The mission of Ravenswood Family Health Network (RFHN) is to improve the health of the community by providing culturally sensitive, integrated primary and preventative health care to all, regardless of ability to pay or immigration status, and collaborating with community partners to address the social determinants of health.
The Physician implements the mission, philosophy and goals of Ravenswood Family Health Network (RFHN) across all activities. Delivers outpatient primary care commensurate with medical degree and privileging, using evidence based high quality care and a patient centered health home (PCHH) framework. Works with other providers to define best clinical practices and with the care team to deliver care under established protocols. Provides comprehensive care that includes wellness, health maintenance and primary prevention, as well as management of chronic diseases and acute care. Works with team and health center to document so quality data is entered and reports are reviewed to improve care and for reporting to various insurances and agencies and achieving and maintaining Patient Centered Medical Home (PCMH). Maintains a professional atmosphere that respects patients and staff. Champions customer service and quality improvement. Provides consultation and clinical support to nurse practitioners and physician assistants and other physicians as needed.
Duties and Responsibilities
To be performed in accordance with RFHN Policies and Procedures
- Examines, diagnoses and treats patients according to degree and medical credentialing.
- Provides quality medical care according to established standards and RFHC clinical quality protocols; performs all duties and services using a quality improvement approach (see TQM policy) to continuously improve care quality and efficiency and lower healthcare costs.
- Documents on the electronic health record according to standardize protocols that specify templates to use and where to document certain elements to be able to generate required reports for PCMH and others. Uses a SOAP format for each patient problem that supports the assessment and plan and uses standard abbreviations. Documents all patient communication, including phone calls and messages in the patient record.
- Completes medical charts and submits billing encounters within one business day.
- Participates in peer review and internal quality control audits.
Additional Clinical Duties:
- Assists in covering patients for providers who are out by reviewing labs, returning calls, authorizing prescriptions and other items to ensure continuity of care in general. Reviews “Provider of the Day” box and EHR tasks and Provider Action Queue “PAQ” for providers they are covering.
- Assists nurses in triaging and sees walk-in patients.
- Provides clinical support to physician assistants, nurse practitioners, and nurses. Cosigns chart notes for cases discussed.
- Provides clinical supervision to ancillary support staff such as medical assistants, health educators and lab personnel.
- Attends RFHN meetings, trainings, and completes online compliance courses.
- Provides in-service training for staff on selected medical topics deemed necessary by the Medical Director.
- Works one Saturday shift per month (unless exempt).
Work Hours and Productivity Standards:
- The provider schedule and hours are determined at the start of employment and require approval from the medical supervisor and department manager to change schedule to make sure that patient coverage is maintained. Clinic shifts are Day 8-5pm, Evening 10-7pm and Saturday 8:30-12:30pm.
- Must be present for the entire assigned shift to make sure patients are seen unless arranges with other providers for coverage.
- Each provider is expected to see between 10 patients per four hours.
- Family medicine providers participate in outpatient call according to FTE.
General Employee Duties:
- Adheres to basic employee duties that include starting work shifts on time and being available for patient care throughout a work shift, completing time cards promptly, submitting leave requests in a timely manner, complies with dress code and professional conduct towards staff and patients (see
RFHN Employee Handbook.)
- Attends all required staff and provider meetings. If < 50% FTE or not working on days of the meeting reads minutes and related emails.
- Reads and responds to email, voicemail, and texts promptly. Participates in committees and improvement efforts, as requested.
- Participates in quality improvement efforts according to established methodology and protocols.
- Works with care team to help patients meet health maintenance and chronic disease measures and assists in collecting data for the registry.
- Provides input into development of medical policies and protocols. Supports RFHN advocacy/outreach and organizational events.
- Implements and enforces clinic policies and procedures.
- Maintains patient confidentiality according to HIPAA standards at all times especially in the clinical areas.
- Obtains prior clearance from Medical Director for guests, students, or residents wishing to work, train or visit RFHN.
- If representing RFHN at an external event or organization, obtains prior clearance from Medical Director to review presentation.
- Must be in possession of a valid MD or DO license to practice in the State of California.
- Board certified in Internal Medicine, Family Practice or Pediatrics is required. Board eligibility is required for a new graduate while sitting for certification.
- Current CPR or BLS or PALS or ACLS. (note may update upon hiring due to COVID 19).
- Must be credentialed per RFHN policies and procedures for both clinical and billing purposes under Medicare/Medicaid and others; must keep credentials current.
- Thorough knowledge of current principles, methods and procedures for the delivery of medical evaluation and diagnosis and treatment in area of expertise, commensurate with his/her training.
- Experience in observing, assessing, examining and documenting key elements for many types of chief complaints.
- Knowledge of relevant medications and dosages and ability to instruct patients and their families in correct usage.
- Understands and observes legal and ethical standards for the delivery of medical care.
- Understands and follows quality, safety and/or infection control standards.
- Possesses effective verbal and written communication skills.
- Prior experience in a Community Health Center or with vulnerable high-risk populations; demonstrates special interest in the area of community medicine with ability to provide culturally competent care.
- Ability to complete a medical visit in Spanish is strongly preferred or a defined plan for attaining this proficiency is required.
- Ability to motivate patients to wellness.
- Diversity & Ethics: Shows respect and sensitivity for cultural differences; Treats people with respect; Keeps commitments; Inspires trust of others; Works with integrity and upholds organizational values.
- Attendance/Punctuality: Is consistently at work and on time as scheduled; Plans to ensure work responsibilities are covered when absent; Arrives at meetings and appointments prepared and on time.
- Customer Service: Manages difficult or emotional customer situations; Responds promptly to customer needs; Solicits customer feedback to improve service; Responds to requests for service and assistance, and meets commitments.
- Professionalism: Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments.
- Problem Solving: Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions; Works well in group problem solving situations; Uses reason even when dealing with emotional topics.
- Interpersonal Skills: Focuses on solving conflict, not blaming; Maintains confidentiality; Listens to others without interrupting; Keeps emotions under control; Remains open to others' ideas and tries new things.
- Written Communication: Writes clearly and informatively; Communicates change effectively; Edits work for spelling and grammar; Able to read and interpret written information.
- Teamwork: Balances team and individual responsibilities; Gives and welcomes feedback; Contributes to building a positive team spirit; Asks for and offers help; Supports everyone's efforts to succeed.
- Organizational Support: Follows policies and procedures; Observes reporting chain to escalate issues for resolution; Completes administrative tasks correctly and on time; Supports organization's goals and values; Is accurate and thorough;
- Judgment: Displays willingness to make decisions; Exhibits sound and accurate judgment; Supports and explains reasoning for decisions; Includes appropriate people in decision-making process; Makes timely decisions.
- Adaptability: Adapts to changes in the work environment; Prioritizes and manages competing demands; Changes approach or method to best fit the situation; Able to deal with frequent change, delays, or unexpected events.
- Dependability: Follows instructions, responds to management direction; Takes responsibility for own actions; Keeps commitments; Completes tasks on time or notifies appropriate person with an alternate plan.
- Safety and Security: Follows safety and security procedures; Completes health and safety training as scheduled; Competes TB annual screening; Reports potentially unsafe conditions; Uses equipment and materials properly.
- Service Orientation: Demonstrates a commitment to serving internal and external customers and or patients; Consistently seeks ways to improve service delivery and communicates ideas to management as needed.
- Communication: Communicates clearly, accurately, and concisely in verbal and written forms; Effectively adjusts communication to specific situations and diverse audiences to ensure information is understood; Works effectively with multi-cultural and economically diverse patients.
- Collaboration: Provides meaningful contributions and actively participates in team activities; Works as part of the care team to provide evidence-based care, health coaching, self-management tools and proactively addressing the needs of patients and their families.
- Quality: Actively participates in identifying areas for improvement and establishing methods for quality improvement.
INTERACTIONS WITH OTHER STAFF
Interrelationships with Other Staff:
- Executive Management Team members
- Clinical Providers
- Other Clinic Staff including managers, supervisors, leads and medical assistants
- Clinic Administrative staff
- Fiscal Department staff
- General Administration staff
- Health Education staff
- Paraprofessional Support staff
MENTAL AND PHYSICAL DEMANDS
- Pace of Work: High stress, very rapid and demanding.
- Concentration: Constant.
- Frequently required to utilize hand and finger dexterity.
- Occasionally required to bend, stoop or kneel.
- Standing and Walking Time Required: At least 50% of the time.
- Time Speaking and Listening: Constant.
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this role. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position. While performing the duties of this role the employee is regularly required to walk, drive, stand and sit, climb steps. The employee is required to use hands and fingers to operate a computer keyboard, mouse and telephone keyboard 80% of the time, and talk or hear 100% of the time. The employee must occasionally bend, lift and/or move up to 10 pounds. Specific vision abilities required by this position include, vision to drive, vision to walk, close vision, peripheral vision, and ability to adjust focus.
- Work is generally performed in a clinic setting and office environment but may include both indoor and outdoor responsibilities.
- Surrounding community is in an urban environment.
- Occasional exposure to communicable disease or other conditions in a clinic setting.
- The noise level in the work environment is usually moderate.
- Temperature conditions vary throughout the clinic from 66-78 degrees Fahrenheit.
- Travel as required or requested to accomplish program objectives.
- Involves frequent contact with staff and the public.
- Occasional stress from dealing with diverse customers and demands.
- Contact may involve dealing with angry or upset people.
- Rotating evening and weekend work may be required from time to time.
- Occasional exposure to cleaning liquids and toxic materials.
The work environment characteristics described here are representative of those the employee encounters while performing the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions of the position.
POSITION DESCRIPTION REVISIONS
This is not necessarily an exhaustive list of all responsibilities, skill, duties, requirements, efforts or working conditions associated with this role. While this is intended to be an accurate reflection of the current role, management reserves the right to revise the position description or to require that other or different tasks be performed when circumstances change. This position description replaces all previous descriptions.