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Physician - Hospice (EVERGREEN)

Career Opportunities: Physician - Hospice (EVERGREEN) (17404) Requisition ID 17404 - Posted 08/30/2021 - CareOregon - Full Time - Permanent - Portland

To protect the health and well-being of our members, employees and community, CareOregon requires all employees to be fully vaccinated against COVID-19 or have an approved medical or religious exception as a qualification of employment.

Candidates who receive an offer of employment by CareOregon, must provide proof of COVID-19 vaccination or submit a medical or religious exception request, which will be evaluated in accordance with CareOregon's standard accommodation process.

Position Title: Position Title: Physician - Hospice (Evergreen)

Department: HCP-Hospice

Title of Manager: Medical Director - Hospice

Supervises: Non-Supervisory Position

Exemption Status: Exempt

Requisition: 17404

*This position is 0.7 FTE*

General Statement of Duties

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. The hospice physician will also identify opportunities to improve care delivery, use resources effectively, and comply with legal, regulatory and clinical policies and procedures.

Essential Position Functions

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.
  • Coordinates case management activities for assigned patients.
  • 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.
  • Collaborates with the patient's attending physician and the hospice IDG to review/update the patient's individual plan of care and ensure that the medical needs of the patient are being met.
  • 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 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.
  • Assesses and counsels patients regarding hospice care needs; determines need for specialty and rehabilitative services and makes appropriate referrals.
  • Documents care provided in the patient's clinical record, including evidence of end-stage-disease progression.
  • Reviews patients' medications and other treatments to ensure they are medically necessary and cost-effective.
  • Prescribes and dispenses medications and drugs to suitable patients; initiates and/or continues medical regimes for new patients; charts treatment records and monitors results, including evidence of end-stage disease progression.
  • 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.
  • In conjunction with the hospice team, participates in family meetings to educate patients and families on medical conditions and the pros and cons of treatments or medications.
  • 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 supervise Physician Assistants.
  • Provides coverage for clinical colleagues in their absence.
  • May need to cover after-hours call consultation.

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.
  • Assists in the development of policies and procedures.
  • 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.
  • Assures that the patient receives appropriate measures to control uncomfortable symptoms.
  • Assures physician representation/participation in the development of patients' hospice plan of care.
  • 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.

Essential Department and Organizational Functions
  • Proposes and implement process improvements.
  • Meets deadlines for completion of workload.
  • Maintains agreed upon work schedule.
  • Demonstrates cooperation and teamwork.
  • Provides cross-training on specific job responsibilities.
  • Meets identified business goals that contribute to departmental goals
  • Performs other duties as assigned.

Knowledge, Skills and Abilities Required
  • Current clinical and regulatory knowledge regarding patient prognosis and hospice eligibility for certification and recertification purposes
  • 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 the state and federal laws and regulations clinical quality improvement
  • Ability to assist in the development and implementation of appropriate outcome tools, metrics, and assessment strategies to inform quality outcome, safety, and performance improvement
  • Demonstrated ability in understanding the needs of and working with dying individuals in a hospice setting
  • Ability to provide emotional support to patients and caregivers
  • 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 population
  • Cultural competence and ability to work effectively with people from all walks of life
  • Outstanding communications and conflict resolution skills
  • 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 lead assigned staff

Education and/or Experience

Required:

  • Licensed physician (MD or DO) in the State of Oregon
  • Certification by the American Board of Medical Specialties
  • 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:

  • Completion of internship and residency in Internal Medicine or Family Medicine
  • Experience in geriatrics, safety net populations and/or hospice and palliative medicine
  • 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

Physical Skills and Abilities Required


Lifting/Carrying up to 20 Pounds

Pushing/Pulling up to 30 Pounds

Pinching/Retrieving Small Objects

Crouching/Crawling

Reaching Above Shoulders

Climbing Stairs

Repetitive Finger/Wrist/Elbow/

Shoulder/Neck Movement

3-6 hours/day

3-6 hours/day

3-6 hours/day

Up to 3 hours/day

Up to 3 hours/day

3-6 hours/day

More than 6 hours/day

Standing

Walking

Sitting

Bending

Seeing

Reading

Hearing

Speaking Clearly

3-6 hours/day

Up to 3 hours/day

More than 6 hours/day

3-6 hours/day

More than 6 hours/day

More than 6 hours/day

More than 6 hours/day

More than 6 hours/day

Ability to operate a motorized vehicle

Cognitive and Other Skills and Abilities Required

Ability to focus on and comprehend information, learn new skills and abilities, assess a situation and seek or determine appropriate resolution, accept managerial and team based direction and feedback, maintain effective professional boundaries for resiliency, and tolerate and manage stress.

Working Conditions

  • Environment: This position's primary responsibilities typically take place in the following environment(s) (check all that apply on a regular basis):

Inside/office Clinics/health facilities Member homes

  • Other: Custodial care facilities, shelters, etc.
  • Travel: This position requires frequent travel outside of the workplace, in which the employee's personal vehicle may be used. Driving may be required in all kinds of weather conditions. Driving infractions will be monitored in accordance with organizational policy.
  • Equipment: General office equipment and/or mobile technology
  • Hazards: OSHA Category I - Assigned tasks may involve exposure to communicable diseases, blood, body fluids or tissues.
  • If you receive an offer of employment for this position, it is contingent on the satisfactory completion of a pre-employment background check and drug screen. CareOregon is a federal contractor and must comply with all federal laws.

Candidates of color are strongly encouraged to apply. CareOregon is committed to building a linguistically and culturally diverse and inclusive work environment

Veterans are strongly encouraged to apply.

Equal opportunity employer. This company considers all candidates regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.


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Category

Medical and Health Services Managers


Job type

Full time

Company
CareOregon
Posted
08/17/2021
Salary Range
$184,000.00 - 323,000.00
per Year
Salary range estimated by
Location
Happy Valley, OR 97086, US