Emergency Room Director

Tohono O'odham Nation Healthcare•Sells, AZ

12d•Onsite

About The Position

The Emergency Room Director supervises assigned Emergency Room medical staff and provides complete emergency and acute health care to patients presenting to the Emergency Room. The role is located at the Tohono O’odham Nation Sells Hospital Emergency Department in Sells, Arizona, and may temporarily require relocation to other TONHC facilities: Sells Hospital, Santa Rosa Health Center, San Simon Health Center, and San Xavier Health Center. As a supervising staff physician, the incumbent diagnoses, cares for, and treats primarily emergency-care patients and some inpatients. The position 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 delivery policies, procedures, and practices. The position is divided between administrative and clinical duties. It oversees department operations and staff, delivers emergency and primary medical care, supports education and coordination across services, and helps ensure the hospital meets Joint Commission quality-of-care requirements. The incumbent may also need to work a flexible schedule, including evenings, nights, holidays, weekends, rotation, or callback, and travel within or outside the Tohono O’odham Nation as necessary.

Requirements

Doctor of Medicine or Doctor of Osteopathy from a U.S. or Canadian medical school approved by a recognized accrediting body in the year of graduation; alternatively, a degree from a non-U.S./Canadian medical school demonstrating equivalent education and medical knowledge, with 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, unrestricted license to practice medicine in a U.S. state, the District of Columbia, Puerto Rico, or a U.S. territory.
Knowledge of applicable federal, state, and tribal laws, regulations, and requirements.
Knowledge of legal regulations and confidentiality requirements, including the Privacy Act of 1974 and HIPAA.
Knowledge of economic, educational, health, and social challenges faced by Native Americans in rural and urban settings.
Respectful and compassionate intercultural communication skills and superior customer service skills.
Ability to practice in a manner that respects Tohono O’odham culture, customs, and traditions.
Ability to provide comprehensive health care across a full range of clinical settings and develop new approaches when established practices or treatments are ineffective.
Ability to work independently with latitude to determine and pursue patient treatment.
Knowledge of service unit medical staff bylaws, rules, and regulations, and ability to comply with appointment requirements and maintain active medical staff status.
Knowledge of planned-care and population-based or community-oriented primary care principles, theories, methods, and techniques.
Ability to delegate authority, manage staff, implement and evaluate programs, and adapt to changing priorities and needs.
Ability to conduct extensive investigations and analysis of undefined factors and conditions to assess health care problems and develop solutions.
Ability to develop concepts, theories, or programs to resolve outstanding issues and to plan, develop, advise on, and implement medical and health care programs essential to the agency’s mission.
Ability to work a flexible schedule, including regular, rotation, or callback coverage during evenings, nights, holidays, and weekends.
Ability to travel within and outside the Tohono O’odham Nation as necessary.
Ability to adapt and cope in stressful situations, exercise independent judgment, and communicate effectively verbally and in writing.
Ability to establish and maintain positive working relationships with employees and the public.
Upon recommendation for hire, complete a criminal background check and National FBI fingerprint check, including a 39-month driving record.
May be required to possess and maintain a valid driver’s license with no DUIs or major traffic citations within the previous three years; if required, meet tribal employer insurance requirements for a permit to operate program vehicles.

Nice To Haves

Depending on department needs, fluency in both the Tohono O’odham language and English may be required as a condition of employment.

Responsibilities

Plan organizational development and implement program documents, reports, budgets, staffing, and other operational matters for the Emergency Room Department.
Plan and adjust work schedules and operations to meet objectives, priorities, deadlines, and standards of care.
Provide information about capabilities, staffing, equipment requirements, and challenges in meeting work demands.
Adjust assignments and tasks to improve workflow, services, health care, and productivity.
Evaluate patient services and department operations and propose and implement improvements.
Assign work equitably and efficiently to support satisfactory patient care.
Instruct, explain, and train employees in tasks and job techniques; communicate performance expectations and review work progress.
Assess the adequacy of patient care, identify deficiencies, and take corrective action.
Coordinate department activities with the organization and related services.
Inform employees about unit policies, procedures, management goals, and workload.
Supervise staff physicians, physician assistants, and nurse practitioners assigned to the department.
Recommend promotions, reassignments, status changes, and performance awards; set schedules and performance expectations; approve or disapprove leave requests; and appraise employee performance.
Resolve informal employee complaints and refer issues beyond the unit to higher management.
Diagnose, prevent, treat, maintain, and rehabilitate patients’ health as a senior specialist or expert.
Make preliminary diagnoses; direct, prescribe, or provide treatment; and arrange specialized care or referrals as needed.
Evaluate adults and adolescents presenting to the Emergency Room.
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 care and obtain consultation for patients requiring critical care or immediate decisions, including complicated cases that do not respond to prior treatment.
Provide primary medical care to patients with a broad spectrum of illnesses.
Provide emergency care for major trauma and other emergencies, including fractures, stab and open wounds, evisceration, concussions, head trauma, cardiac arrests, and suicide attempts.
Make appropriate referrals and consultations after completing primary evaluation and documentation.
Recognize and provide initial treatment for acute psychiatric problems.
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 rotating through the department.
Provide on-the-job supervision and educational sessions, and coordinate the emergency medicine in-service education program.
Work with other departments on joint administrative and technical programs to coordinate emergency medical services with other patient services.
Attend professional meetings and seminars to maintain 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 other hospital committees as assigned.
Coordinate with TONHC EMS and other emergency medical services to improve services for Native American Indian patients.
Communicate effectively with patients and families in medically, psychosocially, and culturally complex situations.
Update the supervisor on progress, recommend service-quality improvements, and seek supervisory advice when needed.
Perform other job-related duties as assigned and contribute to a team effort.