MOBILE PCP JOB SUMMARY

The Mobile Primary Care Physician is a licensed physician responsible for providing comprehensive primary care services to patients in their homes, assisted living facilities, independent living communities, group homes, and other community-based settings. The physician delivers preventive, acute, chronic, and transitional care services while promoting patient independence, reducing avoidable hospitalizations, and improving overall health outcomes.

The Mobile Primary Care Physician performs medical assessments, diagnoses and treats illnesses, prescribes medications and treatments, develops individualized plans of care, and coordinates services with patients, caregivers, specialists, community resources, and interdisciplinary healthcare teams. The physician serves as a clinical leader and advocate, fostering high-quality patient-centered care through evidence-based practice and proactive disease management.

DUTIES & RESPONSIBILITIES

Patient Care

• Provides comprehensive primary care services in patients' homes and community-based settings.
• Obtains and documents complete medical histories and performs physical examinations.
• Evaluates, diagnoses, and treats acute and chronic medical conditions.
• Develops, implements, and monitors individualized treatment plans.
• Prescribes medications, treatments, and therapeutic interventions as appropriate.
• Orders and interprets laboratory tests, imaging studies, and diagnostic procedures.
• Conducts annual wellness visits, routine preventive care screenings, and health maintenance evaluations.
• Performs transitional care management following hospitalization, emergency department visits, or skilled nursing stays.
• Provides chronic disease management for conditions such as hypertension, diabetes, congestive heart failure, COPD, dementia, and other complex medical conditions.
• Identifies patients who may benefit from palliative care, specialty referrals, or additional support services.
• Coordinates care with specialists, hospitals, home health agencies, hospice agencies, rehabilitation providers, and community services.
• Participates in advance care planning discussions and assists patients with healthcare decision-making.
• Maintains timely and accurate clinical documentation in the electronic medical record.
• Participates in after-hours coverage and call responsibilities as assigned.

Communication & Care Coordination

• Establishes therapeutic relationships with patients, families, caregivers, and healthcare partners.
• Collaborates with interdisciplinary team members to coordinate and optimize patient care.
• Communicates effectively with consulting physicians, specialists, hospitals, and post-acute care providers.
• Educates patients and caregivers regarding diagnoses, treatment plans, medications, preventive health measures, and disease management strategies.
• Participates in clinical team meetings, case reviews, and care conferences.
• Documents and communicates changes in patient condition promptly and appropriately.
• Facilitates coordination of community resources and supportive services.
• Promotes continuity of care across healthcare settings.

Quality & Compliance

• Maintains compliance with Medicare, Medicaid, state, federal, and accreditation requirements.
• Adheres to organizational policies, clinical protocols, and evidence-based practice standards.
• Participates in quality assurance and performance improvement initiatives.
• Supports initiatives designed to improve patient outcomes, patient satisfaction, and operational efficiency.
• Maintains compliance with Health Insurance Portability and Accountability Act (HIPAA) regulations.
• Assists with risk management and patient safety activities.
• Participates in peer review, chart audits, and quality monitoring activities as required.

Leadership & Professional Development

• Serves as a clinical resource and mentor for advanced practice providers, nurses, medical assistants, and other healthcare team members.
• Supports organizational growth through relationship development with community partners and referral sources.
• Maintains professional licensure, certifications, and continuing medical education requirements.
• Participates in organizational meetings, training programs, and educational activities.
• Demonstrates commitment to the organization's mission, values, and patient-centered philosophy.

JOB REQUIREMENTS

Education, Experience, Knowledge, Skills & Abilities

Required Education

• Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) degree from an accredited medical school.
• Completion of an accredited residency program in:
  • Family Medicine
  • Internal Medicine
  • Geriatric Medicine
  • Med-Peds
  • Other applicable primary care specialty

Licensure & Certification

• Current unrestricted medical license in the state of employment.
• Current DEA registration and authority to prescribe controlled substances.
• Current CPR/BLS certification.
• Board Certification or Board Eligibility in Family Medicine, Internal Medicine, Geriatrics, or related specialty preferred.

Experience

• Minimum one (1) year of clinical practice experience preferred.
• Experience in home-based primary care, geriatrics, value-based care, post-acute care, or population health management preferred.
• Experience caring for medically complex and underserved populations preferred.

Knowledge & Skills

• Strong knowledge of evidence-based primary care medicine.
• Thorough understanding of chronic disease management and preventive care principles.
• Knowledge of Medicare, Medicaid, and value-based reimbursement programs.
• Excellent clinical assessment, diagnostic, and treatment planning skills.
• Strong verbal, written, and interpersonal communication abilities.
• Ability to work independently in community and home-based settings.
• Strong organizational and time-management skills.
• Proficient use of electronic health records and mobile technology platforms.
• Ability to manage multiple priorities while maintaining quality patient care.

Other Requirements

• Ability to travel extensively throughout the service area.
• Must possess a valid driver's license.
• Must maintain automobile insurance and access to reliable transportation.
• Ability to safely transport medical equipment and supplies as required.

WORKING ENVIRONMENT

The Mobile Primary Care Physician routinely works in:

• Patient homes
• Independent living communities
• Assisted living facilities
• Group homes
• Residential care settings
• Community-based healthcare environments

Potential exposure includes:

• Blood and bodily fluids
• Communicable diseases
• Infectious illnesses
• Environmental hazards encountered in residential settings
• Variable weather and driving conditions

PHYSICAL REQUIREMENTS

The position requires the ability to:

• Frequently stand, walk, and travel between patient locations.
• Navigate stairs and residential environments.
• Lift and carry medical equipment and supplies up to 25 pounds.
• Bend, squat, kneel, reach, and position self to perform patient assessments.
• Maintain visual acuity, hearing, and manual dexterity necessary for patient care.
• Operate a motor vehicle safely for extended periods.

ACKNOWLEDGEMENT

The Mobile Primary Care Physician is expected to uphold the highest standards of professional conduct, ethical practice, patient advocacy, and regulatory compliance. This position supports and promotes compliance with the Code of Conduct by maintaining the privacy and confidentiality of patient information, protecting organizational assets, acting with integrity, reporting concerns, and adhering to all applicable federal, state, and local laws, accreditation standards, and organizational policies and procedures.