Physician (temporary) renders comprehensive health care within the limitations of professional licensing to patients of the Los Angeles Christian Health Centers, focused on care related to COVID-19 testing, treatment, prevention, surveillance, and treatment of other health conditions in patients at high risk for COVID-19, in the street medicine setting, clinic setting, and alternative settings . Assesses needs and prescribes treatment. Actively supports the mission of LACHC: to follow Christ by loving and serving our neighbors through comprehensive, quality health care. Compassionately and competently provides primary health care to patients with substance use disorders, mental illness, acute and chronic illnesses, and homelessness.
ESSENTIAL DUTIES, RESPONSIBILITIES, AND PRIVILEGES include:
- Perform evaluation and treatment of patients in the street setting or in the outpatient setting at Los Angeles Christian Health Centers sites or partner sites. This may include face to face visits as well as virtual telemedicine visits (either telephonic or audio-video).
- Assess medical needs and compile care plan, addressing acute needs, chronic conditions, and preventive health maintenance. Furnish/transmit appropriate medications and treatments. Perform in-office procedures as needed such as incision and drainage, arthrocentesis, and nail removal.
- Work closely with partner organizations, with patients, and with our own care teams, to provide whole- person care for clients on the streets, staying in hotels, or in alternative non-clinic settings, practicing harm reduction approaches, considering creative and flexible solutions, and partnering with the clients to take steps forward with their health.
- Keep accurate, concise, and thorough documentation of all medical history, exam findings, assessment, treatment/interventions, and education; complete documentation and lock progress notes in a timely manner.
- Review and electronically sign off on all laboratory results, diagnostic results, and outside consult notes in a timely manner, ensuring patient is contacted for follow up if clinically appropriate.
- Initiate and follow through on specialist referrals and e-consults (electronic consults), communicating with specialist providers as necessary, in the provision of whole- person care.
- Serve as the primary care physician for a panel of patients, working with a care team and other staff at LACHC to serve as a patient- centered medical home for our patients.
- If needed, clinically supervise Advanced Practice Providers employed by LACHC.
- This includes thoroughly reviewing a minimum of 30 charts of all new providers under their clinical supervision, per guidelines for supervision of new providers to confirm clinical competence, and reporting findings to the Chief Medical Officer.
- Conjointly supervise medical assistants along with Medical Assistant Supervisor and clinic nurse.
- Participate in LACHC meetings including morning “team huddles”, Provider Meetings, and All-Staff Meetings.
- Actively participate in spiritual care for patients and staff which may include prayer and referral to community resources.
- Provide compassionate, competent care for patients who, depending on the clinic site, are predominately homeless, may suffer from mental illness, have high rates of substance use disorder, and often lack resources to care well for themselves.
- If seeing adult patients, may be asked to complete waiver training to provide Medication Assisted Treatment (MAT) in order to care for patients with substance use disorder.
- Actively participate in Continuous Quality Improvement activities at LACHC, including teaching other providers on selected topics, implementing team- based care, participating in peer reviews, evaluating clinical performance measures, and implementing improvements using a Plan-Do-Study-Act method of stepwise changes.
- Meet productivity standards for outpatient primary care at LACHC, including an expectation of 18-20 patients seen per usual 8 hour day at a fixed site. Productivity standards may vary at alternative sites, in hotels, or on the streets.
- Periodically serve “on call” for the clinic, answering urgent phone calls from patients or other agencies in the off-hours for one week approximately every 10-15 weeks.
- Network with other health care agencies and county facilities as needed or requested.
- Assist in provision of health screenings (including TB, diabetes, hypertension) at outreach events.
- Maintain active enrollment in Medicare, Medicaid, Managed Care, and other payor programs as needed for clinical operations, completing credentialing paperwork in a timely manner to remain actively enrolled in these programs.
- Other duties may be assigned.
To perform this job successfully, an individual must be able to accomplish each essential duty satisfactorily. The following requirements are representative of the knowledge, skill and/or abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Bilingual Spanish preferred.
Licensed to practice medicine in California. BC/BE Internal Medicine, or Family Medicine. A copy of California License and DEA license are required. Provider BLS certification (includes CPR certification) is also required.
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is regularly required to sit and talk or hear. The employee frequently is required to use hands to finger, handle, or feel. The employee is occasionally required to stand, walk, reach with hands and arms, climb or balance, and stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision, color vision, and ability to adjust focus.
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee will be exposed to carriers of contagious diseases such as TB, AIDS and other sexually transmitted diseases. The employee may have to deal with irate and irrational clients who may or may not be under the influence of mind-altering substances such as cocaine, marijuana, alcohol, etc.