Job Description:
A. Standards of Obligation
To assist 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 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 respectiveInstitution/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 byregarding treatment of
patient/youth. Authorization must be documented in the patient/youth medicalrecord 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 prior authorization form.
2. Authorization for Transportation/Transfers
Temporary/Relief Primary Care Physician shall agree that, as required by law, retains full
authority to determine the manner in which a patient/youth is transported to the
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 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 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 medically necessary.
c. The 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
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. Shall provide a copy of the formulary to be kept on file by the Temporary/Relief Primary Care Physician.
Temporary/Relief Primary Care Physician shall consult with physicians to assure that whenever possible only those medications formulary are prescribed unless prior authorization is given by the Institution/Facility's CEO/CME ordesignee for deviation.Must be Boarded in Family or Internal Medicine
Ability to work consistently with minimal day off requests
Strong interpersonal and communication skills
Competitive compensation with weekly pay
Consistent, full-time schedule
Opportunities for placement across California State Correctional Facilities
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