Physician Assistant - ElderONE

Rochester Regional Health; City of Rochester (NY); On-site; USD 100,000 - 150,000; Full time

Job summary

Rochester Regional Health is seeking a Physician Assistant for ElderONE, its comprehensive PACE program, to deliver integrated, person-centered care to older adults in home and community settings. You will collaborate within a highly engaged interdisciplinary team to maintain participant independence and quality of life.

The role emphasizes care coordination, chronic condition management, and participation in pre-enrollment and discharge planning activities.

Qualifications

• Passion for serving older adults and supporting nursing home eligible individuals to remain safely in the community.
• Experience working with older adults and/or medically complex patient populations preferred.
• Experience in PACE, Primary Care, Long-Term Care, Home Care, Geriatrics, or community-based care settings preferred.
• Knowledge of care coordination, value-based care, and interdisciplinary team-based care preferred.
• Strong problem-solving, organizational, and relationship-building skills.
• EPIC experience preferred; PACE experience a plus.

Responsibilities

• Clinical Care. Evaluate and manage acute, sub-acute, and chronic clinical needs of older adults. Collaborate with physicians and interdisciplinary team members to develop individualized treatment plans that align with participant goals, functional status, and quality of life.
• Care Management. Complete comprehensive clinical reviews of chronic conditions and document in the medical record. Assess and reassess participant-specific goals of care while reviewing specialty recommendations and coordinating appropriate follow-up care.
• Interdisciplinary Team Administrative Duties. Attend daily interdisciplinary team meetings and care planning conferences. Review laboratory results, specialty notes, and diagnostic testing, initiating orders when appropriate. Complete pre-enrollment visits and support care transitions and discharge planning activities.
• PACE & Community-Based Care. Support approximately 800+ ElderONE participants across multiple community-based sites and home settings. Partner closely with Primary Care, Home Care, Extended Care, and other system services to provide coordinated, person-centered care for a complex older adult population.
• Program Growth & Collaboration. Contribute to a growing and evolving PACE program through interdisciplinary collaboration, quality improvement efforts, process enhancements, and innovative approaches to care delivery.
• Infection Control. Utilize infection control equipment and safety guidelines to minimize and prevent exposure to communicable diseases, infectious body fluids, and risks associated with patient treatment.

Skills

Interdisciplinary teamwork

Geriatrics care

Care coordination

Clinical problem-solving

Education

BS: Physician Assistant (Required)

Tools

EPIC

Job description

Description SUMMARY

Join ElderONE, Rochester Regional Health's comprehensive PACE (Program of All-Inclusive Care for the Elderly) program, providing integrated, person-centered care to older adults with complex medical, functional, and social needs. This Physician Assistant role offers the opportunity to make a meaningful impact by helping participants remain safely in their homes and communities while collaborating within a highly engaged interdisciplinary care team.

STATUS

Full Time

LOCATION

ElderONE

DEPARTMENT

Geriatrics

SCHEDULE

Days; Monday-Friday, 8:00 AM-4:30 PM

ATTRIBUTES

Passion for serving older adults and supporting nursing home eligible individuals to remain safely in the communityExperience working with older adults and/or medically complex patient populations preferredExperience in PACE, Primary Care, Long-Term Care, Home Care, Geriatrics, or community-based care settings preferredKnowledge of care coordination, value-based care, and interdisciplinary team-based care preferredStrong problem-solving, organizational, and relationship-building skillsEpic experience preferred; PACE experience a plus

RESPONSIBILITIES

Clinical Care. Evaluate and manage acute, sub-acute, and chronic clinical needs of older adults. Collaborate with physicians and interdisciplinary team members to develop individualized treatment plans that align with participant goals, functional status, and quality of life.

Care Management. Complete comprehensive clinical reviews of chronic conditions and document in the medical record. Assess and reassess participant-specific goals of care while reviewing specialty recommendations and coordinating appropriate follow-up care.

Interdisciplinary Team Administrative Duties. Attend daily interdisciplinary team meetings and care planning conferences. Review laboratory results, specialty notes, and diagnostic testing, initiating orders when appropriate. Complete pre-enrollment visits and support care transitions and discharge planning activities.

PACE & Community-Based Care. Support approximately 800+ ElderONE participants across multiple community-based sites and home settings. Partner closely with Primary Care, Home Care, Extended Care, and other system services to provide coordinated, person-centered care for a complex older adult population.

Program Growth & Collaboration. Contribute to a growing and evolving PACE program through interdisciplinary collaboration, quality improvement efforts, process enhancements, and innovative approaches to care delivery.

Infection Control. Utilize infection control equipment and safety guidelines to minimize and prevent exposure to communicable diseases, infectious body fluids, and risks associated with patient treatment.

EDUCATION

BS: Physician Assistant (Required)

PHYSICAL REQUIREMENTS

Moderate - Clinical - Moderate clinical roles are patient facing roles that require continual movement, including standing, walking, and lifting 20-50 lbs., along with pushing and pulling medical equipment and assisting with patient positioning. Employees perform frequent bending, twisting, and reaching while completing fine motor tasks in busy or confined clinical environments. High sensory acuity is essential for monitoring patient status and responding to alarms or safety concerns. Emotional and cognitive demands are substantial, involving decision-making under pressure, responding to emergencies, and maintaining sustained focus. Environmental exposures include infectious agents, bodily fluids, chemicals, and radiation. TB testing, mask-fit testing, and physical exams are common requirements.

LICENSES/CERTIFICATIONS

RPA - Registered Physician Assistant - NYS Office of Professions

PA-C - Certified Physician Assistant - National Committee on Certification of Physician Assistants (NCCPA)

PAY RANGE

$100,000.00 - $150,000.00 The listed base pay range is a good faith representation of current potential base pay for successful applicants. It may be modified in the future. Pay is determined by factors including experience, clinical licensure date, relevant qualifications, specialty, internal equity, location, and contracts.

Equal Opportunity Statement

Rochester Regional Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, sex (including pregnancy, childbirth, and related medical conditions), sexual orientation, gender identity or expression, national origin, age, disability, predisposing genetic characteristics, marital or familial status, military or veteran status, citizenship or immigration status, or any other characteristic protected by federal, state, or local law.