Physician Assistant, Geriatrics & Community Care

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

Job summary

Rochester Regional Health's ElderONE program is seeking a Physician Assistant to join a dedicated geriatrics team. You will evaluate and manage health needs of older adults, collaborate with physicians, and support home- and community-based care inside a comprehensive PACE model.

In this full-time, day-shift role, you will participate in care planning, coordinate with an interdisciplinary team, and help participants remain safely at home while navigating complex conditions.

Qualifications

• BS: Physician Assistant (Required).
• Licensed or eligible to practice as a PA in NY.
• Experience with older adults or medically complex patients preferred.

Responsibilities

• <b>Clinical Care.</b> Evaluate and manage acute, sub-acute, and chronic clinical needs of older adults; collaborate with physicians to develop treatment plans.
• <b>Care Management.</b> Complete comprehensive reviews and document in the medical record; reassess goals and plan follow-ups.
• <b>Interdisciplinary Team Administrative Duties.</b> Attend meetings, review lab results, and support care transitions and discharge planning.
• <b>PACE & Community-Based Care.</b> Support ~800 ElderONE participants across sites and home settings with coordinated, person-centered care.
• <b>Program Growth & Collaboration.</b> Contribute to quality improvement and care-delivery innovations with the team.
• <b>Infection Control.</b> Follow safety guidelines to minimize infection risks and exposure.

Skills

Interdisciplinary collaboration

Geriatrics care

Care coordination

Patient care planning

Education

BS: Physician Assistant

Tools

Epic

Job 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 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.

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