Position Overview

Understanding the Role

Bear Valley Community Healthcare District is adding a full-time primary care physician to its multi-specialty clinic in Big Bear Lake, California. The clinic serves a catchment area of approximately 20,000 people, with a mostly adult and geriatric population that relies on it as the main source of care on the mountain. This physician steps in as a stabilizing clinical presence for a busy, growing practice and as a resource for the mid-level team.

The role is built for a seasoned Family Medicine or Internal Medicine physician who wants to be part of the community, not a rotating or hybrid telehealth provider. Patients here want to see their doctor in person, and the clinic values consistency and continuity.

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Practice Snapshot

Practice Detail Description
Setting: Rural health clinic, outpatient
Specialty: Family Medicine or Internal Medicine
Schedule: Full-time, on-site
Call: None
Patient Target: 2 to 3 patients per hour
APP Support: 4 mid-level providers
EMR: DPSI TrueBridge, transitioning to Meditech

Why the Position Exists

  • The clinic has had recent primary care turnover and currently runs on four mid-level providers with limited physician coverage.
  • Physician primary care coverage is thin, which stretches wait times for wellness visits to roughly two to three weeks during busy periods.
  • Leadership wants a physician who can carry a full panel, set the clinical bar, and serve as a go-to resource for the APP team.

Community Need

Big Bear Lake is a rural mountain community where the nearest larger hospitals are an hour to an hour and a half down the mountain. Access to care is the clinic's central mission, and demand has grown sharply. The district posted a record patient volume of about 22,600 visits this past year. The patient base skews heavily adult and geriatric, and many patients arrive with complex, long-deferred needs.

Practice Setting

  • Multi-specialty clinic operating alongside orthopedics, general surgery, cardiology, rheumatology, endocrinology, psychiatry, chiropractic, and vision, with neurology launching this month.
  • On-site laboratory and point-of-care testing.
  • 15 exam rooms shared across the specialties and telemedicine services.
  • Referrals stay in-house across the specialty lines rather than sending patients off the mountain.

Qualifications

Required:

  • MD or DO, board certified or board eligible in Family Medicine or Internal Medicine
  • Active or eligible California medical license
  • Comfort managing complex, older patients with multiple active issues

Preferred:

  • Seasoned physician past the early-career learning curve
  • Willingness to be a clinical resource and share knowledge with mid-level providers
  • Interest in living in and being part of the Big Bear community
  • Prior leadership or assistant medical director experience is highly desirable

Supervisory and Leadership Role

The incoming physician provides collaborative oversight for mid-level providers under the clinic's one-to-four supervising ratio. This is a resource and mentorship role, not direct line supervision: being available for questions, explaining findings, and performing chart reviews when needed.

Leadership is also building a longer-term path. The district wants a physician who can grow into an assistant medical director role and, in time, be positioned as a candidate for medical director. The current medical director, Steven Knapik, DO, remains in place, and this role is designed to work alongside him rather than replace him.

Work Schedule

  • Full-time, on-site primary care
  • No call responsibility
  • Productivity target of two to three patients per hour, with scheduling built around 20-minute established visits and 40-minute new or complex visits
  • Open to an alternative scheduling model for a physician with a proven track record

Reporting Structure

The physician works within the clinic team led by the clinic manager and reports up through the medical director and district administration. The CEO drives service-line growth and is closely involved in physician recruitment and vision.

New or Replacement

This is a staff primary care position that backfills recent primary care turnover while adding physician-level depth to a mid-level-heavy team.

Interview and Contract Process

The interview process runs in three steps:

  1. Initial interview by video (Teams) with the CEO
  2. Second interview by video (Teams) with the CEO and team, including the clinic manager and HR
  3. On-site visit, including time with a multi-disciplinary group of providers and board members, plus community exploration

The initial contract term is two years.

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