Location: New York,NY, USA
Job Description Under supervision of the Site Medical Director,the Physician Assistant will provide comprehensive, compassionate, and thoughtful care to patients with complex chronic disease in the New York City jail system, under the supervision of physician leadership. The Physician Assistant will provide general primary care including conducting histories and physicals, diagnosing and treating acute and chronic illnesses, and evaluating the need for consult services. The Physician Assistant will participate in an interdisciplinary team under supervision of a Site Medical Director for patients who have chronic medical conditions or physical disabilities who do not require acute inpatient admission. Responsibilities include: Diagnose and treat acute and chronic illnesses. Evaluate the need for consult services and submit the prioritized consult when indicated. Complete comprehensive histories and physicals on all new admissions including documentation of problem list, diagnosis, orders (e.g. labs, imaging and referrals) and ordering appropriate medications where applicable. Evaluate patients requesting sick call, schedule follow-ups and update medicationorders. Updateproblem lists and reconcile patient orders at all visits. ImplementplansforpatientcareutilizingprotocolsapprovedbytheMedicalDirector and/or treatmentplans reflectingthe currentstandard of care. Request radiology exams, lab tests, EKGs when clinically indicated and interpret these results based on clinical findings and in consultation with supervisors where appropriate. Review all specialty consults and hospital returns to ensure thatthestandardof care ismet andrecommendationsoftheconsultant are implemented. Perform chart reviews and summaries for patients transferring facilities including updating problem lists, rewriting medication orders,andreconciling orders and consultsas needed. Generatespecial needsreferrals and documentation asneeded (for patients with(disabilities, dietary restrictions, heat sensitivity, or other relevant flags). Teach patients about their medical conditions and treatments; counsel on risks and benefits of different treatment decisions; witness,sign,anddocument patientrefusals of care. Ensure that all progress notes and orders are signed before the end of the shift. Respond to emergencies in a timely and professionalmanner. NotifythestaffMDandUrgicare about 3hourrunsandEMSactivation. Completespecial housingroundswhenassigned. Be familiar with quality of care and population health indicators. Take appropriate action to meet or exceedstandards. Maintain clinical competency by participating in all CME and CHS training and in-service requirements. Maintain your schedule as directed with particular attention to punctuality and timelynotificationof absences. Adhere to policies and procedures of CHS and be familiar with them by reviewing them as needed. Complete tasks as delegated by a Site Medical Director or other supervising clinical team member. Maintain and provide documentation ofall requiredcredentials. Maintainprofessionalattitudeandappearance. Adhere toOccupationalHealth Services requirements. Departmental Preferences Experience working with patients in a skilled nursing facility or other residential setting Experience working with patients who have serious mental illness Experience working with patients who carry substance use diagnoses; knowledge of harm reduction approaches to care; and familiarity with medications to treat opioid use disorder Experience leading quality improvement initiatives Understanding of trauma-informed care Skilled in patient-centered shared decision making Skilled in communicating risks and benefits of clinical interventions and assessing capacity to make informed decisions. Active BLS and ACLS certifications Infection Control Certification Excellent interpersonal communication skills and ability to work collaborativelywithin a multidisciplina