Clinic Physician relocation to Porterville, CA 93257
Job Description
**Reports To**: Medical Director **Prepared By**: Human Resources
**FLSA Status**: Part-Time/Full-Time, Exempt **Salary Grade**: D.O.E.
**Revision Date**: 6-23-2025 (CEO) **Approval Date**: 11/16/2015
**Hours Needed**: Monday – Friday 7:00am – 5:30pm
(Flexible Hours when needed)
**Student Loan repayment eligible through I.H.S. *H1B Visa Flexible**
**POSITION SUMMARY**
Under the direction of the Medical Director, the Clinic Physician is the primary point of contact for the examination, diagnosis, and medical prevention/treatment/education of for a full range of patients at TRIHCI. In this capacity, the Clinic Physician performs his/her duties with professionalism, compassion, and sound judgment to partner with TRIHCI’s patients to improve their health status and quality of life. While not serving in a programmatic supervisory capacity, the Clinic Physician does function to directly oversee the medical practice of mid-level providers and to direct and coordinate the work of others (e.g. medical and lab assistants, etc.) to ensure the quality of medical services provided. The Clinic Physician must be able to communicate well and be able to establish rapport with patient and their families, being sensitive to the needs of the Indian community and its cultures, traditions, behavior patterns, and backgrounds. The Clinic Physician must be familiar with the objectives of TRIHCI, must maintain genuine enthusiasm for the success of TRIHCI’s health programs, and consequently exercise a strong sense of stewardship in developing and maintaining community relations.
**ESSENTIAL DUTIES AND RESPONSIBILITIES:**
1. Perform and provide primary medical diagnostic, preventative, education, and treatment services at all TRIHCI facilities, and in accordance with applicable policies and standards.
2. Initiate thorough patient interviews/medical histories and coordinate appropriate diagnostic and screening tests/examinations.
3. Deliver preliminary diagnosis to patients and direct, prescribe, or provide a full treatment regimen, including health education, health maintenance, prescription medications, and follow-up services.
4. Prepare, maintain, and update physical and electronic medical records in accordance with sound medical practice guidelines and organizational need.
5. Coordinate patient referrals for specialty health care, including coordination with TRIHCI’s Purchase Referred Care (PRC) department and available telemedicine programs.
6. Admit or coordinate the admission of patients to area hospitals as necessary.
7. Consult with other medical, mid-level, and nursing providers to ensure effective case management and to address complex or difficult patient issues.
8. Coordinate, supervise, perform, and/or review routine lab work and therapeutic procedures including injections, immunizations, debridement, suture and care of superficial wounds, and other procedures.
9. Contribute to the evaluation of clinic programs and quality improvement through participation, development, and implementation of quality improvement initiatives.
10. Attend and contribute to all required meetings/consultations including general and medical staff meetings, and all specialized committee meetings (e.g. Diabetes Care, PRC Clinical Review, GPRA, etc.).
11. Assist clinical staff in monitoring, determining the need for, and ordering medical supplies, equipment, and medications kept onsite.
12. Effectively represent TRIHCI by leading and participating in all program reviews by regulatory agencies (IHS, IHP, CHDP, Managed Care system, etc.).
13. Work in conjunction with TRIHCI leadership to ensure all required medical reports are completed in a timely manner, including annual diabetic audits, immunization reports, BOD reports, and other reports.
14. Direct, monitor, and contribute to the development of mid-level providers through protocols, policies and procedures, and direct coaching.
15. Contribute to the development and implementation of medical standing orders, policies and guidelines, and treatment protocols as required by leadership or law.
16. Carryout special assignments to upgrade clinical quality of care and administration as assigned.
17. Perform general medical or administrative duties, within the appropriate scope of work, as needed and assigned.
18. Occasional Saturday coverage as required and after-hours paid telephone call.
**QUALIFICATIONS:**
1. Must possess broad competency with medical skills and knowledge, and be able to effectively apply them in an ambulatory outpatient setting.
2. Must possess or be able to obtain specific regulatory knowledge as it pertains to Indian health from entities such as IHS, CRIHB, IHP, and the State of California.
3. Must have good communication skills, be able to effectively communicate with diverse populations, and be willing to convey responsibilities to patients.
4. Demonstrate the ability to work independently in carrying out assignments while remaining reliable and dependable.
5. Possess basic computer and database software operation knowledge, and demonstrate a working knowledge of routine office hardware and equipment (e.g. printers, copiers, fax machines, etc.).
6. Must demonstrate the ability to maintain accurate records and preparing clear and accurate reports for informational, auditing, and operational use, including capacities for attention to detail and for reviewing and verifying accuracy of data.
7. Possess the ability to organize and follow one’s own work schedule (i.e. setting priorities, being available during work hours, and meeting critical deadlines).
8. Possess the ability to perform well in group problem-solving situations and use reason even when dealing with highly emotional topics.
9. Possess the ability to become knowledgeable of health needs and services provided to the Indian community both on and near the reservation.
10. Demonstrate the competency and integrity to maintain the confidentiality of organizational, employee, and client records.
11. Possess the ability to deliver effective education, training, and presentations on technical medical subjects to large and/or small groups of various educational and cultural backgrounds.
12. Knowledge of causes, means of transmission and methods of control of communicable disease, principles and practices of diagnosis and treatment of common medical problems.
13. Must possess basic computer and database software operation knowledge, and demonstrate a working knowledge of routine office hardware and equipment (e.g. printers, copiers, fax machines, etc.).
14. Must demonstrate the competency and integrity to maintain the confidentiality of organizational, employee, and client records.
15. Must be able to prepare, maintain, and update physical and electronic medical records in accordance with sound medical practice guidelines and organizational need.
16. Must be able to recognize and evaluate situations which call for immediate attention of the physician and, when necessary, initiate treatment procedures essential for the life of the patient.
17. Must be able to coordinate patient referrals for specialty health care, including coordination with TRIHCI’s.
18. Purchase Referred Care department and available telemedicine programs.
19. Must be able to collaborate with Clinic Physicians on the development, updating, and implementation of FNP protocols and other necessary medical protocols in accordance with governing regulations and standards.
20. Must be able to assist Clinic Physicians in the coordination of hospital admissions, the development of treatment plans, and other dimensions of treatment and education.
21. Must be able to consult with other medical, mid-level, and nursing providers to ensure effective case management and to address complex or difficult patient issues.
22. Must be able to coordinate, supervise, perform, and/or review routine lab work and therapeutic procedures including injections, immunizations, debridement, suture and care of superficial wounds, and other procedures.
23. Must be able to contribute to the evaluation of clinic programs and quality improvement through participation, development, and implementation of quality improvement initiatives.
24. Must be able to attend and contribute to all required meetings/consultations including general and medical staff meetings, and all specialized committee meetings (e.g. Diabetes Care, PRC Clinical Review, GPRA, etc.).
25. Must be able to perform general medical or administrative duties, within the appropriate scope of work, as needed and assigned.
26. Must possess a Valid California Driver’s License and be insurable with the Tule River Indian Health Center Inc. insurance agency.
27. Must pass pre-employment drug & alcohol test.
28. Must pass pre-employment physical.
29. Must pass background check.
30. Must provide an updated DMV printout upon hire.
31. Must have a working home/cell phone for immediate contact.
32. Must maintain a professional appearance and attitude.
33. Must maintain absolute confidentiality regarding patients per HIPAA and TRIHCI policies.
34. Must be able to multitask.
35. Must have good communication skills and be able to effectively communicate with diverse populations.
36. Must demonstrate the ability to maintain accurate records and preparing clear and accurate reports for informational, auditing, and operational use, including capacities for attention to detail and for reviewing and verifying accuracy of data.
37. Must possess experience in working in a health care facility setting.
38. Maintain confidentiality in the workplace.
39. Must be willing to travel.
40. Willing to participate in Meaningful Use Program.
41. American Indian preference in accordance with Indian Preference Act (Title 25, U.S. Code, § 472 & 473).
**EDUCATION AND/OR EXPERIENCE**
A valid medical degree (MD or DO) from an accredited School of Medicine is required for this position. Residency in Family or Internal Medicine is acceptable.
**CERTIFICATES, LICENSES, REGISTRATIONS**
1. A current Californiadriver’s license and a good driving record are required for this position. Current medical licensure in the State of California, First Aid/CPR at BCLS level, current BCLS certification, and current DEA and NPI registration numbers are also required from this position.
**PREFERRED QUALIFICATIONS AND CONTINGENCIES**
Two (2) to four (4) years prior medical experience in an ambulatory healthcare setting; Board certification in a primary care specialty; ACLS and/or PALS certification; and the ability to obtain local hospital admitting privileges are preferred for this position. Knowledge pertaining to AAAHC or JCAHO standards for accreditation and patient care are also preferred.
TRIHCI maintains a drug- and alcohol-free workplace, and all offers of employment are contingent on the successful completion of a criminal background check, a post-offer drug test and physical, and verification of each candidate’s right to work in the United States.
Tule River Indian Health Center, Inc. (TRIHCI) is pleased to offer the following benefits to its full time employees:
100% employer paid Medical Dental and Vision Plans (TRIHCI pays 85% of dependent premiums)
Rich PPO plans with the option of buy-up plans
Voluntary Life/AD&D and Short-Term Disability Insurance
403(B) Plan Contribution
16 paid Holidays, 17 after 1 year of employment
Loan Repayment Program available through IHS
Job Types: Full-time, Part-time
Pay: $200,000.00 – $280,000.00 per year
Expected hours: 40 per week
Benefits:
* 403(b)
* Dental insurance
* Employee assistance program
* Flexible spending account
* Health insurance
* Life insurance
* Loan repayment program
* Paid time off
* Retirement plan
* Vision insurance
Willingness to travel:
* 25% (Preferred)
Work Location: On the road
