Medical Officer (Emergency)

Tohono O•Sells, AZ
•Onsite

About The Position

The physician provides diagnostic, preventive, and therapeutic services in emergency departments and outpatient and inpatient settings. As a senior staff physician and expert licensed provider, the incumbent provides direct and indirect specialized services to children, adolescents, and adults, along with administrative duties and continuing education. The role is based in the Emergency Department at Tohono O'odham Nation Sells Hospital in Sells, Arizona, and 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 Clinical Director, who provides administrative oversight, and functions with considerable independence during patient care. The physician primarily diagnoses, cares for, and treats emergency-care patients, with some inpatient care and cross-coverage for outpatient and inpatient facilities as needed. Duties may include providing care to eligible TONHC patients in community locations such as homes, schools, clinics, and job sites. The position also supports interdisciplinary care, clinical documentation and information systems, and a Quality Improvement Program meeting The Joint Commission accreditation standards.

Requirements

  • Doctor of Medicine or Doctor of Osteopathy from a United States or Canadian medical school approved by a recognized accrediting body in the year of graduation; alternatively, a substantially equivalent degree from a medical school outside the United States or Canada, demonstrated by permanent ECFMG certification or a Fifth Pathway Certificate.
  • Completion of an approved internship.
  • One to two years of professional experience beyond formal internship training, equivalent progressive experience in breadth and intensity, or completion of three to four years of residency training.
  • Permanent, complete, and unrestricted license to practice medicine in a U.S. state, the District of Columbia, the Commonwealth of 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 the 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 with respect for Tohono O'odham culture, customs, and traditions.
  • Ability to provide comprehensive health care across a full range of clinical scenarios and develop new approaches when established practices or treatment regimens are ineffective.
  • Ability to work independently with latitude to determine and pursue patient treatment.
  • Ability to travel within and outside the boundaries of the Tohono O'odham Nation as necessary.
  • Ability to cope adaptively in stressful situations; communicate effectively verbally and in writing; exercise independent judgment; and maintain positive working relationships with employees and the public.
  • Upon recommendation for hire, completion of 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 last three years; if required to operate program vehicles, meet the tribal employer's insurance requirements for a driver's permit.
  • Depending on department needs, may be required to demonstrate fluency in both Tohono O'odham and English as a condition of employment.

Responsibilities

  • Provide preventive, acute, and emergency care to pediatric through geriatric patients, primarily in the Emergency Department, and cross-cover outpatient and inpatient facilities as needed.
  • Interview and examine patients, review medical histories, and request or perform diagnostic tests and examinations.
  • Make preliminary diagnoses, including recognizing rare or difficult-to-identify symptoms or signs.
  • Direct, prescribe, or provide treatment regimens, or arrange specialized care or referrals as necessary.
  • Document observations in clinical records and ensure appropriate medical records are prepared and organized for comprehensive care.
  • Manage medical cases that do not require referral and provide total patient care, including prevention, health maintenance, early diagnosis, treatment, and follow-up.
  • Provide medical care and public health services to eligible TONHC patients in homes, schools, clinics, job sites, and other community locations within the TONHC service area, as required by routine duties.
  • Review patient symptoms, medications, diet, therapy, and adherence to treatment plans; develop, modify, and assess treatment plans.
  • Instruct and counsel patients and their families.
  • Perform minor surgery and assist other physicians with minor surgery.
  • Deliver infants when urgent or emergent circumstances require and provide or arrange postpartum care.
  • Coordinate and integrate information into TONHC health care information systems.
  • Disseminate clinical reports and patient correspondence to physicians, hospitals, and other individuals and facilities.
  • Work with allied health professionals to provide effective interdisciplinary health care services and treatment.
  • Participate in a Quality Improvement Program that meets The Joint Commission accreditation standards.
  • Ensure clinical care follows standards of practice, guidelines, and department-specific policies and procedures.
  • Communicate effectively with patients and families in medically, psychosocially, and culturally complex situations.
  • Perform other job-related duties as assigned and contribute to a team effort.
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