Physician-(Pinnacle Care Providers-Canton)

Clinical Care

• Provide scheduled onsite rounds, evaluations, follow-up care, acute visits, and chronic
disease management at assigned facilities.
• Oversee medically complex and high-risk patients and maintain appropriate plans of
care.
• Manage common geriatric and post-acute conditions across acute and chronic care
needs.
• Identify changes in condition early and help prevent avoidable emergency department
visits and hospitalizations when appropriate.
• Provide timely follow-up after hospitalizations, emergency visits, changes in condition,
and care transitions.
• Participate in goals-of-care and advance care planning discussions.
• Support medication reconciliation, appropriate prescribing, and deprescribing when
indicated.
• Coordinate care with specialists, hospice, therapy, behavioral health, pharmacy, and
other clinical partners.

Interdisciplinary Care Model

• Collaborate with Pinnacle APPs and Care Coordinators on patient identification,
scheduling, follow-up, and care-gap closure.
• Use facility rosters, visit cadence, quality reports, and clinical data to prioritize care.
• Follow Pinnacle's standardized clinical workflows and protocols
Support Annual Wellness Visits, Advance Care Planning, chronic care programs, and
other value-based services when appropriate.
• Participate in patient attribution, care management, risk adjustment, quality, and valuebased care initiatives.

Facility Partnership

• Maintain a dependable presence and strong relationships with facility administrators,
nursing leaders, and clinical teams.
• Communicate promptly regarding changes in condition, clinical concerns, care plans,
and treatment recommendations.
• Participate in quality, interdisciplinary, and facility meetings as appropriate.
• Partner with Pinnacle clinical and account management leaders to address concerns
and strengthen facility satisfaction.

Medical Directorship
• Physicians may serve as Medical Director for one or more skilled nursing facilities.
Responsibilities may include:
• Provide clinical leadership and participate in Quality Assurance and Performance
Improvement activities.
• Collaborate with facility administration, nursing, pharmacy, infection prevention, therapy,
and other departments.
• Support clinical policies, standards of care, and review of quality trends.
• Support initiatives related to hospitalizations, readmissions, antibiotic stewardship,
infection prevention, falls, and medication management.
• Support practitioner performance and participate in required Medical Director and facility
meetings.
• Medical Director duties are performed in accordance with facility agreements and
applicable regulatory requirements.
Documentation, Coding, and Compliance
• Complete accurate documentation within Pinnacle timelines and follow onsite
documentation and dictation expectations.
• Ensure documentation supports medical necessity, diagnoses, complexity, services, and
appropriate coding.
• Participate in compliance and coding education, chart audits, and follow-up coaching.
• Maintain required licenses, credentials, training, and compliance with applicable CMS,
payor, state, federal, and facility requirements