Provide primary and consultative geriatric care, lead an interdisciplinary SAGE team, perform screenings for frailty and cognitive decline, manage polypharmacy and complex conditions, coordinate with specialists and community resources, maintain EHR documentation, ensure FQHC compliance, mentor staff, and develop geriatric care protocols.
Asian Health Services, founded in 1974, provides medical, dental, and behavioral health services to more than 50,000 patients. Our approach to well-being focuses on “whole patient health” for all. We go beyond our clinic walls and invest in our community’s overall health. We know that income, housing, and environmental struggles lie at the heart of poor health. That’s why we also address food insecurity, youth leadership, and culturally competent care while working towards supporting safer streets and vibrant communities.
Location: Rolland & Kathryn Lowe Medical Center
Job Summary:
Asian Health Services (AHS) is seeking a Provider to join our team at a Federally Qualified Health Center (FQHC) as part of our Senior Access and Geriatric Expansion (SAGE) clinic. The ideal candidate will be passionate about providing high-quality care to elderly populations, particularly those facing complex health challenges. You will have extended time during clinic to see your patients and will work within a multidisciplinary team to ensure that our senior patients receive comprehensive, culturally competent care aimed at improving their quality of life.
Essential Job Functions
- Provide both primary and consultative direct medical care to geriatric patients, including assessment, diagnosis, treatment, and management of both acute and chronic conditions
- Lead the SAGE interdisciplinary team, which includes a nurse and community health worker, to provide support for patients and families on addressing unique complex medical and social issues
- Conduct routine screenings, preventive care, and health assessments to identify issues such as frailty, cognitive decline, polypharmacy, functional limitations, and goals of care.
- Work collaboratively with outside specialists and other interdisciplinary team members across the organization (nurses, social workers, care coordinators, mental health providers, etc) to deliver person-centered care
- Advocate for seniors’ health and wellness needs within the community and assist in navigating social services and community resources
- Maintain accurate and timely documentation of patient care using electronic health record (EHR) systems
- Adhere to all FQHC regulations, standards, and guidelines to ensure compliance and optimal care delivery
Leadership Responsibilities
- Provide mentorship and support to other clinical staff and trainees, fostering an environment of learning and professional growth around geriatric issues.
- Participate in quality improvement activities and collaborate with the leadership team to enhance patient outcomes
- Participate in the development and implementation of new geriatric care protocols and best practices in primary care
- Serve as a geriatric liaison to the AHS Program for All-Inclusive Care for the Elderly (PACE) for transitioning care of patients from FQHC to PACE
Minimum Qualifications
- Experience in caring for patients with geriatric issues such as cognitive impairment/dementia, falls, polypharmacy, and goals of care
- Strong communication and interpersonal skills, with the ability to establish rapport and trust with older adults and their families.
- Commitment to providing high-quality, compassionate care to underserved populations.
Preferred Qualifications
- Fellowship training in Geriatrics or at least 2+ years of experience taking care of geriatric adults
- Bilingual in Chinese (Mandarin or Cantonese), Vietnamese, and/or any Asian languages
- Proficiency with EPIC (EHR).
- Experience in managing an interdisciplinary team
- Experience in a community health or federally qualified health center setting is preferred but not required
Certifications, Licenses, Registrations
- Valid state medical license and DEA registration in California
- MD or DO with board certification in internal medicine or family medicine
- Basic Life Savings (BLS) certification
On-call and temporary employees does not qualify for company benefits.
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