Geriatric Physician (e-Consult)

Geriatric Physician e-Consultant

Our Culture- Why work with us:

Joining Outer Cape Health Services isnt just about taking on a new role; its about embracing a mission that goes beyond the day-to-day. Here, you become part of a dedicated team committed to safeguarding and nurturing invaluable community health resources. Our ethos is built on creating a vibrant and inclusive workplace where every team member is valued and recognized for their unique contributions.

Who We Are:

Our mission is to provide a full range of primary health care and supportive social services that promote the health and well-being of all who live in or visit the ten outermost towns of Cape Cod.

OCHS now cares for more than 20,000 patients annually, and no one is denied access to services due to an inability to pay. Founded in 1987 through the merger of Health Associates of Provincetown (established in 1972) and the AIM Medical Center in Wellfleet (established in 1966), Outer Cape Health has a long history of successful growth and expansion in pursuit of this mission. As a Patient-Centered Medical Home, OCHS holds itself to the highest standards. Ensuring patients have access to care when they need it and request it and validating that staff are working at the top of their licensures are the foundations of this model.

Our Core Competencies:

At Outer Cape Health Services, our core competencies are the foundation upon which our organization is built, guiding us in our mission to deliver exceptional health services to our communities. Our focus on fostering teamwork ensures that we operate as a cohesive unit, valuing each members contribution and working synergistically towards common goals. Integrity and honesty stand at the heart of everything we do, creating a culture of trust and respect among our team and the communities we serve. Embracing technology, we continually seek innovative solutions to enhance our services and operations. Finally, being patient-centered, we prioritize the needs and well-being of those we serve, striving to exceed expectations and make a meaningful difference in their lives.

A Day in the Life of this Role:

Reporting to the Senior Medical Director for Clinical Services, the Geriatric Physician role centers on primary electronic consultation (e-consult) support to Outer Cape Health Services primary care physicians and advanced practice providers managing complex older adults (age 65+). The Geriatric Consultant delivers timely, high-value, asynchronous e-consult guidance on clinical management questions, enabling primary care teams to address geriatric complexity efficiently within their existing workflows.

When a case is particularly complex and would benefit from direct discussion, a one-on-one consultation with the geriatrician may be arranged, with additional time allocated as needed.

In addition, the Consultant will curate and deliver a focused five-part Geriatric Education Series grounded in the Age-Friendly Health Systems 5Ms Framework (Mind/Mentation, Mobility, Medications, Multi-complexity, and What Matters Most). The series is designed to complement the e-consult service by building primary care providers' knowledge, confidence, and practical skills in delivering high-quality, age-friendly ambulatory care.

This flexible role is ideal for an experienced geriatrician who values efficient, high-impact e-consult support, selective real-time consultation for complex cases, clinician education, and strengthening primary care capacity in a community health center setting.

Summary of Duties:

Primary Focus: Geriatric E-Consult Support

• Provide timely, asynchronous electronic consultation (e-consult) to primary care clinicians on management questions involving complex older adults (e.g., multimorbidity, polypharmacy, cognitive impairment/delirium risk, falls and frailty, functional decline, goals of care, and care transitions).
• Deliver practical, evidence-informed recommendations that are concise, actionable, and aligned with busy ambulatory practice and available Outer Cape community resources.
• Apply and model the 5Ms Framework in e-consult responses to guide individualized, age-friendly care planning.
• When a case is complex and would benefit from direct discussion, arrange a one-on-one consultation (virtual or hybrid) with the geriatrician; additional time may be added as needed to support thorough review and collaborative decision-making.
• Support interdisciplinary collaboration as needed (behavioral health, care management, pharmacy, Councils on Aging) through clear e-consult communication.
• Document e-consult input (and any one-on-one consultation notes) in a structured, usable format within the electronic health record or designated e-consult platform.

Complementary: Geriatric Education Series

• Design and lead a focused five-part educational series specifically developed to reinforce and extend the e-consult support provided in this role.
• Structure content around the Age-Friendly Health Systems 5Ms Framework, emphasizing practical, immediately applicable strategies for primary care.
• Deliver sessions in flexible formats (hybrid, brief didactic + case discussion, or recorded asynchronous options) that accommodate clinical schedules.
• Incorporate real-world e-consult themes and cases to strengthen the connection between consultation support and education.
• Gather feedback and refine the series to maximize impact on provider confidence and clinical practice.

Additional Contributions

• Promote an equity-centered, culturally responsive approach to the care of older adults.
• Contribute insights from e-consult patterns to continuous improvement of age-friendly processes within OCHS primary care.
• Other related duties and projects as assigned.

What we need from you:

• MD or DO with board certification in Internal Medicine or Family Medicine and formal fellowship training in Geriatric Medicine.
• Current, unrestricted Massachusetts medical license.
• Demonstrated expertise in the clinical care of complex older adults and application of the Age-Friendly Health Systems 5Ms Framework.
• Experience providing high-quality electronic or asynchronous consultation (e-consult) preferred; strong ability to deliver clear, concise written clinical guidance essential.
• Strong teaching and communication skills with experience educating primary care clinicians.
• Commitment to health equity and serving diverse, underserved, and rural populations.
• Excellent interpersonal skills, communication skills, organizational abilities, computer experience, and the ability to work within a collaborative team setting.
• Excellent written and verbal communication skills - bi-lingual helpful.
• Proficiency in computer skills including EPIC, Outlook, Microsoft office, OneDrive, etc.
• Excellent judgment and ability to solve problems in a timely manner.
• Ability to adhere to strict confidentiality standards.
• Demonstrated ability to work effectively both as a team member and independently in a culturally diverse and inclusive environment.

Preferred

• Prior experience delivering geriatric e-consults or similar remote specialty support to primary care teams.
• Experience developing and delivering structured educational curricula for clinicians.
• Familiarity with community health center/FQHC operations, team-based care, and rural healthcare delivery.
• Comfort with telehealth and electronic consultation platforms.

AAP/EEOC Statement

Outer Cape Health Services is committed to providing equal employment opportunity in all our employment programs and decisions. Discrimination in employment on the basis of any protected class under federal, state, or local law is a violation of our policy and is against the law. Equal employment opportunity is provided to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, covered veterans' status, marital status, personal appearance, sexual orientation, family responsibilities, matriculation, political affiliation, or any other protected characteristic. This policy applies to all terms and conditions of employment, including, but not limited to, recruitment and hiring, placement, promotion, termination, reductions-in-force, recall, transfer, leave of absence, compensation, and training.

In accordance with Massachusetts law, we are committed to wage transparency. The salary range for this position is $135 - $140. This range is provided to promote equity and transparency in our hiring process. Actual compensation may vary based on factors such as experience, qualifications, internal equity, and other job-related criteria.