Job Description Summary

‎

‎

How will you make an impact & Requirements

‎

With nearly 30 years of experience in providing advanced primary care, CareMore APC delivers exceptional patient experiences. Compassionate clinicians take the time to understand each patient’s unique health needs while also removing barriers to access. Patients trust us to receive the right personalized care where and when they need it – in our care centers, at home or virtually – to improve their health outcomes and quality of life.

Key Responsibilities:

• Perform Rounds at Assigned Nursing Homes:

  Conduct regular in-person rounds at designated nursing facilities in Orange County.

  Diagnose and manage chronic and acute conditions in elderly and medically complex patients.

• Prevent Hospital Readmissions:

  Proactively manage patient care to reduce unnecessary emergency room visits and hospital transfers.

  Respond promptly to changes in condition and coordinate with facility staff to stabilize patients on-site.

• Educate Patients and Families / Conduct Goals of Care Discussions:

  Provide clear, compassionate education to patients and families about diagnoses, treatment plans, and prognosis.

  Lead goals of care conversations, including advance care planning, code status, and palliative care options when appropriate.

  Ensure that care plans align with patient values and preferences.

• Close Gaps in Care and Ensure Quality Metrics:

  Identify and address care gaps such as overdue screenings, vaccinations, and chronic disease monitoring.

  Contribute to quality improvement and compliance initiatives aligned with value-based care programs.

• Document Thoroughly and Collaborate with Care Teams:

  Complete timely and accurate documentation in the electronic health record (EHR), supporting care coordination and regulatory requirements.

  Collaborate effectively with nurse practitioners, nurses, case managers, and other facility staff to deliver coordinated and comprehensive care.

  Provide oversight and support to NPs and participate in case discussions and care planning meetings.

Qualifications:

• MD or DO with an active California medical license

• Board-certified/eligible in Internal Medicine, Family Medicine, or Geriatrics

• Experience in post-acute, long-term care, or geriatric medicine preferred

• Proficient in conducting goals of care conversations.

• Familiarity with SNF regulations, Medicare guidelines, and value-based care models

• Strong interpersonal, leadership, and documentation skills

Compensation: $232,506K - $290,632K annual salary & bonus eligible

‎