Burbank

Regal Medical Group•Los Angeles, CA

1d•$265,000 - $300,000

About The Position

We are looking for an Assistant Medical Director / Nocturnist (7pm-7am ) to help support our Inpatient Case Management team. This role will cover the Burbank/Glendale and surrounding areas. Hospitalists will accept RMG patients that are admitted through the emergency department, directly admitted from a physician’s office or transferred from another facility 24 hours a day, 7 days a week, 365 days a year during their coverage period. RMG will ensure that patients being transferred from another facility are medically stable for transfer. Should a physician escort be required, as determined by the medical director, one will be made available. The hospitalist will ensure that mentoring responsibilities (i.e., clinical residents, nurse practitioners, etc) do not delay the management and discharge of RMG patients.

Requirements

Graduate from accredited medical school
Board certified (current)/eligible in own specialty
Active California medical license
Current Federal DEA
Additional credentials as required by virtue of specialty

Responsibilities

Hospitalists shall return RMG radio pages or cell phone calls within 20 minutes.
All RMG inpatients shall be seen daily by 11:30 a.m., including weekends and national holidays, to facilitate care and prevent delays in management and discharge.
Hospitalists shall evaluate and write management orders on all newly admitted RMG patients within 1-2 hours of admission. For established inpatients, Hospitalists will write orders on the chart by 9:30 a.m. each day.
Hospitalists shall participate in telephonic physician rounds with RMG senior case manager/medical director daily, 7 days a week, at a pre-established time.
Hospitalist shall agree to a thorough and complete sign-out to covering physicians (weeknights, weekends, and national holidays) with specific instructions for treatment and management of all inpatients.
Hospitalists will exercise their full ability as clinicians before requesting specialty consultations.
Hospitalists will ensure that all tests and specialist consultations are ordered only when it is clear that the management plans are likely to change depending on the results of such services.
Hospitalists will interact directly with specialist consultants involved in a patient’s care daily and shall report the specialist management plans to RMG during phone rounds.
Hospitalists shall attend and coordinate care on ALL RMG inpatients.
Hospitalist shall assist RMG in meeting timeline goals for specialist consultations and test (lab/radiological) requests
For new admissions or transfers, the Hospitalist shall not delay implementing the clinical management of the patient by repeating radiological and laboratory tests that have just been performed elsewhere and are deemed adequate to initiate care.
Should a patient be receiving care at a tertiary care facility, it is the responsibility of the Hospitalist, acting in conjunction with the specialists, to notify RMG immediately of a patient’s eligibility for repatriation at the point that services no longer require a tertiary care facility and can be provided by an RMG contracted community hospital and contracted physician.
The Hospitalist will notify the hospital case manager and/or medical director as soon as he is aware of any hospital admission during the day, or by 9 am if the admission occurred overnight.
Hospitalist shall cooperate with and utilize (as available) the services of the assigned RMG case manager
For all patients, Hospitalist will consider whether the patient may benefit from hospice or palliative care evaluation and inform RMG of any patient that may be hospice eligible.
Hospitalist shall discuss with patient/family length of stay expectations at the time of admission. Hospitalist shall discuss discharge plans with family/patient at least two (2) days before day of discharge.
Hospitalists shall identify patients at high risk for readmission and notify RMG so that these patients can be included in RMG’s high risk patient program.
Hospitalist shall notify RMG telephonically and agree to commit to writing in the clinical chart any inpatient day(s) that is deemed “aberrant” as a result of hospital-related reasons that delay the management, discharge or care of the RMG inpatient.
Hospitalist shall notify RMG immediately upon knowledge that RMG inpatient’s management and care will be delayed.
Immediately upon recognition of a likelihood of discharge to home, transfer to a SNF, or transfer to another facility, all services required for discharge shall be clearly communicated to the case manager before 2 PM and orders written before 3 PM to complete the discharge or transfer as planned.
Upon notification by the ER, Hospitalists shall attend to RMG patients in the ER and, if clinically stable, discharge patients to home or a SNF, if applicable.
Hospitalists must participate in Regal’s discharge dictation summary program by completing the Regal discharge summary form on the day of discharge to support a more efficient and effective transition of care process.