EMPLOYMENT STATUS: Exempt, salaried
REPORTS TO: Medical Director
SUPERVISES: No direct reports, provides guidance, education and support for the ARNP
WORKS CLOSELY WITH: Managers, Clinical Staff, Quality Manager, Intake Coordinator.
SCHEDULE: Monday through Friday, 8 AM – 5 PM w/ hour lunch and shared afterhours coverage.
General Description: Responsible for the medical component of Hospice to ensure our care is efficient, effective, high quality and in Regulatory Compliance. Serve as an educational source and liaison with the members of the local medical community.
SKILLS/KNOWLEDGE: Employee will demonstrate expertise in defined specialty area, ability to communicate effectively in the English language both verbally and in writing. Employee will demonstrate empathetic communication skills necessary during bedside consultations, medical procedures and end-of-life goals of care discussions. Employee will demonstrate organizational skills necessary to manage workload and productivity expectations. Employee will demonstrate the ability to work independently, able to maintain confidentiality in all matters, including employee information, client information and agency matters. The employee will demonstrate initiative in recognizing unmet needs and assuring a timely and appropriate response. The employee will demonstrate skill and knowledge in providing education and treatment of acute and chronic symptom management. The employee will demonstrate the ability to maintain and update professional knowledge base and the ability to assimilate and utilize agency information regarding policy and procedure changes. The employee will demonstrate competence in professional decision-making skills, including the ability to make appropriate assessments, problem-solve, prioritize, and evaluate care effectiveness. The employee will demonstrate the ability to use technology effectively and appropriately, including I-Pad and communication devices (smart phones, voicemail, and electronic mail).
WORK ENVIRONMENT/EQUIPMENT: Employee will perform the duties in both inside and outside environmental conditions. Visits are conducted in patient homes requiring employee to drive from location to location during the work period within the seven county service territory including city, small towns and rural areas. Atmospheric conditions – fumes, odors, dust, poor ventilation, or smoking. The ambient noise level in this environment can flex, is generally low. The duties include using office machinery including extensive use of computers, copiers, etc. The driving requirements include in-town and highway driving in good and inclement weather. All professional staff will use IPads to document work in client home and/or hospital settings.
PHYSICAL/COGNITIVE DEMANDS: The job requires the ability to sit for long periods in an office setting or in a car and may require the physical demands of climbing up/down stairs, walking, hearing, kneeling, standing, pushing, grasping, lifting, talking etc.
The job requires the physical demands of occasional lifting greater than 50 lbs., reaching, pushing, walking, up and down stairs, driving, etc., with or without the use of assistive/adaptive devices. Must have the ability to lift 35 lbs. from floor to counter (to simulate lifting into trunk of car). Ability to carry 35 lbs up and down a flight of stairs, push/pull 35 lbs on a 2 wheel cart.
The duties include coordinating activities, performing physical assessments, various physician activities, use of equipment for client care, computer and smart phone knowledge for documentation and communication. Cognitive ability to solve complicated problems with a variety of variables with limited standardization; interprets assessments to provide education and instructions.
VISUAL / PERCEPTION ACTIVITY: Requires visual acuity to operate motor vehicle, view electronic devises (I-phone, I-Pad, computer terminal) reading data and figures, visual inspection of patients. These duties require fine motor coordination/dexterity, the ability to grasp, vision with or without corrective aids adequate for fine motor tasks, client assessment, and driving.
Essential Job Functions (including but not limited to): To be performed satisfactorily with or without reasonable accommodation. The following duties are normal for this position. While this list is intended to be an accurate reflection of the job, it is not to be construed as exclusive or all-inclusive. Other duties may be required and assigned by the employer.
- Serve as a member of the Hospice Interdisciplinary Team. Provide clinical expertise and participate in team decisions regarding diagnosis and medical management of patient and family needs.
- Consult with the attending physician and the Interdisciplinary team to establish a written plan of care for each hospice patient, and review and update the plan of care per agency policy.
- Complete Certification Terminal Illness Narrative documentation that outlines patient appropriateness for hospice services.
- Complete Face to Face assessments and documentation to attest to patient appropriateness for hospice services.
- Fill medical component of the interdisciplinary team meetings as part of the medical team.
- Perform bedside consultations and medical procedures to ensure optimal patient pain and symptom management.
- Participate in end-of-life goals of care discussions with patients and families, alongside the interdisciplinary team, to inform the patient’s hospice plan of care.
- Assume oversight of the Advance Practice Registered Nurse.
- Assist community primary physician with medical coverage of hospice patients, as requested, to ensure continuity of care and adequate medical care are provided.
- Provide on-call physician services to hospice patients on a 24-hour basis daily as part of the medical team.
- Provide medical expertise for symptom and disease management, standards of care, policies and procedures, quality assurance and improvement programs and program development.
- Provide hospice consultation to staff and medical community.
- Demonstrate exceptional written and verbal communication standards to advance cooperative working relationships with Iowa City Hospice staff, management and care partners.
- Ensure effective use of resources
- Serve as an educational source to staff, Care Partners and Community.
- Ensure implementation of strategic goals
- Adhere to the practice of confidentiality regarding patients, families, staff and the organization.
- Assure the implementation of and participate in the Quality Assessment and Improvement Program and safety activities.
- Participate in Iowa City Hospice’s success by ensuring access to our exceptional care.
20. Support and promote Iowa City Hospice’s mission.
21. Perform other duties as assigned
Licensure: Maintain medical licensure to practice medicine in the State of Iowa.
Education: Completion of a medical degree. Prefer certification in hospice and palliative medicine. Will complete ten (10) hours of CME in palliative care annually.
Experience: 1 year Practicing physician in Home Health, hospital and/or long term care experience preferred. Hospice and palliative care experience preferred.
Certification: Certification in Hospice or Palliative Care, or actively working towards
Driving: Proof of license and current insurance coverage
Criminal background check: All offers of employment are conditioned upon the result of a criminal background check conducted by the Iowa Division of Criminal Investigation, as required by law and a negative finding on the Office of Inspector General’s Excluded Provider List.
New Employee Vaccination / testing: Must provide COVID vaccination status. If not fully vaccinated employee will need to consent to receive it now, or request accommodation. Hepatitis B vaccination is offered and if declined will sign a waiver. Must take a 2-step TB test or to provide documentation of a recent TB Test and complete the second step during orientation.
Additional Training: Continuation of employment in this position requires completion of ten (10) hours of CME in palliative care annually, current CPR, Mandatory Reporter.