Physician Hospitalist

Hospitalist

The Hospitalist Physician (day/swing shift) provides medical care as the attending of record for adult inpatients (minimum age 18) presenting with primary internal medicine pathology and provides their services twenty-four (24) hours 365 days of the year. The Hospitalist Physician admits patients from the Emergency Department, provides consults in the Hospital for other specialties including the ED, and directly admits from an outside facility as specified by each SCHS hospital's medical staff by law.

Work schedule: Shifts are generally ten to eleven (10-11) hours in duration and Physician will work a minimum of 166 annual shifts. Option of 7-day rotation schedule or option of flex scheduling.

Call expectation: Back-up call is required and is evenly distributed throughout the year among all daytime Hospitalists

Provider Practice Location: Provider will render the Professional Services at such SCHS Facilities as may be directed by SCHS, and at such other facilities and locations as may be established by SCHS from time to time. It is anticipated that the primary work locations will be as follows:

• St. Charles Bend Hospital [ 2500 NE Neff Rd, Bend, OR]
• St. Charles Redmond Hospital [ 1253 NW Canal Boulevard Redmond, OR]

Role Expectations:

• Provide 24-hour coverage of all Medicine patients on the Bend campus, both in an admitting role as well as a consultative role, in accordance with existing Co-Management Agreements.
• Provide 24-hour coverage of all Medicine and Critical Care (if privileged to do so) patients at the Redmond campus, both in an admitting as well as consultative role, in accordance with existing Co-Management Agreements.
• When requested by the primary service, they serve as a consultant for all inpatient psychiatric patients in PES or Sageview.
• If medically complex, serve as a consultant for patients in Inpatient Rehabilitation.
• Round on every patient that is assigned to your team with the care team
• Document a comprehensive list of changes to each day's plan of care
• Update hospital course progression/daily and significant events in the "Care Coordination Note"
• Keep "Problem List" updated (only have current problems in active problem list)
• Insure labs/imaging ordered for that day or the future (i.e. next morning's labs) when appropriate
• Place orders while on rounds (i.e. medications, labs, imaging, communication orders)
• Consult specialists
• Be able to answer critical and non-critical patient questions from RN/RT/staff and place orders when necessary
• Teach staff and families about treatment plans
• Facilitate family meetings and goals of care
• Participate in multidisciplinary rounds
• Take Histories and Review of Systems from patients/families, performs physical exams
• Review outside records, completes full H&P's, orders appropriate diagnostic studies and coordinates among providers.
• Write H&Ps, Consults, progress notes, discharge summaries on patients
• Sign death certificates
• Perform procedures (i.e. central lines, arterial lines, etc) that are consistent with medical staff privileges and individual capabilities when applicable for Redmond ICU Coverage
• Provide targeted assessment and evaluation, including diagnostic impression and functional status on presenting problem(s).
• Examine, diagnose, and treat acute and chronic medical conditions.
• Effectively utilize team-based care model, leveraging the expertise of all members of multi-disciplinary team.
• Collaborate in education with residents and medical students.
• Monitor effectiveness of plan of care.
• Educate patients and families on diagnoses and treatment plans.
• Collaborate and/or consults with physicians and other health care providers as appropriate.
• Share in equitable distribution of work between all hospitalist physicians on shift.
• Participation in Rapid Response Supervision may be requested from time to time
• Maintain familiarity with the SCMG organization structure, communication systems, billing process, and completing billing and coding documentation within time assigned by SCMG administration.
• Maintain punctual presence for assigned workdays, in compliance with the SCHS policy on attendance.

Administrative Expectations:

• Document all patient care within the Electronic Medical Record (EMR) and complete all necessary tasks in compliance with health system policies and regulatory agencies to ensure timely and accurate billing.
• Be cognizant of SCHS organizational structures.
• Participates in provider meetings and assists in policy formation for SCHS and provider's practice.
• Maintains current clinical knowledge and skills through regular CME activity. Must attest to having adequate (CME) to meet maintenance of board certification and compliance with MSO rules and continuing privileges without restriction.
• Maintains current, unrestricted licensure and appropriate certifications to maintain privileges at a St. Charles Health System hospital sufficient to permit performance of job duties.
• Maintain active privileges at a St. Charles Health System hospital sufficient to permit performance of job duties.
• Maintain personal credentials to include licensure, DEA registration, Board certification and additional requirements or other credentials as required by the bylaws of St. Charles
• Stay current on best practices in the specialty through a personal program of specialty specific CME
• Consistently demonstrate effective communication, negotiation, change-management and conflict resolution skills.
• Maintain a positive and optimistic attitude in the performance of duties.
• Maintain an active role in the site medical staff by participating in their regular meetings.

Behavioral Expectations:

• Participates in creating a healing environment that supports all aspects of the care environment and the wholeness of each individual, patient and caregiver.
• Provides and maintains a safe environment for caregivers, patients, and guests. Conducts all activities with the highest standards of professionalism and confidentiality.
• Delivers first-rate customer service and/or patient care in a manner that promotes goodwill, and is timely, efficient, and accurate, and courteous.
• Complies with all applicable laws, regulations, policies, and procedures, supporting the health system's corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violations of applicable rules, and cooperating fully with all health system's investigations and proceedings.
• Model respect, professionalism, and kindness in accordance with the ACTS of Excellence.

Education

• Graduation from an accredited medical school.
• Successful completion of an accredited residency program in Physician's chosen specialty (ies).
• Successful completion of additional educational programs necessary to enable Physician to acquire and maintain privileges to perform the range of services contemplated. This includes board eligibility/certification in the specialty being practiced.
• Complete annual fire/safety, etc. education in-services as required.
• Attend mandatory educational offerings as described in SCHS policies/procedures and/or as required by other regulatory bodies.
• Complete annual CME as required to maintain license and appropriate Board certification.
• Complete in a timely manner assigned Computer Based Learning modules.

Licensure/Certification/Registration

• Current license as MD / DO.
• Board certified or eligible in Physician's chosen specialty. Those applicants who are not board certified at the time of application but who have completed their residency or fellowship training are required to become board certified within seven years of residency or fellowship training.
• Unrestricted Federal DEA number.
• Unrestricted ability to participate in Medicare / Medicaid, or other federal or state governmental health care programs. Valid driver's license and the ability to meet SCHS driving requirements.
• ACLS
• Additional certifications may be required based on privileges granted to provider by Medical Staff Services at SCHS locations.

Preferred:

• Oregon license
• Federal DEA Number registered in Oregon

Experience

• Experience in hospital practice environments providing care in a hospital setting.
• Experience using EMR (Electronic Medical Records) software.
• Advanced written and verbal communication skills to effectively interact with a diverse population and professionally represent St. Charles Health System.
• Experience working in a team environment and proven ability to collaborate, manage facilitation and consensus building among health care professionals and agencies to achieve expected