Immanuel Pathways Des Moines

Are you a Geriatric or Palliative Care Physician looking to work for an amazing organization by serving others and connecting with your co-workers?

Immanuel is seeking a Geriatric or Palliative Care Physician to work at Pathways Central Iowa located at 7700 Hickman Road, Windsor Heights, IA 50324.

Best in Class Benefits can be found at Immanuel:

• HEALTH: Medical, dental, vision, Health Savings Account (HSA), and Flexible Spending Account (FSA)
• LIFE INSURANCE: Employer Paid Life Insurance
• TIME OFF: Paid Time Off - accruing from day one of employment, Floating Holidays, Paid Holidays, 8 hours of Volunteer Time Off per year
• RETIREMENT: 401K with employer match
• WELLNESS: Wellness Program and Employee Assistance Program
• GROWTH AND DEVELOPMENT: Advancement opportunities (as appropriate) – we look to grow from within our organization, Education Assistance Program – we invest up to $5,250 per year for education assistance paid up front
• Plus many more benefits

What You Will Do

Provides geriatric primary care and continuous medical coverage for medically complex, nursing home eligible community dwellers (Immanuel Pathways program participants). Practices collaboratively with the Medical Director and Primary Care Provider (PCP) Nurse Practitioner(s) following protocols developed within the specified Code of State Regulations. Provides participants and their caregivers with instruction and education. Functions as a member of the Interdisciplinary Team (IDT) and informs the IDT of the medical condition of each participant, remaining alert to pertinent input from other team members, participant’s caregivers, as well as documenting changes in a participant’s medical record consistent with documentation policies. Works with Clinical Practice Manager to coordinate scheduling and care for participants in the clinic. Performs rounds in the Immanuel Pathways contracted provider locations (i.e. community home visits, nursing home, assisted living, hospital, telepresence). Supports and lives out Immanuel’s Mission and CHRIST Promises.

Key Areas

Key Responsibilities and Duties of the Job

Participant Care

80%

Primary Care (40%)

• Performs initial in-person comprehensive history and physical on new Immanuel Pathways participants. 
• Conducts in-person reassessment semiannually and as needed.
• Coordinates with the IDT to develop a comprehensive plan of care for each participant. Integrates the primary care treatment plan into the overall plan of care developed by the IDT. Interacts with team members to meet emergent and acute need of participants.  Participates in discharge planning for acute and long-term placement.
• Evaluates and treats participants during acute illness.
• Refers participants to medical specialist as indicated, communicates and follows up with specialist regarding outcome of visit. Oversees and manages participant’s use of medical specialist and inpatient care.
• Admits participants to the hospital or coordinates with hospital services; providing primary care responsibilities for medical management and updates to IDT.  In conjunction with the hospital, case manager and IDT, plans and coordinates discharge.
• Manages care of participants in the nursing home:  Provides regular visits as dictated by nursing home standards and participant needs.  Performs telephone contact with nursing home staff as required; coordinates admits for nursing home participant to hospital when necessary.
• Functions as a member of the IDT maintaining regular attendance and participates at meetings; communicates participant changes, collaborates on plan of care decisions and coordination for twenty-four (24) hour care delivery.
• Completes and documents appropriate diagnostic coding.
• Supports the Nurse Practitioner as a consultation resource who will be available at all times, either on site or by telephone.
• Participates in rotating night and weekend on-call duty.
• Willing to work with rotating students
• Willing to work with a medical scribe

Geriatric Consultative Care/Management (40%)

• Acts as a consultant to other providers and the IDT for complex cases, complex geriatric syndromes, difficult conversations, capacity assessment and other geriatric specific concerns
• Acts in a teaching role for the IDT for geriatric concepts and practices.

• At the direction of the Medical Director, reviews medical outcomes/statistical and utilization data, including reviewing of necessity of hospitalizations, and use of specialists.  When problems are identified he/she works with the Medical Director to establish best practices and works with clinical staff and IDT to make appropriate procedural and or operational changes to avoid unnecessary hospitalizations and improve the health of participants.
•  Advises the Medical Director in ways and means to establish better accountability of Immanuel Pathways services to participants and referral sources, keeps Medical Director
• Supports the Medical Director to develop protocols that will be approved annually, collaboratively working with the Nurse Practitioner.  aware of needed material and human resources as program expands.
• Willing to work with rotating students
• Willing to work with a medical scribe
• Willing to participate in research/quality improvement projects

           (Percentages are negotiable)

Quality / Compliance 

10%

• Assists with the development of policies and procedures for standards of care; performs on-going monitoring and evaluation of patient care practice and service delivery; provides guidance and training to staff regarding medical and quality assurance issues.
• Participates in and supports Quality Improvement Initiatives.
• Protects privacy and maintains confidentiality of all company procedures, results and information about employees, participants and families.
• Follows all Immanuel Pathways Policies and Procedures and Occupational Safety and Health Administration (OSHA) safety guidelines.
• Complies with state Home Health Licensure regulations for home care.

Professional Activities

5%

• Attends continuing education classes and required staff/training meetings. Maintains professional licensure and certifications.
• Provides information about Immanuel Pathways Program to interested individuals and groups in adherence to PACE regulations.

Other

5%

• May provide coverage for a counterpart at a different Immanuel Pathways PACE site on a fill-in basis for a short duration.
• Participates in the recruitment and training of Nurse Practitioners. May contribute to performance evaluations.
• Performs other duties as required or requested.   ·     

Skills & Requirements

Doctor of Medicine (M.D.) or Doctor of Osteopathy (D.O.) degree is required.

Board certified in Internal Medicine, Family Medicine with fellowship training and board certification in Geriatric Medicine is required.  

Current state license and DEA registration required. 

Meets requirements for 42 CRF Part 410.20.

One (1) year of experience working with the frail older adult population required, or completion of job specific training related to working with the older adult population

Three (3) years of practicing medicine in a clinical or hospital setting is required (residency meets this requirement).

When you join Immanuel, it's not for the benefits, the t-shirts, or the food (all of which there are plenty). You join Immanuel to work with people who will change your life. Together, our mission is to provide Christ-centered services to seniors, the community, and each other. Since our founding in 1887, we have blazed the trail by believing every person, resident, participant, and staff member deserves dignity regardless of creed, race, or identity.

Immanuel is built on the idea that you should love what you do, have balance in life, work with the best talent available, and experience a nonprofit culture that values people over profit. We invest in our people, immerse ourselves in our communities, and ensure every person has a voice that is heard. We will challenge you to do the right thing in every situation, and we expect you to hold us to the same. We expect the best, and so should you.

The secret behind our plethora of multi-year tenured employees (some as long as 25 years) is our desire for you to come here and make your mark on Immanuel. Innovate, participate, experience our dedication to serve others, and work with people who will make your work life meaningful.

If you want to work in a culture that values Compassion, Honor, Respect, Integrity, Service, and Teamwork, our doors are open. Immanuel is the place for you.

• Immanuel is an Equal Opportunity Employer and participates in E-Verify.
• A background check and drug screen will be required prior to hire.
• Applicants must be currently authorized to work in the United States on a full-time basis.