The Primary Care Provider (PCP) provides primary care, continuous medical coverage, and directly provides primary care services to Northland PACE participants.  The PCP demonstrates the knowledge and skills necessary to assess, plan care for and provide services to frail elderly participants according to assigned responsibilities and Northland PACE standards.  The PCP directs participant medical care; assists/participates in quality improvement projects.

In accordance with all applicable federal, state and local laws/regulation and policies, procedures and guidelines, the Primary Care Physician take care of the basic health care needs of Northland PACE participants by focusing on general wellness and prevention of ailments through assessments and health screenings.

1. Promotes and explains the Northland PACE program to interested individuals, community groups and senior care agencies.
2. Serves as a liaison between PACE and the primary care medical community.
3. Works collaboratively with medical staff and the entire IDT team at all PACE sites.
4. Attends Inter-Disciplinary Team (IDT) meetings, providing leadership for and collaboration with other required team members.
5. Participates in meeting such as family meetings, care conferences, IDT and other meetings as necessary.
6. Collaborates with the IDT, participant and family members to evaluate participant care, needs, preferences and wishes to develop a comprehensive plan of care.
7. Performs initial participant assessment and, as necessary, periodic reassessments.
8. Evaluates participant’s physical complaints and medical needs in order to appropriately diagnose and recommend a therapeutic plan of care.
1. Conducts home visits inclusive of private homes, adult foster homes, assisted living facilities and basic care facilities, etc. as needed.
10. Participates in overseeing the care needs of participants in Skilled Nursing Facilities.
11. Maintains flexibility in schedule and responds to unexpected emergencies and changes in workload in order to fulfil responsibilities.
50. Shares on-call duties for non-office hours consistent with Northland PACE policies and procedures. 
1000. Maintains accurate and timely documentation of participant diagnosis.
14. Maintains privileges at community based healthcare facilities.
15. Maintains a professional appearance and manner in the clinical area and while representing the PACE program.
16. Utilizes specialist referrals, supplies and equipment in accordance with medical necessity, IDT decisions and as recommended by the Utilization Management Committee.
17. Knows and adheres to the philosophy and goals of the PACE program.
18. Understands, follows and supports Northland PACE policies and procedures.
19. Assists in development of PACE program policies and procedures and protocols for participant medical care.
20. Provides education or in-service training as needed, including conducting clinical and geriatric sessions for participants and staff.
21. Participates in continuing education classes and any required staff and training meetings. Maintains professional affiliations and any required certifications.
5. Maintains the confidentiality of all company procedures, as well as results, reports, discussion and information about participants and families.
23. Delegates to and collaborates with clinic support staff to promote efficient time use, including processes such as scheduling, documentation, provider communications and order processing.
10. Demonstrates service excellence through job performance to all participants.
25. Performs other duties as required in a positive and helpful manner to ensure a smooth running work area.
26. Demonstrates service excellence to all participants in job performance.

Education/Experience:   Medical Doctor degree and licensed to practice medicine in the State of North Dakota.  Board Certified in internal medicine or family practice.  Minimum of 5 years in medical practice for the chronic care population.  2 + years of experience with Geriatric Population, Experience and/or knowledge of Treatment Community in area.

OR

Master’s Degree in nursing/primary care.  Three-five years of experience as a Nurse Practitioner

Licensure, registry or certification required:  Current Medical License to practice in North Dakota. Current DEA Licensure

Must have a valid ND Controlled Substances and Federal DEA Certificate. 

Special Training:  Understanding of the PACE Model, Preventative Model of Care for Elderly.

Physical Demands:  Must be able to see, hear, and verbally communicate.  Must be able to move about freely and possess manual dexterity and visual acuity. 

Working Conditions:  Primarily inside, well-lit, climate controlled environment.  Occasional home visits, and within all PACE sites as necessary.