Hospitalist Supplemental - Cardiology

University of Maryland Medical System•La Plata, MD

About The Position

Under general direction, this independent licensed provider diagnoses and treats patients, independently and in collaboration with colleagues. The role coordinates communication among the healthcare team, patients, and families to support continuity of care, quality and cost-effective treatment, appropriate length of stay, patient safety, and patient satisfaction. Weekday, weekend, shift, holiday, and on-call work may be required. The provider participates in a coordinated model of care, managing an average dayshift caseload of 6–8 patients, providing cross-coverage, and completing overnight admissions with histories and physicals, with a minimum of seven admissions per night. Responsibilities include clinical assessment and decision-making, diagnostic reasoning, developing and documenting treatment plans, ordering medications and tests, coordinating discharge and referrals, responding to urgent issues, and performing or assisting with credentialed invasive procedures as needed. The role collaborates with physicians, advanced practice providers, and interdisciplinary teams; involves patients and families in care decisions and education; and supports ethical, evidence-based, safe, and timely care. The provider may serve as a clinical resource or preceptor, participate in education and quality improvement, attend APP staff meetings, maintain accurate documentation, support accreditation readiness, and comply with safety, regulatory, and organizational standards. Other duties may be assigned.

Requirements

  • NPI number required.
  • DEA required.
  • CDS required.
  • BLS required.
  • ACLS required.
  • Demonstrated ability to promote professionalism through involvement in professional organizations, teaching, research, publishing, and/or certification in the area of specialty.
  • Ability to demonstrate the competency, knowledge, and skills necessary to provide care appropriate to the patient populations served.
  • Knowledge of lifespan growth and development principles and ability to assess data in relation to population-specific and age-specific patient needs.
  • Highly effective verbal communication skills to interact with patients, families, department units, and medical and nursing staff.
  • Demonstrated or documented effective interpersonal skills.
  • Maintain updated hospital safety and other mandatory training.
  • Maintain updated immunizations according to recommended practice-area standards.

Responsibilities

  • Participate in coordinated healthcare-team care, maintaining an average dayshift caseload of 6–8 patients and performing cross-coverage.
  • Perform overnight admissions, including history and physical examinations, completing a minimum of seven admissions per night.
  • Assess patients and make clinical decisions using diagnostic reasoning and problem-solving; obtain, interpret, and follow up on diagnostic tests and establish medical diagnoses.
  • Place orders in CPOE and communicate with the attending physician regarding attestation of medical necessity for inpatient admissions.
  • Present patients during Coordinated Model of Care rounds.
  • Coordinate, document, and order treatment plans and medication prescriptions based on patient history, examination, and diagnostic results.
  • Facilitate patient flow and collaborate with case management, social work, and the multidisciplinary team to support appropriate and timely discharge.
  • Initiate protocols and clinical pathways, evaluate plans of care, and respond to and manage urgent issues.
  • Perform or assist with invasive procedures as credentialed and needed.
  • Collaborate with hospitalist physicians, specialty physicians, and APPs on admissions, plans of care, discharge, and transfer of care.
  • Communicate plans of care with the interdisciplinary team, patients, and families; provide education about care plans, disease processes, treatments, and medication regimens.
  • Advocate for patients and support patient and family participation, understanding of treatment options, and knowledge of care rights.
  • Initiate appropriate referrals, specialty consultations, or involvement of other agencies; consider holistic needs and appropriate resources.
  • Use ethical decision-making and evidence-based interventions, clinical guidelines, and best practices; follow applicable policies, procedures, and standards.
  • Serve as a clinical resource or preceptor for team members and students, and participate in educational strategies to improve APP clinical outcomes as needed.
  • Participate in interdisciplinary efforts to improve outcomes, safety, quality, and cost effectiveness, including development of evidence-based practices as needed.
  • Attend at least 80% of APP staff meetings and maintain effective working relationships and communication with team members.
  • Document patient care accurately and promptly according to Medicare and other industry standards, and participate in accreditation readiness.
  • Provide respectful, empathetic, confidential service to internal and external customers and promote the organization and its values.
  • Promote patient safety, comply with regulatory recommendations and mandates, report adverse events and near misses through the Event Tracking System, and address observed patient-safety risks.
  • Perform other duties as assigned.
  • Maintain updated hospital safety and other mandatory training and immunizations consistent with recommended practice-area requirements.
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