Emergency Room Director

Tohono O•Sells, AZ

10d•Onsite

About The Position

The Emergency Room Director supervises assigned Emergency Room medical staff and provides emergent and acute care to patients at the Tohono O'odham Nation Sells Hospital Emergency Department in Sells, Arizona. The role may require temporary relocation to other TONHC facilities: Sells Hospital, Santa Rosa Health Center, San Simon Health Center, and San Xavier Health Center. The incumbent works under the general supervision of the Medical Officer (Clinical Director), who provides administrative oversight, and functions with considerable independence. Work is reviewed for conformance with health care policies, procedures, and practices. The position combines administrative leadership (50%) with clinical responsibilities (50%). Administrative work includes planning and overseeing department operations, staffing, budgets, schedules, employee performance, workflow, training, and service quality. Clinical work includes emergency and primary medical care, diagnosis and treatment, referrals and consultations, supervision and education of trainees, coordination with other hospital services and EMS, and participation in quality and accreditation activities. The position may involve travel within and outside the Tohono O'odham Nation and a flexible schedule, including evenings, nights, holidays, weekends, rotation, or call-back coverage.

Requirements

Doctor of Medicine or Doctor of Osteopathy from a U.S. or Canadian medical school approved by a recognized accrediting body in the applicant's graduation year; alternatively, an equivalent degree from a non-U.S./Canadian medical school plus permanent ECFMG certification or a Fifth Pathway Certificate.
Meet the minimum education and licensure requirements for the Emergency Medicine specialty.
At least one year of post-residency experience working in Emergency Medicine.
Certification by an American Specialty Board in Emergency Medicine, or five years of equivalent residency training and experience in Emergency Medicine.
Maintain a permanent, complete, and unrestricted license to practice medicine in a U.S. state, the District of Columbia, Puerto Rico, or a U.S. territory.
Maintain knowledge of applicable federal, state, and tribal laws, regulations, requirements, medical staff bylaws, rules, and regulations, and comply with medical staff appointment requirements.
Understand legal and confidentiality requirements, including the Privacy Act of 1974 and HIPAA.
Demonstrate respectful, compassionate intercultural communication and provide practice respectful of Tohono O'odham culture, customs, and traditions.
Provide comprehensive health care across clinical settings and develop treatment approaches when established practices have not been effective.
Work independently and exercise judgment in determining and pursuing patient treatment.
Delegate authority, manage staff, implement and evaluate programs, and adapt to changing priorities and needs.
Investigate and analyze complex, largely undefined health care problems and develop solutions, concepts, theories, or programs.
Plan, develop, advise on, and implement medical and health care programs essential to the agency's mission.
Communicate efficiently and effectively verbally and in writing, and establish and maintain effective working relationships with employees and the public.
Adapt and cope in stressful situations.
Travel within and outside the boundaries of the Tohono O'odham Nation as necessary.
Work a flexible schedule, including regular, rotational, or call-back coverage during evenings, nights, holidays, and weekends, to provide continuity of medical services.
Upon recommendation for hire, complete a criminal background check, National FBI fingerprint check, and 39-month driving record review.
Possess and maintain a valid driver's license if required; have no DUIs or major traffic citations within the last three years if a license is required.
Meet the Tohono O'odham Nation tribal employer's insurance requirements to receive a driver's permit to operate program vehicles, if required.

Nice To Haves

Fluency in both the Tohono O'odham language and English may be required, based on departmental needs.

Responsibilities

Plan organizational development and oversee program documents, reports, budgets, staffing, and other Emergency Room operations.
Adjust work schedules and operations to meet objectives, priorities, deadlines, and standards of care.
Assess department capabilities, staffing, equipment needs, and challenges in meeting work demands; adjust assignments to improve workflow, services, health care, and productivity.
Evaluate operations and patient services, identify deficiencies, and implement improvements.
Assign work; provide instructions, explanations, and training; communicate performance expectations; and review employee work and progress.
Supervise staff physicians, physician assistants, and nurse practitioners assigned to the department.
Recommend promotions, reassignments, status changes, and performance awards; establish schedules and performance expectations; approve or disapprove leave; and appraise employee performance.
Resolve informal employee complaints or refer matters beyond the unit to higher management.
Diagnose, prevent, treat, and support the maintenance and rehabilitation of patients, primarily in emergency care and sometimes as inpatients.
Evaluate adults and adolescents presenting to the Emergency Room; make preliminary diagnoses; direct or provide treatment; and arrange specialized care or referrals as needed.
Provide primary medical care for patients with a broad spectrum of illnesses and emergency care for major trauma, cardiac arrests, suicide attempts, and other acute conditions.
Provide care and consultation for critical-care patients who need immediate decisions or have not responded to prior treatment.
Recognize and provide initial treatment for acute psychiatric problems.
Complete evaluations and documentation and make appropriate referrals and consultations.
Provide medical care and public health services to eligible TONHC patients in homes, schools, clinics, job sites, and other community locations within the assigned service area.
Provide emergency medicine expertise and consultation to TONHC physicians and other service entities within the Tohono O'odham Nation.
Instruct and supervise interns, residents, and health care students; provide on-the-job supervision and formal or informal educational sessions; and coordinate emergency medicine in-service education.
Coordinate joint administrative and technical programs with other departments and recommend ways to coordinate emergency medical services with other patient services.
Attend professional meetings and seminars to support state-of-the-art patient care.
Ensure TONHC meets Joint Commission hospital accreditation requirements concerning quality of care.
Represent emergency medical staff and serve on hospital committees as assigned.
Work with TONHC EMS and other EMS organizations to improve services for Native American Indian patients.
Communicate effectively with patients and families facing medical, psychosocial, and cultural complexity.
Inform the supervisor of progress, recommend improvements to Emergency Room services, and seek supervisory advice when needed.
Perform other job-related duties and contribute to a team effort.