Senior Access Geriatric Expansion (SAGE) Physician

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