Mobile Integrated Health Clinician - PRN

Cheyenne Regional Medical Center•Cheyenne, WY

About The Position

The Mobile Integrated Health (MIH) Clinician functions as an interdependent member of the Cheyenne Regional Health Systems patient care team and serves as a resource and point of contact for providers, care teams, and MIH staff. The clinician supplements and supports provider patient care in patients’ homes, providing comprehensive, safe, and efficient care as requested by a provider, including care in lieu of an emergency department visit or hospital admission. The role includes evaluating patients’ medical and social histories, conducting home visits, performing examinations and medication reconciliation, checking environmental safety and social support, and reporting findings to referring providers. The clinician provides treatments and diagnostic testing under provider direction and within the scope of their license, documents patient information in the chart or electronic health record, and uses diagnostic equipment and point-of-care testing. The clinician also promotes healthy behaviors through education and counseling, coordinates with interdisciplinary care teams, participates in case conferences and quality improvement initiatives, and adheres to rules governing limitations of practice.

Requirements

Current Wyoming EMT, AEMT, or IEMT certification, or Wyoming Paramedic license, from the Wyoming Office of Emergency Medical Services.
Valid USA driver’s license.
Clean driving record that follows Cheyenne Regional Medical Center’s driving guidelines.
At least 21 years of age for insurance purposes.
Three or more years of clinical experience.
Obtain Cheyenne Regional AHA RQI within 14 calendar days of the start date.
Obtain current Community EMS (CEMS) Clinician endorsement on EMT/Paramedic certification within six months of the start date.
Ability to interact respectfully with diverse cultural and socioeconomic populations.
Basic knowledge of alternative payment models, including value-based and fee-for-service models.
Verbal, written, and interpersonal communication skills.
Ability to maintain a safe environment for patients.
Knowledge of emergency medicine, chronic disease, anatomy, pathophysiology, and pharmacology.
Strong critical-thinking and problem-solving skills.
Ability to handle crisis situations quickly and calmly.
Ability to work in a fast-paced and continually changing environment.
Knowledge and understanding of restricted functions, whether or not the function is supervised by a licensed physician.

Nice To Haves

Community EMS experience.
NREMT certification.
IBSC certification CPC-C endorsement.
AHA ACLS.

Responsibilities

Provide comprehensive, safe, and efficient in-home care as requested by a provider, including care in lieu of an emergency department visit or hospital admission.
Evaluate patients’ medical and social histories and develop care recommendations to optimize treatment plans or care transitions.
Conduct home visits to perform physical exams, medication review and reconciliation, environmental safety checks, and assessments of social support systems; report findings to the referring provider.
Provide at-home treatments and diagnostic testing under provider direction and within the scope of license.
Administer fluids and medications by intravenous, intramuscular, subcutaneous, oral, and aerosolized methods, and perform basic wound care as appropriate and within scope of license.
Document patient-related information in the chart or electronic health record.
Use virtually enabled diagnostic equipment, including otoscopes, stethoscopes, and tongue blades.
Collect laboratory specimens, perform point-of-care testing, and use appropriate equipment to collect vital signs and ECG data.
Interpret data, read monitors, and respond with appropriate interventions to support patient care, safety, and recovery.
Promote healthy behaviors through education and counseling and help patients overcome barriers to achieving goals.
Lead interdisciplinary huddles to prioritize patient needs and promote communication across care teams.
Participate in rounds and clinical case conferences to communicate short- and long-term care recommendations.
Participate in process and quality improvement initiatives.
Serve as a resource for providers, care teams, and other MIH employees.
Adhere to rules and regulations governing limitations of practice.