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This position provides medical care and treatment services with emphasis on chronic disease management and promotion of health and palliative care for patients not best served in a clinic setting. Additionally, this position provides active, consultative, and supportive assistance to non-physician providers as needed and/or as directed by the Medical Director. Care is provided in patient residencies, as well through audio and video sessions. This position may focus on one of the following areas: Regular Care: Provides ongoing care for patients within an assigned caseload and/or territory and includes long-term strategies focused on disease prevention. Relief Care: Provides relief and/or urgent care for patients on a short-term basis, focusing on filling in for providers who are out of the office.

Clinical Service

• As a practicing physician, provide medical consultation and/or support to other practitioners within the organization.
• Diagnose and treat acute and chronic medical conditions according to scope of practice to include conducting a medical history, conducting physical exams, ordering and interpreting diagnostic tests, devising a course of treatment based on patient preferences and goals, discussing alternative treatment, risk and benefits of treatment, prescribing and monitoring medications, appropriate counseling of patient and reassessment of the patient at appropriate intervals.
• Perform comprehensive health assessment of clients by completing a physical and psychosocial history; identify actual and potential health needs based on medical, mental/emotional, financial, and social factors. Make referrals to appropriate social or medical agencies and practitioners.
• Develop and implement proactive patient centered care plan with the assistance of other disciplines within the care team.
• Provide compassionate anticipatory guidance through decline due to chronic disease and provide high quality palliative care focused on the goals of the patient and family.
• Prescribe and dispense medications and drugs to suitable patients; initiates and/or continues medical regimes for new patients; chart treatment records and monitors results.
• Develop and maintain working relationships with lay and professional caregivers, including care facilities, to assure patient experience excellent continuity of care and orders are implemented appropriately.
• Educate patients and families on goal-based, appropriate preventative care, chronic care or urgent care needs, as well as the use of prescribed medications and treatment.
• Perform the most difficult assignments (including management of the most complex, at-risk patients), requiring a higher level of responsibility, applying advanced subject knowledge, and exercising significant independent judgment and initiative. Deliver quality care while maintaining all company metrics pertaining to productivity.
• As directed by Medical Director, may provide clinical supervision to Physician Assistants.
• Participate in the after-hours call schedule.

Administration

• Participate in collaborative treatment with other medical and mental health professionals and technical staff.
• Participate in staff and professional conferences; consult on and assist in the development of in-service training and orientation activities in areas of treatment and care of the patient population; participate in peer review.
• Assist in the development of policies and procedures.
• Assess and counsel patients regarding preventive care needs; deliver services or make appropriate referrals.
• Determine need for specialty and rehabilitative services and make appropriate referrals.
• Coordinate case management activities for assigned patients.
• Attend and participate in all required staff meetings and other ad hoc committees as assigned.
• Provide coverage for clinical colleagues in their absence.
• Participate in quality improvement activities as assigned.
• Complete and maintain medical records according to agency protocols and in support of quality metrics.
• As assigned by the Medical Director, may train and assess performance of other providers.
• Perform other duties as assigned.

Experience and/or Education

Required

• Licensed physician (MD or DO) in the State of Oregon
• Completion of internship and residency in Internal Medicine or Family Medicine
• Certification by the American Board of Medical Specialties
• Drug Enforcement Administration (DEA) license
• Valid driver's license, acceptable driving record, and automobile liability coverage or access to an insured vehicle
• CPR certification at hire or within 6 months in position

Preferred

• Geriatric and/or palliative care certified
• Experience in medical home visits

Knowledge

• Knowledge of the principles and practice of medicine especially including urgent care and triage practices for providers focused on relief care
• Advanced knowledge of principles, practices and procedures of general medicine and surgery
• Advanced knowledge of methods and techniques of diagnosing and treating a variety of diseases and injuries
• Advanced knowledge of sources of information and current literature applicable to the field of general medicine
• Knowledge of the ethical and medico-legal aspects of medical practice
• Knowledge of the principles and practices of public health, including familiarity with epidemiology, health services delivery and financing systems, and environmental health
• Knowledge of the population served in adult health, including culture, demographics, patterns of disease, barriers to care and other unique features or special needs
• Knowledge of the principles and practices of clinical quality improvement

Skills and Abilities

• Proficient in the practice of geriatrics and palliative care
• Skill in utilizing electronic systems appropriately and effectively, including audio and video supported encounters
• Ability to perform medical diagnostic and treatment services
• Ability to establish and maintain effective working relationships with diverse patients, staff, peer groups, and varied agency and institutional representatives
• Ability to deal professionally and calmly with individuals that may act inappropriately, be verbally abusive, hostile and/or in crisis
• Ability to work a flexible schedule, including evenings and weekends
• Ability to lead assigned staff
• Ability to work within a team and take direction from other team members with expertise in the care plan development.
• Ability to communicate clearly, compassionately and concisely, both verbally and in writing
• Cultural competence and ability to work effectively with people from all walks of life
• Compassion, commitment and integrity required for success in this position
• Ability to adhere to organizational standards, policies and procedures

• Ability to work effectively with diverse individuals and groups

• Ability to learn, focus, understand, and evaluate information and determine appropriate actions
• Ability to accept direction and feedback, as well as tolerate and manage stress
• Ability to site, see, read, hear, speak clearly, and perform repetitive finger and wrist movement for at least 6 hours/day
• Ability to lift, carry, push, pull, and/or pinch small objects, climb stairs, stand and bend for at least 3-6 hours/day

• Ability to crouch, crawl, reach, and walk for at least 3 hours/day
• Ability to operate a motor vehicle

Working Conditions

Work Environment(s): Indoor/Office Community Facilities/Security Outdoor Exposure

Member/Patient Facing: No Telephonic In Person

Hazards: May include, but not limited to, physical, ergonomic, and biological hazards.

Equipment: General office equipment and/or mobile technology

Travel: Requires travel outside of the workplace at least weekly; the employee's personal vehicle may be used. Driving infractions will be monitored in accordance with organizational policy.

Work Location: Hybrid-Community 2 days/week, member facing

Location: Employees permanently assigned to see members and patients in Marion or Polk counties are required to live within 15 miles of their county assignment.

If you receive an offer of employment for this position, it is contingent on the satisfactory completion of a pre-employment background check, immunization review, and drug screen (including THC/Marijuana). CareOregon is a federal contractor and must comply with all federal laws.

We offer a strong Total Rewards Program. This includes competitive pay, bonus opportunity, and a comprehensive benefits package. Eligibility for bonuses and benefits is dependent on factors such as the position type and the number of scheduled weekly hours. Benefits-eligible employees qualify for benefits beginning on the first of the month on or after their start date. Housecall Providers offers medical, dental, vision, life, AD&D, and disability insurance, as well as health