Senior Access Geriatric Expansion (SAGE) Clinic Provider (NP/PA-C)

Essential Job Functions

• Provide both primary and consultative direct medical care to geriatric patients, including assessment, diagnosis, treatment, and management of both acute and chronic conditions in accordance with established protocols and within NP/PA scope of practice
• Lead the SAGE interdisciplinary team, which includes a nurse and community health worker, to provide support for patients and families on addressing unique complex medical and social issues in collaboration with supervising physicians
• Conduct routine screenings, preventive care, and health assessments to identify issues such as frailty, cognitive decline, polypharmacy, functional limitations, and goals of care
• Work collaboratively with outside specialists and other interdisciplinary team members across the organization (nurses, social workers, care coordinators, mental health providers, etc) to deliver person-centered care and consult with supervising physicians as needed for complex cases
• Advocate for seniors’ health and wellness needs within the community and assist in navigating social services and community resources
• Maintain accurate and timely documentation of patient care using electronic health record (EHR) systems
• Adhere to all FQHC regulations, standards, and guidelines to ensure compliance and optimal care delivery
• Provides evaluation and treatment for patients in out-patient primary care clinic under the supervision of a staff physician. Refers to complex cases to appropriate physicians.
• Plans a program of care in consultation with physicians, other professionals, patients and family as needed.
• Provide patient care according to protocols and quality assurance program criteria
• May be available for after-hours on-call clinical duties
• Assist in maintaining and facilitating clinical administrative operations, including protocol reviews and updates 
• Performs other duties as assigned

Leadership Responsibilities

• Provide mentorship and support to other clinical staff and trainees, fostering an environment of learning and professional growth around geriatric issues.
• Participate in quality improvement activities and collaborate with the leadership team to enhance patient outcomes
• Participate in the development and implementation of new geriatric care protocols and best practices in primary care
• Serve as a geriatric liaison to the AHS Program for All-Inclusive Care for the Elderly (PACE) for transitioning care of patients from FQHC to PACE

Minimum Qualifications

• Active and unrestricted California license as a Nurse Practitioner (NP) or Physician Assistant (PA-C)
• Experience in caring for patients with geriatric issues such as cognitive impairment/dementia, falls, polypharmacy, and goals of care
• Strong communication and interpersonal skills, with the ability to establish rapport and trust with older adults and their families.
• Commitment to providing high-quality, compassionate care to underserved populations.

Preferred Qualifications

Specialized training or clinical experience in geriatric care (e.g., postgraduate fellowship, residency, or focused practice in older adult populations) or at least 2+ years of experience taking care of geriatric adults
Experience working in a Federally Qualified Health Center (FQHC) or community health setting
Bilingual in Chinese (Mandarin or Cantonese), Vietnamese, and/or any Asian languages
Proficiency with EPIC (EHR).
Experience in managing an interdisciplinary team
Experience in a community health or federally qualified health center setting is preferred but not required
NP candidates only:
Certification as an Adult-Gerontology Nurse Practitioner (AGNP) or Adult-Gerontology Primary Care Nurse Practitioner (AGPCNP)
103/104 NP designation or eligibility to obtain

Certification, Licenses, Registrations

• Valid CA Nurse Practitioner or Physician Assistant license
• BLS Certificate
• Current DEA Registration
• NP only: Prescriptive authority, including Schedule II controlled substances, in accordance with California regulations