patients on your panel; diagnose and treat SRCH patients within the scope of your CA license and FM Board Certification, using evidence-based medicine; and working with the support of a clinic team, including medical assistants and nursing, among others.

• Proficiently use clinic EMR [OCHIN Epic], including signing Encounters within agency timeline standards, and active and appropriate Inbox management.  
• Facilitate referral for and coordination with other specialists or care centers, when needed, for patient care.
• Promote and support quality initiatives by the agency, including input on improving workflows, treatment guidelines and protocols.

Collaborate with other providers at SRCH and externally regarding care of gender-diverse patients.

• Actively support organizational priorities of patient care, quality, education, and sustainability, with an agency goal of a positive work environment.
• Participates in regular clinic, agency and clinician meetings, and other professional activities, as designated by the Site or Medical Director. These include monthly meetings for Gender Clinic.
  • Some meetings require travel offsite to SRCH clinics or outside agencies
• Meet regularly with Clinician Lead and/or Medical Director to review patient care issues and provide input into the development of treatment guidelines and protocols.
• Provide as-needed clinical consult to Family Nurse Practitioners and Physician Assistants who are members of your Team or part of the clinic.
  • Serve as supervising clinician for up to 4 non-independent FNPs or PAs.
• Participate in ongoing training; maintain HIPAA compliance; support variance reporting system when indicated.

The duties listed above are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position.

Minimum Qualifications:

Education:

• Active California License; in good standing with the Medical Board of California.
• Board Eligible or Board Certified in Family Medicine
• Current CPR (BLS adequate) certifications

Experience, Knowledge and Skills:

• Demonstrated proficiency with procedures and tasks enumerated on Staff Physician competency list.
• Proficiency working with electronic medical records (EMR); specifically, Epic [both OCHIN in clinic, and Sutter Epic in hospital]. Experience with Outlook email function and related software products to enhance clinic and agency communication.
• Proficiency in Spanish and English (speak, read, and write), especially in medical setting.
• Strong interpersonal skills; ability to be sensitive with persons of various social, cultural, economic and educational backgrounds.
  • Good judgment, problem solving and decision-making skills.
• Ability to work as part of a team, both in clinic and hospital.
• Experience with providing gender-affirming care to gender-diverse adults.

SRCH is an equal opportunity employer to all, regardless of age, ancestry, color, disability (mental and physical), exercising the right to family care and medical leave, gender, gender expression, gender identity, genetic information, marital status, medical condition, military or veteran status, national origin, political affiliation, race, religious creed, sex (includes pregnancy, childbirth, breastfeeding, and related medical conditions), and sexual orientation.

Physical Requirements:

While performing the duties of this job, this position is frequently required to do the following:

• Use standard office equipment and access, input, and retrieve information from a computer.
  • Use computer keyboard with manual and finger dexterity and wrist-finger speed sufficient to perform repetitive actions efficiently for extended periods of time.
  • Reach forward, up, down, and to the side.
  • Sit or stand for minimum periods of one hour at a time and come and go from the work area repeatedly throughout the day.
  • Lift minimum twenty (20) pounds.
• Give and follow verbal and written instructions with attention to detail and accuracy.
• Perform complex mental functions; collect, interpret, and analyze complex data and information, including developing differential diagnosis for patients' medical conditions.
  • Coordinate multiple tasks simultaneously.
• Perform basic arithmetic functions, including for prescribing medications
• Understand complex laws, regulations, and policies, both at an agency and community level.
• Vision: see details of objects at close range (corrective vision appropriate).
• Travel to other office and community locations in timely manner, as part of regular role as Staff Physician.

SRCHprovides reasonable accommodation for individuals with a physical or mental disability to apply for jobs and to perform the essential functions of their jobs unless it would cause an undue hardship.