Collaborating Physician

Job description

Join the dynamic journey at Vynca, where we're passionate about transforming care for individuals with complex needs. We’re more than just a team; we're a close-knit community. Our shared commitment to caring for each other and those we serve is what sets us apart. Guided by our unwavering core values: Excellence, Compassion, Curiosity, and Integrity, we forge paths of success together. Join us in this transformative movement where you can contribute to making a profound difference every day. At Vynca, our mission is to provide comprehensive care for more quality days at home. ## **About the job** **Reports to:** Chief Medical Officer **Classification:** Physician, delegating and supervising role (0.15 to 0.25 clinical FTE) The Collaborating Physician provides clinical oversight, protocol delegation, and consultative support for Vynca's Advanced Practice Providers (APPs) delivering home-based palliative and serious illness care to patients across Georgia. The physician serves as the delegating physician of record under Georgia nurse protocol agreements for nurse practitioners and as the primary supervising physician under board-approved job descriptions for physician assistants. The role supports up to eight (8) advanced practice providers at one time, consistent with Georgia’s combined statutory limit. The physician retains ultimate responsibility for ensuring that all delegated medical acts are clinically appropriate, properly documented, and compliant with applicable law and Board rules. ## **What you'll do** Clinical Oversight and Delegation - Serve as delegating or supervising physician for up to eight nurse practitioners and physician assistants combined, within the scope of a comparable specialty in palliative and primary care. - Coordinates with Vynca to establish, review, and maintain written nurse protocol agreements for each nurse practitioner, and ensure agreements and amendments are filed with the Georgia Composite Medical Board within required timelines. - Be immediately available for consultation during care delivery, or designate a qualified backup physician who concurs with the terms of the applicable agreements. Chart Review and Quality Monitoring - Review and sign 100 percent of records for members who receive any controlled substance prescription issued under a nurse protocol agreement, and personally evaluate or examine those members at least quarterly, consistent with O.C.G.A.§ 43-34-25(c)(9). - Review and sign 100 percent of any patient record involving an adverse outcome, within 30 days of discovery. - Review and sign at least 10 percent of all other patient records, no less than annually. - Conduct medical record review and meetings with APRN at least quarterly to monitor quality of care. - Conduct direct observation virtually of each nurse practitioner’s practice at least once annually. Palliative and Serious Illness Scope - Support symptom management, advance care planning, and goals of care aligned to the Vynca model of more quality days at home. - Where clinically appropriate and permitted, delegate authority to pronounce death and sign death certificates, consistent with Georgia’s 2026 rule changes and applicable continuing education requirements. - Provide guidance on controlled substance management within the limits Georgia places on nurse practitioner and physician assistant prescribing, including risk assessment, patient counseling, PDMP review, and naloxone co-prescribing standards. Compliance and Program Integrity - Maintain principal place of practice in Georgia, or within 50 miles of the locations within the State of Georgia where the protocol agreements are utilized. - Coordinates with Vynca to notify the Board of any agreement termination within 10 business days, as required of the physician under O.C.G.A. § 43-34-25(n), and support continuity of oversight during physician transitions. - Participate in Vynca clinical governance, case review, and quality improvement activities as directed by the Chief Medical Officer. ## **Your experience and qualifications** - Active, unrestricted Georgia medical license (MD or DO) in good standing. - Principal medical practice physical location within the State of Georgia. - Board certification in a specialty comparable to the delegated scope, with palliative, hospice, family, or internal medicine strongly preferred. - Active DEA registration. - Demonstrated experience in supervision or collaboration with advanced practice providers, ideally in home-based or serious illness care. - Familiarity with value-based care and with Georgia nurse protocol and physician assistant supervision requirements. ## **Compensation** - Flat monthly stipend of $800 per month, per APP supervised. ## **Additional Information** - The hiring process for this role may consist of applying, followed by a phone screen, online assessment(s), interview(s), an offer, and background/reference checks. - Background Screening: A background check, which may include a drug test or other health screenings depending on the role, will be required prior to employment. - Job Description Scope: This job description is not exhaustive and may include additional activities, duties, and responsibilities not listed herein. - Vaccination Requirement: Employees in patient, client, or customer-facing roles must be vaccinated against influenza. Requests for religious or medical accommodations will be considered but may not always be approved. - Employment Eligibility: Compliance with federal law requires identity and work eligibility verification using E-Verify upon hire. - Equal Opportunity Employer: At Vynca Inc., we embrace diversity and are committed to fostering an inclusive workplace. We value all applicants regardless of race, color, religion, age, national origin, ancestry, ethnicity, gender, gender identity, gender expression, sexual orientation, marital status, veteran status, disability, genetic information, citizenship status, or membership in any other protected group under federal, state, or local law. - Environmental Conditions and Physical Requirements: Works with Vynca patients/clients remotely and/or in-person. Successfully performs the essential duties and responsibilities of the position through the use of physical activities as described below: - Regularly requires sitting, standing, walking, talking, use of hands, listening, and observing. - Regularly requires working at a computer for an entire shift (with appropriate breaks). - Regularly requires use of laptop and video-conferencing technology. - Occasionally requires reaching, stooping, bending, kneeling, and lifting items weighing 25 pounds or less. - Occasional travel may be required to perform job duties, attend training, or company events.