Primary Care Physician

Primary Care Oakland, California Berkeley, CA Oakland, California San Leandro, California Concord, California


The Position: Under the direction of the Chief Medical Officer, the Primary Care Physician is responsible for the medical care of participants enrolled in the PACE program. The Primary Care Physician provides leadership to educate interdisciplinary team (IDT) members regarding medical issues and works collaboratively with clinic leadership and site managers to ensure clinic and site function well.  The Primary Care Physician  role models a collaborative partnership with the family and other caregivers to ensure that all the participants medical and non-medical care needs are met.

The Primary Care Physician will be responsible for the overall supervision of nurse practitioner’s furnishing/ordering activities, including providing consultation and evaluation the furnishing/ordering activities (e.g., by periodic chart reviews) and will be available in person or by telecommunications for consultation when indicated by the participant’s medical condition or by the nature of the therapeutic intervention.


  • Conducts comprehensive initial, 6 month, annual and periodic assessments of program participants.
  • Participates with interdisciplinary team in development and implementation of participants’ care plans.
  • Reviews and signs care plans every 6 months.
  • Conducts quarterly reviews on all participant care plans as required in between assessments.
  • Updates care plans per policies and procedures as new problems arise.
  • Updates IDT with regard to participant medical issues daily.
  • Participates in IDT discussions, care conferences, and family meetings as needed.
  • Provides primary care assessment and treatment to program participants.
  • Appropriate history and physical exam, including gathering information from multiple sources.
  • Oversees medication and other treatment decisions for frail seniors.
  • Oversees life care planning (advance care planning) and works with IDT to design care based on “what matters most” to participants.
  • Appropriate follow-up including ordering tests and consulting with participants’ family and support network.
  • Appropriate specialist referral and care coordination.
  • Provides on-call services to participants for after-hours coverage on a rotating basis
  • Telephonically coordinates care of hospitalized participants with , Emergency Department physicians, hospitalists and hospital specialists to ensure appropriate use of hospital services and coordinated care.
  • Updates team regularly regarding progress in hospital.
  • Charts progress periodically in CEI chart.
  • Coordinates specialist consultation and care.
  • Provides support for discharge planning with continuing care team.
  • Manages care of participants in nursing homes.
  • Ensures that nursing home participants are visited by an appropriate level provider at least monthly to monitor care.
  • Follows up with nursing home staff as needed to ensure care plan is followed.
  • Maintains a close, collegial working relationship with IDT members.
  • Leadership on medical decisions.
  • Shared decision-making approach to all decisions with participants.
  • Prompt availability for consultation.
  • Provides clinical supervision of advance practice clinicians, including nurse practitioners and physician assistants.
  • Signing off on requests for consultations and non-routine lab work by nurse practitioners and physician assistants.
  • Support of the CEI medical program:
  • Attends provider and clinic meetings which may include participation and leadership in task forces, ethics discussions, infection control committee, and other meetings and quality improvement activities when requested.
  • Assures that participant medical records are kept up to date, accurate, and legible, including the care plan, medical problem list, flow sheet, and progress notes.
  • Assists with clinic and administrative staff to keep clinic function smooth and efficient.
  • Participates in the agencies quality assurance performance improvement program (QAPI) as assigned.
  • Maintains the confidentiality of all company procedures, results and information about participants or families.
  • Follows all CEI Policies and Procedures.
  • Complies with all agency training requirements
  • Maintains safe working environment by following CEI’s safety P&P’s.
  • Maintains a courteous, helpful and professional attitude on the job. Displays a willingness and ability to be responsive to all customer groups
  • Performs other duties as assigned in a positive and helpful manner.


  • Physician holding an M.D. or D.O. degree and a current, unrestricted license to practice medicine in California. Employee must arrange to meet CME requirements for renewing license.
  • Minimum of 1 year’s experience working with a frail or elderly population.
  • Completed residency training in Internal Medicine or Family Practice; board certification and MOC preferred.
  • Sub-specialty training or experience in Geriatrics preferred.
  • Current unrestricted Drug Enforcement Agency Certificate.
  • Desire to work in the framework of a PACE model interdisciplinary team, and to understand and perform the physician role within the team.
  • A current certification in Basic Life Support (training provided if needed.)
  • Strong communication, interpersonal and leadership skills essential.
  • Ability to work as a team player in a multi-cultural, inter-disciplinary setting.
  • Bilingual skills preferred

Center for Elders’ Independence is a PACE (Program of All- Inclusive Care for the Elderly) organization that uses an interdisciplinary team approach to care planning and care implementation for the purpose of providing high quality, affordable, integrated health care services to the elderly, including an Adult Day Health Center, and promoting autonomy, quality of life and the ability of individuals to live in their communities. Unlike other healthcare plans, CEI is not a "fee-for-service" plan. It is a a “capitation” healthcare plan. CEI is paid a set amount for each person enrolled in our program, whether or not that individual seeks care. We are a growing company that offers stability and continues to thrive.