Job Description
Summary: Responsible for direct delivery of integrated patient care in clinic and hospital settings, primary clinic Plans, directs, monitors, coordinates, controls and evaluates related clinical activities and services delivered to individual patients as provided by the Corporation, mid-level providers and support staff.
Essential Duties and Responsibilities:
- Provide direct medial services to patients of the clinic including examination, diagnosis, planning and treatment and evaluation of progress with an emphasis on prevention.
- Keeps accurate records and adequately detailed information to allow: continuity of patient care among providers; quality assurance activities requiring record review; and accurate and truthful coding of diagnosis, services provided, and billing of service charges.
- Remains cognizant of charges to individual patients. Provides support staff with billing information according to agreed-upon procedures relative to all billable services including those provided in settings other than the clinic.
- Return patient and other provider phone calls as necessary.
- Communicates appropriately with patients and patient’s families regarding patient’s condition and treatment.
- Keep regularly scheduled clinic hours and is available to provide patient care at all times during these hours.
- Cooperates in promoting the team concept of health care delivery.
- Assists Medical Director in determining and conducting in-service training sessions for support staff.
- Provides clinical supervisor to medical support staff.
- When requested, advises Clinic Manager, Medical Director, Chief Executive Officer, or Board of Directors on questions involving medical matters.
- In collaboration with Clinic Manager, Medical Director, Chief Executive Officer, and other professional staff members, assist in development and periodic updating of any standards of care, principals of practice, standing orders, clinical protocols (including those governing mid-level providers), support staff job description (to delineate responsibilities of each team member), and other medical policies that may be promulgated by RHCA.
- Advise Clinic Manager, Medical Director and Chief Executive Officer in matters concerning staff professionalism and conduct of professional and support staff.
- When deemed beneficial to RHCA and mutually agreed upon with other staff, education of medical care within area school settings.
- Assists in the recruitment and orientation of new medical support staff.
- Assists in the development of training and continuing education opportunities for medical support staff.
- Actively participates in assuring continuing education opportunities for medical support staff.
- Actively participates in assuring continuing quality control in the delivery of health services to RHCA patients. Participates in chart review to maintain quality assurance.
- Assists in health care planning for RHCA. Maintains familiarity with Corporation’s mission, goals, objectives, policies and protocols or procedures that are relevant to health care and works with Medical Director, Chief Executive Officer and professional staff to assure health care objectives are met.
- Will be required to learn to utilize various types of electronic and/or manual recording and information systems used by the agency, office and related units.
- All other duties as assigned by the Immediate Supervisor.
Conditions and Requirements:
- A physician medical staff member must maintain a level of staff privileges at a Kentucky hospital approved by the CEO. Failure to maintain standing will result in reconsideration of employment status at RCHA. The facility and category of privileges will be determined by the CEO or his designee.
- All Physicians and non-physician providers are required to attend clinic and RHCA general staff and/or Committee meetings. An attendance rate of 75% is expected, unless otherwise approved in writing by the Medical Director or CEO.
- The physician or non-physician provider must participate in all Quality efforts undertaken by the organization. Further, the medical providers are expected to conform to the standards of care approved by the RHCA Board of Directors under the Quality Improvement Program, and other such programs as may be identified as appropriate. These efforts include but are not limited to requirements from the Bureau for Primary Health Care, Health Care Excel (Medicare), Medicaid and HEDIS.
- The provider is expected to meet/exceed the goals and targets established for the RCHA Quality Improvement Program.
- All providers must bill for all services and supplies in a compliant manner. Errors will be tracked and brought to the attention of the providers. Errors must be corrected by the providers. Physician billing errors will be discussed with the individual physician and a plan for targeted for reduction of errors will be developed. Training on coding, billing, and compliance will be provided by RHCA at no expense to the provider on at least an annual basis. Failure to reduce billing errors after training and implementation of a plan for correction of errors may be cause to require the individual to obtain additional training at the their own expense.
- Failure to correct, reduce and/or eliminate errors after all steps in a plan of correction have been implemented, along with additional education/training at physician’s expense, will be an immediate cause to assess base compensation level and/or employment status. The provider must cooperate with RHCA administration in achieving financial and patient care goals.
- Being a “Team” player, focusing on mission, working in and assisting in the development of a collaborative approach to the care of patients and providing quality medical care are benchmarks for success.
- The provider is expected to assist and be involved in projects and programs intended to improve services and the health status of residents in the communities served by RHCA. Examples include school health fairs, community screening projects, disaster preparedness and response, health professions education programs and bio-terrorism training/preparedness.
- CME programs chosen by the providers must reflect the needs of the physician, RHCA and the patients. In some instances RHCA reserves the right to direct the provider to specific CME programming such as additional coding education, improvement in QA or meeting evidence based indicators.
- All personnel working for RHCA are expected to treat patients and each other in a respectful and courteous fashion.
Education and/or Experience:
- Graduated from an accredited school of medicine
- Licensure to practice medicine in the state of Kentucky
- Board Certified
- Must maintain current BLS or ACLS and DEA registration
Other Skills and Abilities:
- Good conceptual skills and ability to synthesize multiple veiw points into a common purpose.
- Ability to assess, organize and plan; demonstrated skills in problem identifications and problem solving.
- Ability to exercise judgment and work independently under general direction.
- Ability to work flexible hours.
- Ability to function as a team member.
- Ability to communicate effectively both orally and in writing.
- Ability to take the initiative and provide leadership to enhance quality interactions with clients in the community.
- Computer literate and capable of operating an EMR.
SOFTWARE SKILLS: Experience with eClinical Works is a plus. Must be proficient with MS office suite.
WORKING CONDITIONS:
- Normal office environment with occasional evening or weekend work
- Periodic local, state and national travel; travel between Health Center and Administrative Sites
- Physical Demands: Lifting, bending, reaching, pushing, carrying, sitting, vision corrected in normal range, hearing corrected in normal range
- Hazardous Conditions: Exposure to infectious diseases; potential exposure to physical violence
- Machines, equipment, tools and supplies used: computer, postage machine, fax, copier, calculator, multi-line phone system
ADA REQUIREMENTS: Constant interpersonal skills, teamwork, customer service, reading, speaking, writing and understanding English, and problem analysis. Frequent creativity, mentoring, presentations/teaching. Frequent decision making and independent judgment or action. Frequent keyboarding, sitting, standing, hearing and talking. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
ORGANIZATIONAL DISCLAIMER: Job descriptions are designed to outline primary duties, responsibilities and qualification requirements, and should not limit additional duties and responsibilities as assigned. It is our expectation that each employee offers their services wherever and whenever deemed necessary to ensure the success of the organization.
As an Equal Opportunity/Affirmative Action Employer, RHCA, does not discriminate on the basis of race, color, sex, national origin or ancestry, religion, marital status, age, disability status, veteran status or any other reason prohibited by law.