Physician - Hospice

Physician - Hospice

The physician provides professional, comprehensive medical care and treatment services with emphasis on hospice for the purpose of improving patient medical care and symptom palliation. Care may be provided directly, through visits to the patient's place of residence/facility or indirectly by advising and directing members of the interdisciplinary team. The hospice physician will also identify opportunities to improve care delivery, use resources effectively, and comply with legal, regulatory and clinical policies and procedures. Note: This is a.75 FTE position 3 days a week (schedule must include Tuesday and Wednesday and a 3rd day).

Estimated Hiring Range:

$222,750.00 - $272,250.00

Bonus Target:

Bonus - SIP Target, 5% Annual

Current CareOregon Employees: Please use the internal Workday site to submit an application for this job.

Clinical Services and Care

* Certifies that patients are medically eligible for hospice services, using available diagnostic and prognostic indicators, related diagnoses if any, current subjective and objective medical findings, current medication and treatment orders, and information about the medical management of any of the patient's medical conditions unrelated to the terminal illness.

* Recertifies patients as appropriate, using information from face-to-face evaluations where required, for continuation of the Medicare Hospice Benefit at the appropriate level of care.

* Collaborates with the interdisciplinary team and patient's attending physician to create, implement, and revise care plans which reflect the patient's goals, values, and mental, spiritual, and physical needs to assure overall continuity of hospice services.

* Attends IDG/IDT meetings, acting as a medical resource for the team, guiding the work of those who provide direct medical services (RN, NP, PA, LPN, CNA), and assuring compliance with medical standards of care for hospice.

* Provides consultation, support, and education to the hospice IDG, attending physicians, and other colleagues regarding medical eligibility, symptom management, and any other issues related to the medical care of hospice patients. Ensures that medical services and support are available to hospice patients and the IDG 24/7, either directly or through arrangements.

* Documents care provided in the patient's clinical record, including evidence of end-stage-disease progression and need for opioids to meet CMS/DEA requirements.

* Reviews, prescribes and dispenses medications to ensure adequate symptom management; initiates and/or continues medical regimes for new patients; reviews medication to ensure they are medically necessary and cost effective.

* Provides compassionate anticipatory guidance through decline due to chronic disease and provides high quality palliative care focused on the goals of the patient and family. This includes participation in family meetings to educate patients and families on medical conditions and the pros and cons of treatments or medications.

* Assesses and counsels' patients regarding hospice care needs; determines need for specialty and rehabilitative services and makes appropriate referrals.

* Performs the most difficult assignments (including management of the most complex, at-risk patients), requiring a higher level of responsibility, applying advanced subject knowledge, and exercising significant independent judgment and initiative.

* Delivers quality care while maintaining all company metrics pertaining to productivity.

* As directed by Medical Director, may provide oversight of care delivered by Nurse Practitioner.

* Provides coverage for clinical colleagues in their absence.

* Participates in 24/7 consultation and care support including overnight and on weekends.

Administration

* Participates in collaborative treatment with other medical and mental health professionals and technical staff.

* Participates in staff and professional conferences; consults on and assists in the development of in-service training and orientation activities in areas of treatment and care of the patient population; participate in peer review.

* Attends and participates in all required staff meetings and other ad hoc committees as assigned.

* Participates in quality improvement activities as assigned.

* Completes and maintains medical records according to agency protocols and in support of quality metrics.

* As assigned by the Medical Director, may train and assess performance of other providers.

* Assures overall continuity of hospice medical services.

* Participates in the development and updating of patient care policies and emergency procedures.

* Participates in resolution of interpersonal conflict and issues of clinical and ethical concerns.

* Maintains current knowledge of the latest research and trends in hospice care and pain/symptom management.

Experience and/or Education

Required

* Licensed physician (MD or DO) in the State of Oregon

* Certification by the American Board of Medical Specialties with additional board certification or board eligibility in hospice and palliative care

* Drug Enforcement Administration (DEA) license

* Valid driver's license, acceptable driving record, and automobile liability coverage or access to an insured vehicle

* CPR certification at hire or within 6 months in position

Preferred

* Experience in Internal Medicine or Family Medicine

* Experience in geriatrics.

* Experience providing primary care for hospice patients

* Experience in performing medical home visits

* Experience with the mental health, substance abuse and behavioral health issues of a safety net population

* Experience with medical ethics and quality improvement methodology

Knowledge, Skills and Abilities Required

Knowledge

* Knowledge of the ethical and medico-legal aspects of medical practice

* Knowledge of the principles and practices of public health, including familiarity with epidemiology, health services delivery and financing systems, and environmental health

* Knowledge of the population served in adult health, including culture, demographics, patterns of disease, barriers to care and other unique features or special needs

* Knowledge of available interventions and medications, the expected palliative benefits in the hospice population, and the likely ability to meet the needs of an individual patient

* Knowledge of Federal, State and Local regulations, Hospice Medicare Conditions of Participation, and HIPAA privacy rules and regulations Ability to assist in the development and implementation of appropriate outcome tools, metrics, and assessment strategies to inform quality outcome, safety, and performance improvement

Skills and Abilities

* Current clinical and regulatory knowledge regarding patient prognosis and hospice eligibility for certification and recertification purposes

* Ability to understand the needs of and work with dying individuals in a hospice setting

* Outstanding communications and conflict resolution skills; ability to provide emotional support to patients, caregivers and the hospice team Strong leadership skills, including the ability to effectively organize, supervise, and motivate teams

* Ability to communicate effectively with diverse staff and patients, their families and caregivers

* Demonstrated problem-solving skills

* Skilled in use of electronic medical records

* Proficient in the practice of hospice and palliative care, particularly in a geriatric or behaviorally complex population

* Cultural competence and ability to work effectively with people from all walks of life

* Characteristics of compassion, commitment, and integrity that are required for success in this position

* Ability to work a flexible schedule, including evenings and weekends

* Ability to work both independently and collaboratively

* Ability to work under pressure to meet deadlines

* Ability to take initiative and utilize innovative techniques and ingenuity

* Reading, writing, mathematics

* Drawing conclusions from written or computer-generated materials

* Implementing recommendations by coordinating people and/or other resources

* Developing plans, procedures, goals, strategies or processes

* Maintain effective professional boundaries for resiliency

* Ability to plan, prioritize and coordinate multiple projects or tasks

* Ability to work effectively with diverse individuals and groups

* Ability to learn, focus, understand, and evaluate information and determine appropriate actions

* Ability to accept direction and feedback, as well as tolerate and manage stress

* Ability to see, read, and perform repetitive finger and wrist movement for at least 6 hours/day

* Ability to hear and speak clearly for at least 3-6 hours/day

* Ability to stand, walk and climb stairs for at least 3 hours/day

* Ability to lift, carry, push, pull and/or pinch small objects for at least 3-6 hours/day

* Ability to crouch, crawl, reach and/or bend for at least 3 hours/day

* Ability to operate a motor vehicle