Physician Emergency Medicine and Acute-Care Medicine

Date Created:

4/15/2024

Date Revised:

Job Title:

Physician Emergency and Acute-Care

Medicine

Job Code:

Exemption Status:

Exempt

Grade:

FTE:

0.5-1.0

Job Summary - In three or four sentences summarize the job's purpose and primary focus

Provide urgent, emergent and non-urgent health care for members in Emergency Department (ED), Advanced Urgent Care (UC), TMC and Telehealth venues. Care will be commensurate with training and in accordance with the policies and standards of practice, as established by each venue.

The primary face-to-face clinical responsibilities will lie in staffing KPCO's UC locations. If new venues require EM staffing, the group will be responsible for staffing those. These may include Hospital Emergency Departments, additional UC locations, Clinical Decision Units (CDU) or other venues.

EM physicians will staff TMC with major responsibilities defined below. Additional EM work will be in Telehealth (TH) venues, currently Chat and Get Care Now (GCN) as required by operational needs.

Major Responsibilities/Essential Functions - In order of importance, list primary job responsibilities.

Emergency Department

• Any new ED contracts will require credentialing at that hospital and duties and responsibilities will be described in accordance with the new contract requirements for Emergency Department care.

Urgent Care

• Provide continuous in-person coverage to see higher acuity cases than typically seen in a traditional/community urgent care clinic at all UC locations for all hours of operation.
• Identify and stabilize for transfer, perform low risk procedures, and advance workups that could obviate the need for an otherwise unnecessary ED or hospital stay.
• Provide on-scene EM consultation and support to FM trained physicians and APPs.
• Provide accurate and rapid assessment of a wide variety of low-medium acuity conditions which often present to EDs unnecessarily.
• Assist in medical education of both the patients and clinic staff.
• Participate in the development of clinic protocols and formulary.
• Make recommendations, suggestions, and highlight potential efficiencies in the EHR.
• Complete medical records within 24 hours.
• Perform such clinical procedures for patient's benefit which are within scope and skill of practitioner.
• Provide direction and leadership to the clinic's medical support staff, regarding the administering of a patient's care.
• Provide supervision in case assignment to physician assistant, including sign off on charts.
• Support and advise nurse triage process with 'Second Level Triage' decisions.
• Perform other job-related duties, as may be assigned, by the Medical Director

Telehealth

• Provide members high quality virtual care options and develop expertise in all of Colorado's telehealth venues.
• Manage a wide array of patient concerns, including episodic care as well as assisting in chronic care management and preventive care, providing care via telehealth or referrals for face-to-face care as appropriate.
• Develop expertise in venue management for members throughout the region, working closely with Nurse Advice, Message Management and TMC to improve care navigation for our members.
• Communicate effectively and efficiently with patients through chat, email, video and phone.
• Manage multiple simultaneous chat encounters, several at a time during busy periods.
• Develop expertise in efficient use of the Verizon Agent Desktop, the Genesys platform, Dexcare, Pulse and other platforms as becomes necessary.
• Contribute to efforts at system improvement, including telehealth QA and development and refinement of training materials, as well as mentoring new providers.
• Develop good 'webside manner'.

• Maintain flexibility in staffing telehealth venues and moving to cover venues with greatest need as directed by the Medical Director of telehealth venues.
• Participate in department meetings as necessary.
• Plan vacation and other PTO in coordination with other virtualists and team members to help maintain adequate coverage and adjust for expected seasonal variability.
• Cover a proportional segment of adverse hours including weekend, holiday, evening and overnight shifts.
• Maintain appropriate work from home environment including professional background and quiet space from which to work without distractions.

Telephone Medicine Center

• Demonstrates consistent and reliable diagnostic and therapeutic judgment.
• Demonstrates ability to telephonically assess ED level patients for stability and appropriateness for repatriation/transfer or discharge home.
• Provides accurate telephonic triage consultations that are in line with KP safety and utilization objectives: right place, right time.
• Support Urgent care, clinic-based, and ASC providers for Emergency Medicine consultation on patients who may need ED level of care.
• Support RN and LPN's working in NAL and Message Management for high acuity complaints.
• Provides RN consultations for real-time assessment and treatment for self-limited illness.
• Supports clinical initiatives.
• Actively works to continually learn and apply new skills.
• Practices in accordance with KP approved procedures, guidelines, and protocols.
• Use and understand evidence-based clinical guidelines at designated and non-designated facilities.
• Demonstrate knowledge of the EMTALA regulations as they pertain to transfers of KP patients.
• Use and understand the resources available at various KP facilities and become familiar with the level of care available at designated hospitals.
• Become familiar with locations of designated facilities and understand how KP service delivery plans integrate with health care facilities located throughout the state of Colorado.
• Demonstrate knowledge of the different methods of patient transfers available and be able to coordinate the timely and safe transfer of patients from non-core Emergency Departments to designated KP facilities.
• Use and maintain electronic medical records in a manner that protects the confidentiality of the patient and ensures the security of medical records. Provide medical information to the treating physician and help with an appropriate care plan.
• Ensure an optimal clinical experience for the patients.
• Ensure patient referrals are appropriate for their medical condition.
• Provide appropriate consultation and review of physician assistant work in the TMC.
• Provides support for after-hours critical lab and radiology results.
• Provides after hours Home Health and Hospice RN consults and orders.
• Recommend and utilize Dispatch Health services where appropriate.
• Provides on call services for primary care after hours and on weekends and holidays.
• Demonstrates knowledge of and participates in KP business initiatives.
• Understand the EMS systems for Colorado.

Peer and Co-Worker Relationships

• Demonstrates flexibility and ability to work effectively as a team member.
• Regularly attends and participates in team meetings.
• Supports goals of the department.
• Participates with colleagues in the staffing/working of all shifts.

Service Excellence

• Communicates effectively with patients, clinicians, families, nursing, and all levels of clinical staff.
• Participates in problem solving of consumer complaints.
• Actively participates in initiatives to increase patient access.
• Partners with patient in management of care.
• Demonstrates that patients come first.

Resource Utilization and Operational Excellence

• Seeks and offers appropriate and timely consultations consistent with protocols.
• Orders medication within prescriptive authority and promotes the use of the KP formulary.
• Orders referrals, lab, pharmacy, and radiology tests appropriately.
• Works with the delivery system to ensure understanding of the referral and clinical review process and its' relationship to the clinical review criteria.

Required Procedures IF applicable - In three or four sentences summarize the job's primary procedures

Preferred Procedures IF applicable - In three or four sentences summarize the job's secondary preferred procedures

Job Qualifications

Candidates must meet Required qualifications. If Required qualifications are not met, the candidate will be disqualified from applying from the position. If Preferred qualifications are not met the candidate may still qualify for the position.

Required Minimum Education - minimum education or degree required

MD or DO - 3 or 4 year ACGME accredited residency program Emergency Medicine Previous experience should be from an urgent care, hospital or ambulatory clinic setting.

Preferred Education - education or degree preferred

Required Minimum Work Experience and Qualifications - years of job experience, skills or abilities required

• Demonstrated success in medical practice as a Permanente physician
• Demonstrated flexibility and engagement as a Permanente physician
• Demonstrated ability to work collaboratively
• Ability to deliver in executing on business and care delivery objectives
• Excellent interpersonal skills
• Effective communication skills
• Technical abilities and thorough understanding of technology needed to provide effective virtual care

Preferred Work Experience and Qualifications - years of job experience, skills or abilities preferred

Required Licensure, Certification, Registration or Designation - Licensure or certifications required

DEA and License in Colorado

Preferred Licensure, Certification, Registration or Designation - Licensure or certifications preferred

Required Testing, IF applicable - MS Office Suite, typing test, etc required

CPMG Core Competencies - ALL are required

Managing Emotions

• Controlling Emotions - Remains in control of emotions and demonstrates resiliency in the face of pressure and stress.
• Knowing Self - Shows self-awareness by not under or over-estimating own capabilities and remains open to feedback and coaching.
• Understanding Impact - Demonstrates awareness of others' feelings and the emotional impact of decisions on people.

Achieving Results

• Displaying Confidence - Displays confidence and shows a preference for action without dominating others with own agenda.

• Executing Tasks - Delivers on commitments and executes responsibilities in a conscientious, organized manner without becoming mired in details.

• Taking Risks - Takes necessary and appropriate risks in order to increase performance impact.
• Adapting to Change - Adapts to changing circumstances, perseveres through obstacles, and maintains optimism.

Building Relationships

• Communicating with Others - Engages others proactively to communicate ideas and promote team interaction.
• Listening To Others - Creates opportunities to gather feedback and shows consideration for others' perspectives.
• Demonstrating Accountability - Shows accountability for own responsibilities in the eyes of others.

Solving Problems

• Collaborating with Others - Solicits the input of others to drive consensus and buy-in while still owning the decision.
• Showing Rationale - Creates objective support for ideas in a timely manner to ensure feasibility before proposing opinions to others.
• Leveraging Creativity - Identifies new, innovative solutions for complex problems rather than focusing on the status quo.

Disclaimer, Compliance and Service Language-Do Not Edit

DISCLAIMER: The above statements are intended to describe the general nature and level of work being performed by incumbents assigned to this job. This is not intended to be an exhaustive list of all the responsibilities, duties and skills required. The incumbent may be expected to perform other duties as assigned.

COMPLIANCE & INTEGRITY: Consistently supports compliance and the Principles of Responsibility (Kaiser Permanente's Code of Conduct) by maintaining the privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, and adhering to applicable federal, state and local laws and regulations, accreditation and licensure requirements (if applicable), and Kaiser Permanente's policies and procedures.

Models and reinforces ethical behavior in self and others in accordance to the Principles of Responsibility; adheres to organizational policies and guidelines; supports compliance initiatives; maintains confidences; admits mistakes; conducts business with honesty; shows consistency in words and actions; follows through on commitments.

All Directors, Managers and Supervisors are accountable for communication, implementation, enforcement, monitoring and oversight of compliance policies and practices in their departments.

SERVICE & QUALITY: In addition to defined technical requirements, accountable for consistently demonstrating service behaviors and principles defined by the Kaiser Permanente Service Quality Credo, the KP Mission as well as specific departmental/organizational initiatives. Also accountable for consistently demonstrating the knowledge, skills, abilities, and behaviors necessary to provide superior and culturally sensitive service to each other, to our members, and to purchasers, cont