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Advanced Practice
5 months ago
Montpelier, VT 99; Manchester, NH 130m
* Full-time
* 4 day work week
* Provides office-based pain management services to new and established patients (adults), including medication management, certification for medical cannabis, education/counseling, monitoring of medication compliance via PDPM and urine drug screens, minor procedures, and referral to CRNA colleagues for interventions (e.g., epidural steroid injections at various spinal levels, radiofrequency ablation, facet blocks, SI injections, intercoastal blocks) or other services (e.g., ketamine or lidocaine infusions).
* Minor procedures may include trigger point injections, joint injections, occipital blocks, cold ablation (Iovera), and Botox for headaches or chronic pain. May use ultrasound guidance for selected procedures. (If candidate is not currently skilled/competent in such procedures, hospital colleagues will precept/train over time. Likely would become fully oriented and comfortable with office management of patients first, then devote time to learning procedures.)
* May provide Medication Assisted Treatment (MAT) with X waiver. (Such service is not required.)
* Infrequently provides consultation for inpatients and ED patients (in rotation with team members).
* EMR: Meditech Expanse
* Appointment durations would begin at 1 hour to allow for orientation to Hospital and its EMR. At an appropriate time, appointment durations would be reduced to match standards for Hospital pain providers, i.e., 30 minutes for established patients, 60 minutes for new patients, 20 minutes for procedures.
* Typical productivity (based on usual mix of new and established patients, procedures, etc.) will be 12 to 20 patients per day.
* Administrative time is not provided.
**Compensation**
* $106,664 with pain management experience ($90,664 for year 1 if no pain management experience)
* In addition to Annual Base Salary, the Practitioner shall be eligible to receive additional compensation for high levels of clinical productivity as measured by wRVU for professional services personally performed by the Practitioner, such as evaluation and management (E&M) services for office visits and consultations and the performance of procedures.
* The threshold above which a wRVU Productivity Bonus shall be provided to the Practitioner shall be 1,560 wRVU in each Fiscal Year (October 1 to September 30).
* For each wRVU performed in a Fiscal Year above the threshold, Hospital shall compensate the Practitioner $50.00 per wRVU. For example, if the Practitioner generates xxx wRVU in a Fiscal Year, the Practitioner will have exceeded the threshold by 300x wRVU. The Practitioner would then receive a productivity bonus of $15,000 (or 300 wRVU x $50.00/wRVU.)
* In recognition of the value of conducting an outreach clinic any approved outreach site, Hospital shall reduce the annual wRVU threshold by a percentage of the Practitioners total clinical hours, providing 1 hour of travel time credit per outreach clinic. For example, if the Practitioner conducted 4 outreach clinics per month, an average month would include 8 hours of outreach clinic travel credit. Therefore, the Practitioners outreach travel credit would be for 8 of 128 clinical hours per month or 6.25%. Accordingly, the Practitioners annual wRVU threshold would decrease from 1,560 to 1,463.
* Within 45 days following the completion of each Fiscal Year, Hospital shall determine the amount, if any, due to the Practitioner as a Productivity Bonus and shall notify the Practitioner in writing of such amount.
* Within 75 days following the completion of each Fiscal Year, Hospital shall pay such Productivity Bonus amount due, if any, to the Practitioner in accordance with its payroll policies.
**Commencement Bonus**
* $15,000
* Paid on first pay date following hire (up to 17 days).
* Not a signing bonus
**Benefits**
* Retirement Plan(s) 403b, 457b
* Vacation: 5 weeks
* Holidays: 6 days (On-call for holidays assigned equitably and in rotation year to year. Pro-rated for status of 0.8 FTE to 4.8 days or 38.4 hour)
* Sick Time: 5 days
* Moving Expenses: Up to 20K
* CME: For license, DEA, Medical Staff dues, professional memberships, tuition and travel for conferences, etc. Prorated from $4,500 based on 0.8 FTE.
* Health Insurance: Harvard Pilgrim, several plans available
Berlin is located at in northern New Hampshire, north of the White Mountains, in the state's North Country region. The city is bordered to the south by Randolph and Gorham, north by Milan, east by Success and west by Kilkenny. New Hampshire Route 16 passes through the center of the city, leading north to Errol and eventually to Rangeley, Maine, and leading south through Gorham and Pinkham Notch to North Conway and the Seacoast Region of New Hampshire.
