Attending Physician, ER, Full Time

Position Summary:
The role of Attending Physician is to provide the medical management of the various patient care programs as assigned. Maintains effective lines of communications with the medical staff, nursing, social work and management, and coordinates development, implementation and evaluation of standards of patient care.

Duties & Responsibilities:
Performs medical examinations, evaluations, assessments, diagnoses, and treatment to System patients. Provides direct patient care on a daily basis and provides all necessary medical record documentation including Medicare/Medicaid and third party payers requirements. Performs CPT and ICD9 coding for each patient encounter. Works as scheduled and may rotate through System. Prescribes pharmaceuticals, other medications, and treatment regimens as appropriate to assessed medical conditions. Refers patients to specialists and to relevant patient care components as appropriate. Directs and coordinates the patient care activities of nursing and support staff as required. Follows established departmental policies, procedures, and objectives, continuous quality improvement objectives, and safety, environmental, and/or infection control standards. Attendance at Medical Staff meetings and participation with/on JMH committees/sub-committees. Participates in utilization review, quality assessment and improvement programs to improve patient care. Provides medical consultative services to other medical personnel, specifically related to overall patient management. Maintains current standards of acceptable medical practice. Participates in educational programs specific to patient care. Involves patients (and family, when necessary) in the decision making process about treatment. Meets productivity standards. Attends meetings and conferences, as directed. Participates in mandatory educational programs, in-service/training courses to maintain job competency skills. Maintains effective communication and working relationships with JHS medical personnel in the community. Collaborates with Radiology, Pathology, Surgery, Medical Oncology, and Nursing in the clinical management of patients. Performs all credentialed medical procedures according to standards, including time-out protocols. Participates in the development, implementation and evaluation of the continuous Quality Improvement Plan to identify improvement opportunities. Adheres to the Standards of Excellence at all times. Respects the rights, privacy and property of others at all times including the confidentiality of information, according to Administrative policies and all applicable laws and regulations. Complies with all applicable JHS policies and procedures, laws and regulations, and accreditation requirements (including HIPPAA and clinical trials protocol). Comply with all matters related to Department of Justice Consent Decree. Performs other related duties as assigned. Participates in call schedule and reports for duty within 30 minute response time for surgical and/or OB cases. Completes unusual occurrence report in accordance with P&P. Performs medical assistant duties using appropriate skills and equipment in accordance with P&P. Establishes priorities and organizes work in a logical sequence. Stocks and monitors supplies and Operating Room cabinets. Demonstrates knowledge of and applies principles of aseptic technique and maintains vigilance for breaks. Practices bio-hazardous waste separation according to P&P. Demonstrates knowledge of special laboratory procedures and assists in performance of such procedures. Assists as needed with transporting patients on stretchers, beds, to and from the OR, GI, AMSU, nursing floors as needed including to/from OR table. Practices appropriate techniques to protect patient's skin status and position for surgery. Assists as required during patient preparation, hair clipping and positioning for surgery as needed. Demonstrates knowledge of anesthetic agents and their impact on patient care; maintains awareness of proper body alignment throughout procedure. Maintains current knowledge on procedures, instruments, equipment; and integrates knowledge and skills into practice. Assists the surgeon during operative procedures by holding retractors, handling grafts, clipping sutures, etc. Performs additional related activities as assigned by the surgeon. Performs history and physical as needed on all patients within 24 hours and/or prior to surgical intervention. Performs other related duties as assigned. Demonstrates behaviors of service excellence and CARE values (Compassion, Accountability, Respect and Expertise).

Experience:
Generally requires 3 to 5 years of related experience.

Education:
Doctorate degree in Medicine is required.

License Certification:
Valid Florida Medical License. For incumbents working in Corrections Health Services, active DEA and board certification is preferred. For incumbents working in other facilities, active DEA and board certification is required. Other specialty certifications related to specialty are a plus. American Heart Association Basic Life Support (BLS) and any additional applicable life support certification for Healthcare Providers is required upon hire with at least 6 months validity and maintenance at JHS for the duration of employment.

Knowledge Skill Abilities:
General Competencies: Ability to analyze, organize and prioritize work accurately while meeting multiple deadlines. Ability to communicate effectively in both oral and written form. Ability to handle difficult and stressful situations with critical thinking and professional composure. Ability to understand and follow instructions. Ability to exercise sound and independent judgment. Knowledge and skill in use of job appropriate technology and software applications. Management Competencies: Knowledge of business and management principles involved in strategic planning, resource allocation, human resources modeling, leadership technique, production methods, and coordination of people and resources. Skill in monitoring/assessing the performance to make improvements or take corrective action. Skill in using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions, or approaches to problems. Ability to plan, implement, and evaluate programs. Ability to establish goals and objectives. Ability to recognize, analyze, and solve a variety of problems.

Physical Demands:
Job function requires extended standing or walking. Must be able to carry objects weighing 21 to 50 pounds. Able to lift or move objects weighing 51 to 100 pounds with the use of appropriate devices. Jobs in this group require frequent visual acuity to perform activities related to extended use of computers. Additional information and provision requests for reasonable accommodation will be provided by the home unit/department in collaboration with the Reasonable Accommodations Committee (RAC).

Work Environment:
Jobs in this group are required to function in a fast paced environment with occasional high pressure or emergent and stressful situations. Frequent interaction with a diverse population including team members, providers, patients, insurance companies and other members of the public. Function is subject to inside environmental conditions, with occasional outdoor exposures. Exposure to various environments such as: communicable diseases, toxic substances, medicinal preparations and other conditions common to a hospital and medical office environment. May also be exposed to needle sticks, airborne infections, medical gases, X-Ray, chemical exposures and other potential hazards. Must wear Personal Protective Equipment (PPE) when exposed to infectious/clinical hospital environment. Reasonable accommodations can be made to enable people with disabilities to perform the described essential functions. Additional information and provision requests for reasonable accommodation will be provided by the home unit/department in collaboration with the Reasonable Accommodations Committee (RAC).