The mission of Lyon-Martin Health Services is to provide high quality, compassionate and trauma-informed medical, gynecological, and mental health care services to trans, non-binary, gender non-conforming, and intersex communities and cis-gender women with specific sensitivity to sexual orientation, gender identity, disability, race, ethnicity, and language regardless of immigration status or ability to pay. We aim to address and eliminate health equities for our communities by rooting our clinical practice in core foundational frameworks of intersectionality, self-determination, harm reduction, and reproductive and disability justice. As a community clinic, we believe our communities are best served by and for us; that’s why community outreach, engagement, and leadership development is central to our mission of community care and mutual aid. Lastly, we commit to increasing access to culturally responsive care beyond our walls through provider training and education, and policy advocacy.
The Primary Care Physician is responsible for diagnosis and treatment of Lyon-Martin patients presenting for medical care, for providing such care in a sensitive and non-judgmental manner, and for making appropriate internal and external referrals. The physician will provide after hours coverage for the clinic by telephone on a rotating basis (an average of once every 6 weeks). They oversee nurse practitioners and have the opportunity to teach medical and nursing students and residents. They will work closely with behavioral health providers to provide a holistic and integrated model of care. They are expected to maintain a high degree of professional competence and the highest possible ethical standards, and to function as part of an integrated care-giving team.
Medicine Responsibilities: Provides preventive oriented ambulatory primary care as part of an integrated health care team in a Patient Centered Health Home delivery model. Provides primary care to those with chronic disease, addiction, mental illness. Understanding social determinants of health, their impact on health disparities, and treatment and referral coordination to support addressing patient needs regarding determinants. Assist Medical Director in supporting mid-level practitioner and reviewing mid-level practitioner and/or peer-physician charts. May act as clinical lead in the absence of the Medical Director.
Performance Management Responsibilities: Participates in the clinic performance improvement program, which may include monthly QI team activities, peer review, etc. Works effectively in an integrated health care team including active scheduled management, team huddles, chart preparation, working collaboratively with team members, etc. and can provide support to and work closely with behavioral health for consultation support. Participates in weekly Integration meetings.
Supervision Responsibilities: Acts as lead to integrated healthcare team. Supervises mid-level clinicians, nursing staff, medical residents and students, attends staff meetings. Assists Medical Director in developing and implementing teaching curriculum for staff, residents, and students as assigned.
- Provide comprehensive care, within the scope of credentialed privileges, to Lyon-Martin clients, documenting care promptly and following charting protocols and applicable CA state licensing requirements; ensure appropriate follow-up for all aspects of ordered care (e.g., specialty referrals, laboratory results, radiology reports, etc.).
- Maintain familiarity with the standardized procedures as agreed to by the supervising physician and utilize them to guide care.
- Develop a continuity panel of clients.
- Complete patient sessions in a timely manner.
- Provide on-call after-hours availability on a rotating basis.
- Provide clinical leadership to support staff, including medical assistants, patient care coordinators, front office staff and receptionists.
- Work collaboratively with mental health staff to facilitate integration between primary care and mental health to improve patient outcomes.
- Meet benchmarks for quality indicators as noted in the annual quality management plan.
- Along with colleagues, assist in continuous quality improvement through on-going needs assessment and problem solving.
- Maintain availability for various administrative/clinical duties. Such duties may include case presentations; in-service training to staff; supervision of students, interns, residents, nurses, and medical assistants; leadership/consultation to agency committees; attendance/speaking at fundraising events, etc.
- Attend continuing professional education programs, at the request or with the approval of supervisor, demonstrating participation in 30 hours continuing professional education every 2 years.
- Represent Lyon-Martin at and/or attend professional conferences, in-service trainings, and meetings.
- Obtain and maintain licensure, DEA registration and BCLS/CPR certification.
- Complete all mandatory trainings on an annual basis.
- Comply with all aspects of Lyon-Martin Policies and Procedures applicable to Medical Staff members as well as all agreements with insurers and other entities that contain provisions applicable to or affecting the duties and responsibilities of Medical Staff; and all applicable statutes, regulations, governmental agency guidelines, and non-governmental oversight body requirements that place requirements on Lyon-Martin.
- Perform other duties as assigned by supervisor to maintain a high level of patient-centered care.
- Provide comprehensive care, within the scope of credentialed privileges.
- Analyze and interpret patients' histories, symptoms, physical findings, or diagnostic information to develop appropriate diagnoses.
- Maintain complete and detailed records of patients' health care plans and prognosis, documenting care within 72 business hours per policy and following charting protocols and applicable CA state licensing requirements
- Medical examination will include the interpretation of all routine laboratory tests.
- Ensure appropriate follow-up for all aspects of ordered care (e.g., specialty referrals, laboratory results, radiology reports, etc.).
- Diagnosis and treatment of illness and injury. Consulting with the Medical director and/or supervising physician for treatment referral options as needed.
- Maintain current productivity standards as assigned by supervisor through appropriate scheduling and monitoring of no-show rate.
- May be required to work evenings and weekends.
Education and Knowledge, Skills and Abilities
Education and Experience Required:
- M.D. or D.O. degree from an accredited United States medical school.
- Successful completion of internship and residency in primary care, internal medicine, OB/GYN with experience managing patients with substance use disorder/addiction.
- Experience working with lesbian, bisexual, transgender, gender non-conforming, non-binary, and intersex clients.
- Experience working with populations with varying lifestyles, disabilities, racial, ethnic and cultural backgrounds and economic statuses.
- Experience working with clients who do sex work, those experiencing homelessness, people who have challenges with mentally illness and/or are using substances, those of with a history of incarceration, people of varying ages.
- Board Certified in family medicine or internal medicine.
- Valid and active California medical license, without any limitations on license to practice in specialty.
- Eligible to participate in the CMS Medicaid/Medicare reimbursement programs.
- Valid and active DEA license with X waiver to prescribe buprenorphine; if does not have X waiver must obtain within 6 months of hire.
- Current BLS/ACLS certificate or recertification within 2 months of hire.
- Knowledge of third party payer regulations, California practice guidelines and malpractice laws, Title 22, HIPAA regulations, Bureau of Primary Health Care FQHC program regulations.
- Proficiency in a language in addition to English preferred, especially Spanish.
Transgender, LGBQ Women, BIPOC, and people living with chronic illnesses and disabilities encouraged to apply.
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.