Site Medical Director with YesCare at the Orange County Sherriff Office, Goshen, NY
Administrative
- Serve as Chairman of the Medical Audit Committee.
- Consult with medical providers in the community to resolve issues in delivering services to patients.
- Supervise the clinical services provided by the professional and paraprofessional staff.
- Ensure and provide on-call services.
- Annually review and approve clinical protocols, policies and procedures, and medical disaster plan.
- Provide direction and assistance to the on-site quality improvement program as well as the corporate Continuous Quality and Safety Improvement program including review and action on patient complaints, infection control, peer review and chart audits.
- Manage referrals to outside healthcare facilities for appropriateness, quality, and continuity of care.
- Serve as a professional resource and leader for all staff physicians and applicable clinical staff at the facility(s).
- Assist in screening, interviewing, evaluating credentials and hiring of healthcare providers.
- Participate in in-service training classes. Represent the healthcare program in discussions with local civic groups or visiting officials as requested.
- Attend medical, clinical and other meetings, as required.
- Document all encounters in patient's Medical Record. Ensure all documentation is timed, legible and signed. Ensure all verbal or telephone orders are countersigned as required.
- Provide emergency treatment on-site and responds appropriately in urgent or emergency situations.
- Ensure competence in proper technique for basic cardiopulmonary resuscitation and AED use.
- Participate in onboarding new providers and nursing staff.
Clinical
- Provides typical community standard care based on evidenced based medicine for clinical services required including but not limited to sick call, chronic care, History and Physicals, and all emergency care needs. When applicable, visits the infirmary daily and documents encounters in patient's Medical Record as assigned. The goal is to provide the right care, at the right time, and at the right location.
- Will provide call as needed for the role.
- Adheres to approved formulary for therapeutic regimens before utilizing non-formulary procedure. Documents pertinent observations and logical conclusions to validate need for non-formulary medication on non-formulary request form for Medical Director's approval when non-formulary medication is ordered.
- Utilizes available in-house resource personnel for treatment or resolution of identified problems before utilizing off-site referral. Provides emergency treatment on-site and responds appropriately in urgent or emergency situations.
- Demonstrates proper technique for cardiopulmonary resuscitation and related drug therapy with certification as required by credentialing.
- Supports standards of medical care through adherence to existing policies and procedures. Serves as a resource to other professional or non-professional personnel providing instructions as needed.
- Attends Medical Staff meetings as required. Provides monthly in-service education of staff as requested. Participates in monthly review of quality of care and chart reviews as requested. Sponsors physician assistants or nurse practitioners as required.
- Notifies Regional Medical Director and Site Health Services Administrator of schedule changes. Assists in arrangement for coverage of medical services if unavailable for extended period of time.
- Participates in all quality improvement measures including sentinel event review
- Actively participant of the Utilization Review process and follow proper procedures.
- Follows standard precautions using personal protective equipment as required.
Accountability
- Must be approved by the Credentialing Committee.
- Good stewards of our evidenced based medicine care.
- Documentation must be completed between 48 to 72 hours of any visit (preferably same day). Ensures Medical Record documentation is in SOAP format, problem oriented and corresponds to the therapeutic order. Ensures all documentation is timed, legible and signed. Ensures all verbal or telephone orders are countersigned within seventy-two (72) hours.
- All test results ordered in facility must to be reviewed within 72 hours.
- The SMD and RMD are jointly responsible to ensure a schedule to have all results reviewed within 72 hours as well as notes for all communication. This will only go on the SMD and RMD job descriptions).
- Develop a plan for transition of care whether within the facility or external to the facility and ensure that the clinicians are monitoring the records for patient care needs.
- Ensure that the care recommended is provided when patients go outside the facility and then return.