A General Internist provides primary medical care for adult patients, including diagnosis, treatment and preventative care. Treats illnesses and helps patients to manage complex or chronic diseases. Works in a private practice, hospital or long term care setting.
Pulse Primary Care is urgently seeking an experienced Primary Care and Supervising Physician to join our Grass Valley practice. This part-time MD/DO role combines direct outpatient primary care with the clinical supervision, consultation, and training of the practice's nurse practitioners and physician assistants. The physician will serve as a clinical resource and escalation point while helping ensure consistent, evidence-based, and patient-centered care across the provider team.
PRIMARY RESPONSIBILITIES
Provide comprehensive primary care, including physical examinations, preventive care, treatment of acute illnesses, and chronic disease management. Evaluate patients, establish diagnoses, develop treatment plans, prescribe medications, and coordinate appropriate follow-up care. Order and interpret diagnostic tests and promptly communicate clinically significant results. Educate patients and families regarding diagnoses, medications, treatment options, preventive care, and healthy lifestyle choices. Coordinate referrals and transitions of care with specialists, hospitals, pharmacies, care managers, and community resources. Identify urgent, high-risk, or medically complex cases and arrange appropriate consultation, emergency treatment, hospitalization, or specialty care. Complete accurate and timely documentation, orders, inbox tasks, coding support, and chart closure in the electronic health record.
NP/PA SUPERVISION AND TRAINING
Serve as the supervising or collaborating physician for assigned nurse practitioners and physician assistants in accordance with California law, written agreements, payer requirements, and organizational policies. Remain available for clinical consultation and provide decision-making support for medically complex, high-risk, or escalated cases. Establish clear expectations for physician consultation, prescribing, documentation, referrals, and patient follow-up. Review selected charts, treatment plans, prescribing practices, referrals, and documentation according to applicable agreements and practice protocols. Monitor the quality, consistency, and appropriateness of care provided by assigned NPs and PAs. Participate in the orientation, onboarding, and clinical training of newly hired providers. Provide case-based coaching and education regarding diagnostic reasoning, treatment planning, prescribing, documentation, and patient communication. Participate chart audits, provider performance feedback, and quality-improvement activities. Escalate significant clinical-quality, patient-safety, prescribing, documentation, or scope-of-practice concerns to appropriate leadership.
QUALITY AND CLINICAL LEADERSHIP
Support clinical policies, standardized procedures, treatment protocols, standing orders, and consistent provider workflows. Participate in quality improvement, population health, patient safety, risk management. Maintain compliance with HIPAA, OSHA, Medicare, Medi-Cal, controlled-substance requirements, credentialing standards, and applicable California and federal laws.
REQUIRED QUALIFICATIONS
Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) degree. Completion of an accredited Family Medicine or Internal Medicine residency. Current, unrestricted California physician and surgeon license in good standing. Board certification in Family Medicine or Internal Medicine. Board-eligible candidates may be considered based on experience and credentialing requirements. Current DEA registration and BLS certification. Eligibility for Medicare, Medi-Cal, and commercial payer credentialing. Experience or demonstrated ability to supervise, train, and clinically support nurse practitioners and physician assistants. Strong clinical judgment, leadership, communication, documentation, coaching, and collaboration skills.
PREFERRED QUALIFICATIONS
Three or more years of outpatient primary care experience. Previous experience supervising, collaborating with, precepting, or training NPs and PAs. Experience caring for Medicare and medically complex adult populations. Experience with value-based care, quality measures, and chart audits.
COMPENSATION
The annual salary range 140,000-$165,000. Actual compensation will be based on qualifications, experience. The position includes a $10,000 sign-on bonus: Payments are subject to the written bonus agreement, eligibility requirements, and applicable tax withholding. Benefit eligibility is governed by applicable plan documents and company policy.
APPLY NOW
This is an urgent hire. Qualified physicians are encouraged to apply immediately. Pulse Primary Care is an equal opportunity employer. Qualified applicants will be considered without regard to any characteristic protected by applicable law. Reasonable accommodations are available during the application and employment process.
Job Type:
Full-time Pay:
$140,000.00 - $165,000.00 per year Application Question(s): This is a part-time, on-site position in Grass Valley, California, requiring approximately 20 hours per week. Can you commit to this schedule and work arrangement? How many years of experience do you have supervising, collaborating with, or training nurse practitioners and physician assistants? Do you currently hold an active California physician license and DEA registration, and are you board-certified or board-eligible in Family Medicine or Internal Medicine? Are you comfortable providing direct patient care while also conducting chart reviews, offering clinical consultation, training providers, and addressing NP/PA clinical performance concerns?