Burbank

Regal Medical Group•Los Angeles, CA

1d•$265,000 - $300,000•Onsite

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

Return RMG radio pages or cell phone calls within 20 minutes.
Ask support staff to call back to inform RMG of the delay if unable to return pages within 20 minutes due to emergent patient care issues.
See all RMG inpatients daily by 11:30 a.m., including weekends and national holidays.
Evaluate and write management orders on all newly admitted RMG patients within 1-2 hours of admission.
Write orders on the chart for established inpatients by 9:30 a.m. each day.
Perform own evaluation of commercial patients in the emergency department before admission to determine if admission is necessary or if care can be serviced in another fashion.
Determine if a patient is medically stable for transfer to a contracted hospital if working in a non-contracted facility.
Participate in telephonic physician rounds with RMG senior case manager/medical director daily, 7 days a week, at a pre-established time.
Provide a thorough and complete sign-out to covering physicians (weeknights, weekends, and national holidays) with specific instructions for treatment and management of all inpatients.
Indicate to the covering physician the requirements that would result in the discharge/repatriation of the patient in the absence of the Hospitalist.
Exercise full ability as clinicians before requesting specialty consultations.
Clearly indicate to the specialist which aspects of the particular patient’s care he would like assistance with when requesting consultations.
Request consultations from RMG contracted specialists whenever possible and only when the patient’s clinical needs are beyond the expertise or clinical capabilities of the hospitalist.
Use only physician providers contracted to RMG, unless under emergencies.
Request specialty services on RMG patients by directly contacting specialists (physician-to-physician).
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.
Interact directly with specialist consultants involved in a patient’s care daily and report the specialist management plans to RMG during phone rounds.
Attend and coordinate care on ALL RMG inpatients.
Assist RMG in meeting timeline goals for specialist consultations and test (lab/radiological) requests.
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.
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.
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.
Cooperate with and utilize the services of the assigned RMG case manager to coordinate the transmission of clinical information to RMG Medical Director or designee, and provide updates on the status of the clinical management of inpatients to facilitate and plan for their discharge needs and/or transfer requirements.
Consider whether the patient may benefit from hospice or palliative care evaluation and inform RMG of any patient that may be hospice eligible.
Discuss with patient/family length of stay expectations at the time of admission.
Discuss discharge plans with family/patient at least two (2) days before day of discharge.
Notify RMG 72 hours before discharge for special discharge needs (home visits, tests, follow-up office visits, referrals, etc.).
Identify patients at high risk for readmission and notify RMG.
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.
Ensure that aberrant day notes are faxed to RMG for the purposes of meeting RMG quality control requirements.
Notify RMG immediately upon knowledge that RMG inpatient’s management and care will be delayed.
Communicate all services required for discharge to the case manager before 2 PM and write orders before 3 PM to complete the discharge or transfer as planned.
Attend to RMG patients in the ER and, if clinically stable, discharge patients to home or a SNF, if applicable.
Participate in Regal’s discharge dictation summary program by completing the Regal discharge summary form on the day of discharge.