ESSENTIAL JOB DUTIES/RESPONSIBILITIES

• Independently provides care for patients with acute and chronic illnesses encountered in older adult patients.
• Takes full accountability for patient care and outcomes and appropriately seeks consultation from specialists when needed, while remaining involved in the detailed care of the patient.
• Engages with the hospitalist whenever one of their patients is in hospital (regardless of whether the hospitalist works for ChenMed or not).
• Responsible for assessment, diagnosis, treatment, management, education, health promotion, care coordination and documentation for patients with acute and complex chronic health needs.
• Leads their care team consisting of a care promoter (medical assistant), care facilitator and care coordinator for patients able to come to the office.
• For patients unable to come to the office – in hospital, SNF, LTC or homebound – engages with the transitional care team and ot...