Hospitalist/Physician

Heritage Provider Network•West Hills, CA

12h

About The Position

Regal Medical Group is seeking a Hospitalist/Physician to support its Inpatient Case Management Team in the San Fernando Valley, Los Angeles, and surrounding communities. Hospitalists accept RMG patients admitted through emergency departments, directly admitted from physicians’ offices, or transferred from other facilities, 24 hours a day, 7 days a week, 365 days a year during their coverage periods. The role involves timely evaluation and management of inpatients, coordination with specialists and case managers, communication with RMG, and efficient discharge and transfer planning. Hospitalists also provide thorough handoffs to covering physicians and ensure mentoring responsibilities do not delay patient management or discharge. The position requires daily patient rounds, physician-to-physician communication with specialists, participation in daily telephonic rounds with RMG, and coordination of inpatient care even when an attending specialist conducts the treatment. Hospitalists support timely consultations and testing, identify patients eligible for repatriation or hospice and palliative care evaluation, communicate discharge needs, and help arrange safe transitions to home, skilled nursing facilities, or other facilities. They also complete Regal’s discharge summary form on the day of discharge. The expected annual pay range at commencement is $250,000–$265,000, plus potential bonus. Base pay may vary according to factors including market location, job-related knowledge, licensure, skills, and experience. Total compensation may include a sign-on bonus and discretionary awards, as well as benefits. This is an at-will position.

Requirements

Graduate from an accredited medical school.
Current board certification or eligibility in the physician’s specialty.
Active California medical license.
Current Federal DEA registration.
Additional credentials required by virtue of specialty.

Responsibilities

Accept RMG patients admitted through the emergency department, directly from a physician’s office, or by transfer from another facility during assigned coverage periods.
Return RMG radio pages or cell phone calls within 20 minutes, or have support staff notify RMG of a delay caused by emergent patient-care responsibilities.
See all RMG inpatients daily by 11:30 a.m., including weekends and national holidays, and evaluate and enter management orders for newly admitted patients within 1–2 hours of admission.
Write orders for established inpatients by 9:30 a.m. each day.
Evaluate commercial patients in the emergency department who may require admission and determine whether admission is necessary or another care setting is appropriate.
Determine whether patients at non-contracted facilities are medically stable for transfer to a contracted hospital and coordinate with the case manager on transfers.
Participate in daily telephonic physician rounds with the RMG senior case manager or medical director and provide a succinct discussion and disposition plan for each patient.
Provide thorough sign-outs to covering physicians, including treatment and management instructions and criteria for discharge or repatriation.
Use clinical judgment before requesting specialty consultations, specify the assistance needed, and use RMG-contracted specialists and providers whenever possible except in emergencies.
Contact specialists directly physician-to-physician for consultations or approval to discharge patients under their care; avoid relying solely on written chart documentation for these requests.
Order tests and consultations when their results are likely to affect management, coordinate with specialists daily, and report specialist management plans during phone rounds.
Attend and coordinate care for all RMG inpatients, including communication, care coordination, and discharge planning when a specialist is conducting treatment.
Help meet consultation and testing timelines, order tests by 8:00 a.m. or preferably the prior night, and avoid repeating adequate tests recently performed elsewhere.
Notify RMG promptly when a patient at a tertiary care facility becomes eligible for repatriation and identify the services required after repatriation.
Notify the hospital case manager and/or medical director of daytime admissions as soon as known, or by 9 a.m. for overnight admissions.
Work with the assigned RMG case manager to transmit clinical information and provide updates that support discharge and transfer planning.
Consider hospice or palliative care evaluation for patients and notify RMG when a patient may be hospice eligible; arrange an evaluation with the agency identified by RMG.
Discuss expected length of stay with patients and families at admission and discharge plans at least two days before discharge.
Notify RMG 72 hours before discharge when special discharge services or resources are needed.
Identify patients at high risk for readmission and notify RMG so they can be considered for its high-risk patient program.
Notify RMG of inpatient days deemed aberrant due to hospital-related delays and document them in the clinical chart; ensure the notes are faxed to RMG.
Immediately notify RMG when inpatient management or care will be delayed, including delays affecting transfers due to unavailable services or resources.
Communicate discharge services to the case manager before 2 p.m. and write orders before 3 p.m. once discharge or transfer is likely, where applicable.
Attend to RMG patients in the emergency department when notified and discharge clinically stable patients home or to a skilled nursing facility when appropriate.
Complete the Regal discharge summary form on the day of discharge as part of the discharge dictation summary program.

Benefits

Employer-paid comprehensive medical, pharmacy, and dental coverage for employees.
Vision insurance.
Zero co-payments for employed physician office visits.
Flexible Spending Account (FSA).
Employer-paid life insurance.
Employee Assistance Program (EAP) and behavioral health services.
401(k) retirement savings plan.
Income protection insurance.
Vacation time, sick days, and paid holidays.
Employee referral bonus.
Tuition reimbursement.
License renewal reimbursement.
CME cost reimbursement and paid time off for CME.
Mileage.