Physician Assistant / PA - Primary Care - Salem

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. Care is provided in patient residences, as well as through audio and video sessions. This position may focus on regular care, providing ongoing care for patients within an assigned caseload and/or territory, including long-term strategies focused on disease prevention. This position covers the South and West Salem areas.

Responsibilities

• Provide diagnosis, treatment, consultation, and follow-up care of patients under collaboration with a licensed physician, including diagnosis and treatment of critical, prolonged, and long-term healthcare issues.
• 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.
• Identify, evaluate, and address the prevention of diseases, maintenance of chronic diseases, and appropriate end-of-life care per the goals of care outlined by the patient and their families.
• Develop and implement proactive patient-centered care plans with the assistance of other disciplines within the care team.
• Order testing in diagnostics, order medications with appropriate follow-up and reassessment, and perform some surgical procedures as appropriate under certification.
• Approve medication refills and home health orders and respond to caregiver requests to provide continuity of care.
• Provide compassionate anticipatory guidance through decline due to chronic disease and high-quality palliative care focused on the goals of the patient and family.
• Educate patients and families on goal-based, appropriate preventative care, medical issues, and use of prescribed medications and treatment.
• Develop and maintain relationships with lay and professional caregivers, including care facilities, to ensure patients experience excellent continuity of care and orders are implemented appropriately.
• Deliver quality care while maintaining all company metrics pertaining to productivity.
• Participate in after-hours call schedule.
• Communicate effectively with members of the medical staff on issues concerning consultation, collaboration, and referrals.
• Determine need for specialty and rehabilitative services and make appropriate referrals.
• Oversee the care plan/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.
• Perform work in alignment with the organization’s mission, vision, and values.
• Support the organization’s commitment to equity, diversity, and inclusion by fostering a culture of open-mindedness, cultural awareness, compassion, and respect for all individuals.
• Strive to meet annual business goals in support of the organization’s strategic goals.
• Adhere to the organization’s policies, procedures, and other relevant compliance needs.

Requirements

• Master’s level education with major course work in primary care program for physician assistants or related field.
• Licensed physician assistant in the State of Oregon.
• Drug Enforcement Administration (DEA) license.
• Certification by NCCPA.
• 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 Qualifications

• Minimum 2 years of relative clinical experience.

Skills

• Knowledge of the principles and practice of medicine including urgent care and triage practices for providers focused on Relief Care.
• Proficient in the practice of geriatrics and palliative care.
• Knowledge of principles, practices, and procedures of general medicine and surgery.
• Knowledge of methods and techniques of diagnosing and treating a variety of diseases and injuries.
• 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.
• Familiar with the medical charting system.
• 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 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 work within a team and take direction from other team members with expertise in the care plan development.
• 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.
• The following cognitive or mental requirements are necessary on a regular basis:
  • Critical thinking
  • Reading, writing, mathematics
  • Drawing conclusions from written or computer-generated materials
  • Implementing recommendations by coordinating people and/or other resources
  • Developing plans, procedures, goals, strategies, or processes
  • Clear verbal articulation
  • Ability to tolerate and manage stress and grief
• Physical abilities:
  • Ability to see, read, hear, speak clearly, and perform repetitive finger and wrist movement for at least 6 hours/day.
  • Ability to lift, carry, push, pull, stand, reach, bend, and/or pinch small objects for at least 3-6 hours/day.
  • Ability to crouch, crawl, walk, and climb stairs for at least 1-3 hours/day.
  • Ability to operate a motor vehicle.

Working Conditions

• Work Environment(s): Indoor/Office, Community, Outdoor.
• Member/Patient Facing: Telephonic and 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: Community - 5 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.

Pay

Estimated hiring range: $140,940.00 - $172,260.00. Bonus target available.

Benefits

CareOregon offers a strong Total Rewards Program, including competitive pay, bonus opportunity, and a comprehensive benefits package. Eligibility for bonuses and benefits depends on factors such as position type and scheduled weekly hours. Benefits-eligible employees qualify for benefits beginning on the first of the month on or after their start date.

• Medical, dental, vision, life, AD&D, and disability insurance.
• Health savings account, flexible spending account(s), lifestyle spending account.
• Employee assistance program, wellness program, discounts, and multiple supplemental benefits (e.g., voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre-tax parking, pet insurance, 529 College Savings, etc.).
• Strong retirement plan with employer contributions.
• Benefits-eligible employees accrue PTO and Paid State Sick Time based on hours worked/scheduled hours and the primary work state.
• Paid holidays, volunteer time, jury duty, bereavement leave, and more, depending on eligibility.
• Non-benefits eligible employees can enjoy 401(k) contributions, Paid State Sick Time, wellness, and employee assistance program benefits, and other perks.