Primary Care Physician
Company: Evolve Healthcare Inc.
Location: San Francisco
Posted on: August 6, 2022
All Temporary/Relief Care Physicians assigned to CDCR must have the
minimum experience outlined below:
1. Twelve (12) continuous months of experience within the last
three (3) years performing services similar in scope to those
defined herein in a public or private institution.
2. Specialty Services - In addition to the above requirements,
Temporary/Relief Primary Care Physicians who are requested to work
in a specialized area such as emergency medicine, surgery, etc.,
shall also have at least two (2) years of experience within the
last three (3) years providing patient care within that setting and
possess any required certificates. Clinical competencies must be
current and validated for the area in which Temporary/Relief
Primary Care Physician will be assigned.
3. Obstetrics/Gynecology - Temporary/Relief Primary Care Physicians
provided to female Institutions/Facilities must also have at least
one (1) year of experience within the last five (5) years rendering
obstetric and gynecological nursing or patient care services in a
healthcare setting in addition to the above qualifications.
Clinical competencies must be current and validated for the area in
which Temporary/Relief Primary Care Physician will be assigned.
4. All Temporary/Relief Primary Care Physicians shall licensed to
practice medicine in the State of California as defined in the
Medical Practice Act, Chapter 5, commencing with Section 2000 of
the Business and Professions Code and possess a valid Physician
license as issued by the Medical Board/Osteopathic Board of
California. Temporary/Relief Primary Care Physician must be a
Medical Doctor or Doctor of Osteopathy (M.D./D.O.), Board
Certified, maintain Advanced Cardiovascular Life Support (ACLS)
certification, maintain current Drug Enforcement Administration
(DEA) Certification and maintain active CCHCS credentialing
5. A Fictitious Name Permit (FNP) must be on file with the
California Department of Consumer Affairs under the name of the
Medical Corporation being used, as specified in the Medical
Practice Act, Chapter 5, commencing with Section 2000 of the
Business and Professions Code. of the Business and Professions
6. Any Temporary/Relief Primary Care Physician providing services
through this Agreement must be proficient in the English language
and be able to communicate effectively with the CDCR/CCHCS. All
Temporary/Relief Primary Care Physicians must be able to speak,
understand oral and written communication and write effectively in
the English language. Any Temporary/Relief Primary Care Physician
who fails to meet the minimum qualifications shall not be permitted
to perform services.
Service Delivery Requirements
Under the direction of the Institution/Facility CEO/CME or
designee, the Temporary/Relief Primary Care Physician shall provide
services as permitted within the scope of practice for Primary Care
Physician services in accordance with Institution/Facility policies
and procedures. Care delivery for Primary Care Telemedicine is
remote via teleconferencing equipment and that basic computer
competency would be necessary.
A. Standards of Obligation
To assist CDCR/CCHCS in its exercise of its duty to provide and
manage medical healthcare services for the patient/youth of the
State of California, Temporary/Relief Primary Care Physicians shall
provide high quality services, consistent with the terms and
conditions under this Agreement and consistent with established and
commonly accepted standards and principles of medical practice.
Nothing in this Agreement shall supersede the common law rules for
the interpretation of established and commonly accepted standards
and principles of medical practice. Temporary/Relief Primary Care
Physicians shall adhere to the CDCR/CCHCS medical staff by-laws,
rules, regulations, policies and procedures, and comply with
universal infection control precautions. B. Authorization
1. Authorization for Treatment
Temporary/Relief Primary Care Physician shall agree that, as
required by law, excluding emergency and primary care services,
prior authorization must be obtained in writing from the respective
CDCR/CCHCS Institution/Facility CEO/CME or designee, in accordance
with CCHCS's Utilization Management Plan. Temporary/Relief Primary
Care Physician shall complete and return all forms required by CDCR
regarding treatment of patient/youth. Authorization must be
documented in the patient/youth medical record in all cases of
essential services before considering any non-emergency specialty
treatment, or any consultations by specialty Physicians, Physician
Assistants, and/or Nurse Practitioners or diagnostic procedures not
specifically stated in a CDCR/CCHCS prior authorization form. 2.
Authorization for Transportation/Transfers
Temporary/Relief Primary Care Physician shall agree that, as
required by law, CDCR/CCHCS retains full authority to determine the
manner in which a patient/youth is transported to the CDCR/CCHCS
Institutions/Facilities or transferred to other healthcare
facilities, after the course of treatment or therapy has been
implemented or completed.
Temporary/Relief Primary Care Physician shall not transfer a
patient/youth to any Institution/Facility without prior written
authorization from the appropriate CDCR/CCHCS Institution/Facility
CEO/CME or designee.
3. Experimental and Investigational Drugs and Procedures
Temporary/Relief Primary Care Physician shall not perform on or
administer to any patient/youth any experimental or investigational
treatment, therapy, procedure or drug. Such treatment, unless it is
otherwise permissible under law, is prohibited under Penal Code,
Section 3502, and thus, must have prior authorization by the
Institution/Facility CEO/CME or designee and CDCR's Office of Legal
Affairs. Temporary/Relief Primary Care Physician shall agree to
perform or administer only those medical services which are
recognized as being in accord with generally accepted professional
medical standards, or as being safe and effective for use in the
treatment of an illness, injury or condition at issue, subject to
the limitations described in this Agreement.
4. Exclusions and Limitations
a. Temporary/Relief Primary Care Physician shall agree that no
healthcare service or treatment shall be provided for those
conditions specifically listed in California Code of Regulations
(CCR), Title 15, Division 3, Chapter 1, Subchapter 4, Article 8,
Section 3350.1. Physicians provided by the Vendor may request
individual case exceptions for excluded or limited healthcare
service or treatment by seeking prior approval of the
Institution/Facility's CEO/CME or designee.
b. Temporary/Relief Primary Care Physician agree that any excluded
healthcare service or treatment needed for pre-existing conditions
shall be provided only in the event that the condition has become
aggravated in such a manner that it poses a significant threat to
the patient's/youth's current health and if not treated would
result in morbidity and/or mortality. Temporary/Relief Primary Care
Physician shall acknowledge that the appeal must be recognized as
c. The CDCR/CCHCS Medical Standards of Care shall be used as a
reference when prior authorization is granted.
5. Clinical Reviews
At the request of the Institution/Facility's CEO/CME or designee,
Temporary/Relief Primary Care Physician shall perform clinical
reviews to determine the quality of clinical care delivered. This
includes clinical reviews of index cases (deaths, adverse outcomes
etc.) for the purposes of determining clinical quality. As part of
the clinical review process, Temporary/Relief Primary Care
Physician can also be required to participate in Professional
Practice Committee activities and may be called as witnesses in
Professional Practice activities. The process of clinical reviews
may include the examination of written health records, discussion
with Physicians, Physician Assistants, and/or Nurse Practitioners
and CDCR/CCHCS supervisors and direct patient/youth examinations.
The Temporary/Relief Primary Care Physicians who perform clinical
reviews are required to be skilled in the preparation of written
clinical review documents.
6. CCHCS shall provide a copy of the CDCR/CCHCS's formulary to be
kept on file by the Temporary/Relief Primary Care Physician.
Temporary/Relief Primary Care Physician shall consult with CDCR
physicians to assure that whenever possible only those medications
which are on the CDCR's formulary are prescribed unless prior
authorization is given by the Institution/Facility's CEO/CME
Keywords: Evolve Healthcare Inc., San Francisco , Primary Care Physician, Healthcare , San Francisco, California
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