myPlace Health·Los Angeles, California
Physicians will lead within a collaborative Interdisciplinary Team (IDT) model, providing longitudinal primary medical care to PACE participants across multiple settings including home and virtually. Key duties involve driving clinical decision-making, coordinating whole-person care, and supporting participants through hospital and skilled nursing facility transitions.
Practice Medicine With Purpose—And a Team Beside You
Practice medicine with time, teamwork, and real impact. As a Physician in our PACE program, you’ll care for older adults with complex needs through relationship-based primary care—partnering with an Interdisciplinary Team and meeting participants where they are (in the center, at home, virtually, or in skilled nursing settings). This is whole-person, value-based care built around dignity, coordination, and helping people stay healthier at home.
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Lead within a collaborative IDT model: Serve as a member of the IDT, completing assessments, participating in care planning, and reviewing Service Determination Requests.
Provide longitudinal primary care: Deliver direct primary medical care to PACE participants—including histories and physicals—while actively growing and managing a panel in close collaboration with a Complex Care RN.
Drive clinical decision-making: Initiate, evaluate, review, and close orders for medications, diagnostics, referrals, and treatments.
Treat participants across settings: Evaluate and treat participants in the center, at home, virtually, in SNFs, and other settings as needed.
Coordinate whole-person care: Liaise with Behavioral Health, Pharmacy, and other IDT members to coordinate care that’s clinically sound and person-centered.
Support hospital transitions: Support participants through hospital admissions—overseeing inpatient management, updating the IDT, leveraging consultants as needed, and supporting safe discharge planning.
Support SNF transitions: Facilitate nursing home admissions, conduct in-person assessments, coordinate with SNF staff and the IDT, and support safe discharge when appropriate.
Teach and empower: Educate team members, participants, and caregivers on medical care plans, medications, and next steps.
Ensure appropriate specialty care: Initiate referrals to specialists and approve return appointments as clinically appropriate.
Perform procedures within competency: Perform selected in-office procedures for which competencies are met.
Document clearly and on time: Document all participant interactions, assessments, and action items in the EMR within specified timeframes.
Support accurate risk adjustment: Engage with documentation specialists for HCC medical coding capture.
Provide after-hours support: Remotely take after-hours calls triaged by a nurse team on a rotating schedule.
Grow in value-based care: Opportunity to learn value-based care strategies and how to manage high-need, high-cost populations.
1+ year of experience caring for frail and elderly populations.
Communication that builds trust: Strong interpersonal and communication skills with participants, caregivers, and teammates.
Independent leadership + true collaboration: Ability to lead independently while also working collaboratively in a team-based setting.
Medical training foundation: Graduate of an accredited School of Medicine or Osteopathy with 2+ years of experience.
California readiness: Active, unrestricted MD/DO license in California and CPR certification.
Residency completed: Successful completion of an ACGME-accredited residency program.
Education credentials: Master’s Degree / Doctorate Degree.
Board certified: Board Certification in Internal Medicine or Family Practice.
Geriatrics a plus: Board Certification in Geriatrics preferred.
Prescribing credentials:State CDS certification and DEA registration.
Language skills (preferred): English required; Spanish preferred.
Mobility to meet participants where they are: Proof of a valid CA driver’s license, personal transportation,
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If you’re looking for meaningful, relationship-based medicine—and a team model that truly supports great care—we’d love to meet you. Apply today to be considered for current and future Physician openings in our PACE program.
Candidates must be a graduate of an accredited School of Medicine or Osteopathy with at least 2 years of post-residency experience, holding an active, unrestricted California MD/DO license and CPR certification. A strong preference is given to those Board Certified in Internal Medicine or Family Practice, with experience caring for frail and elderly populations being essential.
Market context
In California, physician openings are typically driven by ongoing demand across large health systems, outpatient groups, and specialty practices, with competition shaped by board eligibility, licensure, and specialty fit. For this role category, candidates are often compared on clinical experience, communication skills, and readiness to work within team-based care. The job requirements and benefits on this platform are AI-summarized from the original job description, saving candidates research time. Review the CPT and BLS requirements carefully and confirm your experience aligns with the listed laboratory and acute-care expectations before applying.