Job Description

We are hiring an Emergency Department Physician Services for one of our clients in Clarksburg, WV .

Job Description:

• Current license to practice medicine in any State, Territory, or Commonwealth of the United States or the District of Columbia when services are performed onsite on VA property.
• Board Certification: All physicians shall be Board Certified/Board Eligible in Emergency Medicine.
• Degree
• Copies of Advance Cardiac Life Support/Basic Life Support (ACLS/BLS) Certifications
• Board Certification (or documentation demonstrating board eligibility)
• Health Safety Items: Provide proof of Health Record as required by PWS 2.1.7
• Drug Enforcement Agency (DEA) card
• National Provider ID (NPI)
• Listing of procedures performed in the past two years

Qualifications:

• Staff/Facility
• License: The physician(s) assigned by the Contractor to perform the services covered by this contract shall have a current license to practice medicine in any State, Territory, or Commonwealth of the United States or the District of Columbia when services are performed onsite on VA property.
• All licenses held by the key personnel working on this contract shall be full and unrestricted licenses.
• Contractor's physician(s) who have current, full and unrestricted licenses in one or more states, but who have, or ever had, a license restricted, suspended, revoked, voluntarily revoked, voluntarily surrendered pending action or denied upon application will not be considered for the purposes of this contract.
• Board Certification: All contractor's physicians shall be Board Certified/Board Eligible in Emergency Medicine.

VA Hours Of Operation/Scheduling

• Direct Patient Care: estimated 95% of the time involved in direct patient care.
• Per the qualification section of this PWS, the Contractor shall provide the following staff:
• ABEM / AOBEM Board Certified / Board Eligible Emergency Medicine Physicians
• Scope of Care: Contractor's physician(s) (as appropriate and within scope of practice/privileging) shall be responsible for providing care in the Emergency Department, including, but not limited to:
• Evaluation, Emergent Treatment and Management: Employment of the principles of emergency care for life/limb threats, resuscitation and stabilization, triage, diagnosis, and disposition.
• Initial evaluation, emergent treatment and management of minor wound care, respiratory illness, gastrointestinal illness, burns, musculoskeletal trauma, dermatological illness, ENT, eye and urological problems.
• Initial evaluation, emergent treatment and management of minor procedures such as local infiltration anesthesia, incision and drainage, simple laceration repair, nail trephination, electro-coagulation, nasal cautery, gastric lavage, bladder catheterization, peripheral venous line insertion, and spinal immobilization.
• Initial evaluation, emergent treatment and management of abdominal and gastrointestinal disorders (including trauma) of the esophagus, stomach, small bowel and colon rectum and anus, liver and biliary tree and pancreas.
• Initial evaluation, emergent treatment and management of cardiovascular disorders (including trauma) involving cardiac failure, differential diagnosis of chest pain, cardiac structural disorders, cardiac rhythm and conduction defects, pericardial disorders, disease of peripheral arteries and veins, shock, and cutaneous disorders.
• Initial evaluation, emergent treatment and management of emergent disorders caused by antigens, organisms and other foreign substances such as reactions of hypersensitivity; reactions from venoms, bites and stings; reactions caused by infectious agents; disorders due to chemical, drug and physical agents; and disorders associated with the environment to include barotraumas, near drowning, electrical injury, hypothermia and radiation injury.
• Initial evaluation, emergent treatment and management of emergent disorders of the hematopoietic system such as anemia, coagulopathy and management of acute neoplastic disease complication.
• Initial evaluation, emergent treatment and management of emergent disorders of endocrine, metabolic and nutritional natures relating to acid-base disturbances, adrenal, parathyroid and thyroid disturbances.
• Initial evaluation, emergent treatment and management of emergent disorders of the head and neck (including trauma) involving the ears, nose, oral cavity, larynx/trachea, face and vestibular system.
• Initial evaluation, emergent treatment and management of emergent disorders (including trauma) of the eye involving the lids and lachrymal apparatus conjunctiva, cornea, sclera, internal aspects of the globe and orbit.
• Initial evaluation, emergent treatment, and management of emergent disorders (including trauma) of the musculoskeletal system involving shoulder girdle, upper extremity and hand, lower extremity and foot, thorax, and vertebrae and arthropathies.
• Initial evaluation, emergent treatment and management of emergent disorders (including trauma) of the nervous system including cerebral edema, coma, cranial nerve disease, cerebro-vascular disease and infection.
• Initial evaluation, emergent treatment and management of emergent disorders of psychiatric origin including depression, anxiety reactions, suicide and psychosis.
• Initial evaluation, emergent treatment and management of emergent respiratory disorders including pulmonary, infection, trauma, neoplasia, metabolic and complications of cardiovascular disease.
• Initial evaluation, emergent treatment and management of emergent renal and urologic disorders including acute/chronic renal failure, infections, obstructive uropathy and hematuria and trauma.
• Initial evaluation, emergent treatment and management of emergent OB/GYN disorders such as trauma, infection and pregnancy (ectopic and intra-uterine).
• Suture minor lacerations
• Major procedures shall be performed in the facility emergency department when safe and appropriate to do so for procedures such as central venous line placement, arterial catheter placement, emergency chest tube or needle thoracostomy to relieve tension pneumothorax, peritoneal lavage, defibrillation and synchronized cardioversion, endotracheal intubation, lumbar puncture, proctoscopy/anoscopy, pericardiocentesis, simple closed fracture and dislocation reduction, arthrocentesis, local/regional anesthesia, moderate and/or deep procedural sedation, pericardiocentesis, temporary pacemaker placement, chest tube thoracostomy and cricothyroidotomy.
• Inpatient Admissions: Contractor's physician(s) shall review all admissions to inpatient hospital care recommended by Advanced Practice Provider (Physician Assistant or Nurse Practitioner).
• Every admission to inpatient care shall have a person-to-person hand-off/hand-over from the admitting Provider to a responsible member of the admitting team.
• Consultation and Referral Responsibilities: Contractor's physician(s) shall provide consultation with and instruction to referring physicians regarding appropriate indications for procedures so that the most expeditious and clinically appropriate care can be provided.
• Contractor's physician(s) shall determine the appropriate course of treatment and communicate in person or by phone with the referring clinicians.
• Contractor's physician(s) shall initiate appropriate social work referrals for all identified homeless veterans and for patients who do not have primary care providers, but who appear regularly in the ED.
• Orthopedic devices: Contractor's physician(s) shall apply, or directly supervise the application of, orthopedic devices such as splints and braces to stabilize orthopedic injuries
• Medications: Contractor's physician(s) shall follow all established medication policies and procedures. No sample medications shall be provided to patients.
• Discharge education: Contractor's physician(s) shall provide discharge education and follow up instructions that are coordinated with the next care setting for all emergency department patients.
• Administrative: estimated 5% of time not involved in direct patient care
• Staff Meetings: The contractor's physician(s) shall attend staff meetings as required by the facility Chief of Service, Chief of Staff, or designee.
• Contractor to communicate with COR on this requirement and report any conflicts that may interfere with compliance with this requirement.
• QA/QI documentation: The contractor's physician(s) shall complete the appropriate QM/PI documentation pertaining to all procedures, complications and outcome of examinations.
• Specialized EHR Documentation Procedures: Patient documentation is completed using the current electronic health record (EHR).
• Contractor's physician(s) shall document care given and select appropriate Evaluation and Management (E&M) procedure codes in the current EHR.
• Documentation must be sufficient to support both the E&M and procedure codes. Documentation and coding functions must be completed by the end of each patient care encounter.
• Patient Safety Compliance and Reporting: Contractor's physician(s) shall follow all established patient safety and infection control standards of care. Contractor's physician(s) shall make every effort to prevent medication errors, falls, and patient injury caused by acts of commission or omission in the delivery of care.
• All events related to patient injury, medication errors, and other breeches of patient safety shall be documented in the medical record of those impacted and disclosed to the patient or surrogate.
• As soon as practicable (but within 24 hours) Contractors shall notify COR of incident and submit an entry in the VA Patient Safety Reporting System, following up with COR as required or requested.
• Customer Service: Contractor's physician(s) shall refer all patient/customer service issues to the ED Supervisory Physician and/or ED Nurse Manager or designee.

VA Business Hours:

The ED operates 24 hours a day, 7 days a week, 365 days a year including Federal Holidays

• Schedule: Normal business hours for the Emergency Department are based on emergency department needs and may be adjusted by the emergency department leadership.
• Current shift hours are: 7:00am to 7:00pm, 8:00am to 8:00pm, 9:00am to 9:00pm, 10am to 10pm, 12:00pm to 8:00pm OR 7pm to 7:00am Wednesday through Tuesday.
• Patients must be seen by a contractor's physician(s) on-site at the facility in a timely manner in accordance with VA Rules and Regulations on clinic wait times and consult completion.
• Contractor shall notify the COR at least monthly about any obstacles to meeting this performance measure.
• Contractor's Physician(s) shall be available to be scheduled to work during all hours of operation of the ED or as required by the facility Chief of Staff or designee.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

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