Physician 3 NP- WCCW

State of Washington•Pierce County - Gig Harbor, WA

8d•Onsite

About The Position

The Department of Corrections is seeking a highly motivated and qualified individual for the position of Physician 3- non-permanent at the Washington Corrections Center for Women (WCCW), in Gig Harbor Washington. This is a day shift position that will require work to be completed onsite at the facility. The Washington Corrections Center for Women (WCCW) is a 62.6-acre facility located approximately two miles from Gig Harbor. The site includes living units, administration buildings, a health clinic, education buildings, a gymnasium, a chapel, industries buildings, food service buildings and support facilities. Correctional Health is a rewarding career path at DOC, in which health care professionals treat a wide array of cases for patients residing in a state correctional facility. Health Services is responsible for basic primary care for incarcerated individuals. All disciplines within all of the 12 correctional facilities work closely together to reach a common goal, providing the best, most efficient, and cost-effective health care possible. Emphasis is placed on early identification of health concerns, care for acute and chronic health problems, and preventive care.

Requirements

A doctorate in medicine OR doctor of osteopathy from a recognized school of medicine or osteopathy.
Initial and continuous unblemished/unrestricted licensure in the State of Washington as a Medical Doctor of Doctor of Osteopathy.
Must ensure that license is renewed in accordance with BOP regulations and that proof of current licensure is provided by anniversary date each year to facility leadership.
Maintain current CPR certification and ensure that proof of current status is provided annually to facility leadership
one year post residency with a demonstrated in-depth working knowledge of medical assessment techniques, medication uses, acute and chronic illness management with appropriate use of ICD-9 diagnosis codes.
Demonstrated knowledge of professional, ethical guidelines for medical professionals.
Maintains professional boundaries and has expectations that supervisors, peers and subordinates do the same. This includes legal and professional expectations and guidelines concerning patient confidentiality.
Must have a demonstrated prescriptive history that maintains a ban on the prescription and administration of behavior altering medication in dangerous amounts by dangerous methods, or without appropriate supervision and periodic evaluation.
Sets the standards for professional behavior.
Model pro-social behaviors; reinforce positive behaviors; redirect negative behaviors; and effectively communicate observed behaviors to responsible program staff, administrators, and supervisors.
Demonstrated ability to build positive and constructive working relationships with patients, supervisors.
Displays a positive attitude and optimism regarding occupation in correctional medicine.
Uses tools, techniques, physical and cognitive skills and abilities to practice medicine safely and effectively in the correctional setting and within the scope of practice defined by state law and administrative code so that patient care provided is safe, effective, efficient and clinically appropriate.
Assessment, monitoring and interpretation of objective and subjective data collected about health status, clinical condition or situation or individual's family, observation, inspection, and examination to identify patterns and variances from the desired outcome.
Diagnose health related problems and determination of the outcomes to be achieved.
Ensure continuity of care over time and place. Deliver health care, defining timeframes and pathways for delivery of services, prioritizing and sequencing care to be provided.
Implementation of the plan of care by providing direct patient care, directing others about the urgency, time frames and methods to deliver health care on or off-site, determining when needs for care become more urgent, need clarification or another type or level of intention is necessary; taking action as necessary to provide orders and accomplish prescribed interventions in a timely and clinically responsive manner.
Analysis and evaluation of the structure, process and timeframes for service delivery, the expected effects of treatment or intervention and the outcomes to be achieved; revision of the plan of care to prevent complications; and intervene to address new or emerging issues or improve care and service delivery.
Delegates and assigns responsibility through proper communication to the nurses and assistive nursing personnel after considering the needs, condition and stability of the patient, complexity of task and predictability of outcome.
Teaches, instructs, monitors, supervises and evaluates the implementation of tasks and the results of patient care assigned to other personnel.
Participates and evaluates their own practice for technical competency and safety, obtains education or training to retain or improve skills and abilities based upon the work assigned and informs immediate supervisors if there are specific tasks, techniques, skills or abilities that they are unable to perform competently.
Communicates effectively verbally, in writing and via computer or other electronic media with offenders and health care personnel, custody and other institutional personnel so that information is solicited to identify problems and develop solutions. This way plans are delivered and implemented by self and others and revised as necessary resulting in a safe, timely and clinically appropriate service provision.
Is a team player and emphasizes the team approach to the corrections profession.
Is able to communicate clearly both in writing (legible) and orally.
Keeps supervisor and subordinates informed of changes and developments.
Works diligently and effectively to mediate disputes and create workable solutions to identified problems in a timely manner.
Responds to difficult, stressful or sensitive interpersonal situations involving staff or offenders with empathy and in ways that minimize discord and maintain good working relationships.
Adaptability – Incorporates new information into an existing framework of understanding. Accepts change and supports the Department through changes in administration, law, policy, and procedure.
Interpersonal Skills – Display a positive attitude and optimism about the work to be done. Recognize when others need assistance and offer to help. Work with dedication and commitment.
Stress Tolerance – Effectively handle highly stressful or adverse situations, making good decisions. Will need to stay focused on task in spite of distractions and handle interruptions appropriately.
Analysis – Uses data and information in a clear and rationale thought process to access and understand issues, evaluate options, form accurate conclusions and make decisions. Identifies key facts, understands the nature and relationship between data elements, recognizes underlying principles or patterns in an array of data, determine if additional data should be collected. Uses judgment and critical thinking in the absence of clear guideline to draw conclusions about further action.
Observation and Inspection – Critically observes and inspects people, conditions, and the environment to detect problems. Acutely aware of critical details, alert and attentive when performing other work, understands normal conditions and constantly compares the current status to the norm to identify subtle changes and incremental deviation, makes informed judgment about when a change in current status must occur and determines appropriate action. Uses insight to identify contributing and mitigating factors. Understands that documentation and other forms of communication cause others to understand and take appropriate actions.
Decisiveness – Makes timely decisions about sacrificing quality even under ambiguous circumstances or when data is limited. Recognizes when a decision must be made and moves forward, delegates decision making authority appropriately, advocates for important patient care objectives and finds common ground and solutions among diverse interests.
Specific knowledge of all statutory and Department of Health regulations as well as statewide and facility specific policies, procedures, processes and operational memoranda and their application in the WCCW Health Services environment.
Must be able to work in spaces, climb stairs, walk long distances, and frequently lift up to 30 pounds.
Under rare circumstances this position may be required to lift or carry up to 50 pounds and push up to 100 pounds.

Nice To Haves

A completed application packet will include: A detailed resume A cover letter. Three professional references Required Transcripts
Employees may work directly with or near incarcerated individuals in a potentially hazardous setting.
A pre-employment drug test may be administered as part of the selection process, and applicants who test positive for any controlled substances, will be disqualified from consideration.
Oleoresin Capsicum (OC) is an aerosol pepper spray made available as a means of self-defense and/or de-escalation. Applicants with sensitivities or allergies are encouraged to ask about the level of exposure they could expect in this position.
Animal care projects are a common component of most Washington State prisons, including dog and cat programs. Applicants with animal sensitivities or allergies are encouraged to ask about the level of exposure they could expect in this position.
Tuberculosis (TB) is a priority health issue for DOC employees. The successful candidate may be required to provide valid proof of a baseline TB skin test within 60 days from the date of hire. When positive tests result, further information, testing and treatment will also be required. Employment is not contingent upon test results.
This position may be represented by a bargaining unit.
Requires respirator medical evaluation questionnaire, fit testing, training, and use of respiratory protection as required by the WA Industrial Safety & Act standards. Refer to WAC 296-842 to learn more.
Foreign equivalent degrees awarded outside the United States must have a credential evaluation report attached to your application. You may request the required evaluation/documentation from www.wes.org and www.aice-eval.org . Until this documentation is provided, you will not be selected to move forward in the hiring process.
Candidates who are offered a job with the Department of Corrections must possess work authorization that does not require sponsorship by the employer for a visa now or in the future.
Foster a positive attitude and openness toward the ever changing social and cultural makeup of the workplace. Work effectively with people of different perspectives, abilities, disabilities, races, religions, ages, lifestyle preferences and social, ethnic and cultural backgrounds. Respectfully acknowledge people's differences and recognize these differences as important and valuable. Promote inclusiveness. Be culturally sensitive and appropriate. Respect and value diverse backgrounds and traditions.

Responsibilities

Provide direct patient services
Primary care provider – manage caseload assigned to include daily rounding on IPU patients or others as assigned.
Ensure delivery of quality medical services for all patients
Provide consults on higher acuity patients
Coordinate with specialized MD services offsite and onsite as clinically indicated
Diagnose chronic and acute maladies
Assist in the management of facility chronic and acute processes
Identify and prescribe appropriate medications
Coordinate care with other providers
Provide appropriate follow-up after offsite emergency or scheduled specialty visits or procedures
Order appropriate lab tests
Counsel and instruct patients on self-care
Participate in multi-disciplinary team meetings with custody staff per policy guidelines
Assist with appropriate discharge planning
Ensure all service provision is in accordance with regulatory standards and all DOC policies and procedures to include The Offender Health Plan and the DOC Formulary
Due to the limited hours of patient appointment times available in the clinic each day, all of that time will be filled with direct patient contact
Be consistent and punctual in meeting appointment commitments
Meet all documentation required in a timely manner
Provide proper documentation in the chart
Ensure all charting (to include CPOE printouts) is appropriately filed in a timely manner
Enter medication orders into pharmacy computer system utilizing CPOE function
Produce timely, clearly written reports and progress notes
Ensure follow-up appointments are scheduled and met within statewide expectations
Research and respond to patient kites in a timely manner not to exceed one working week – make an appointment or write a response as appropriate
Ensure encounters are turned in or directly entered into the computer system immediately upon completion of appointments
Oversight of assigned patient caseload for medication, labs, and other treatment compliance, efficacy and safety
Schedule routine follow-ups to monitor efficacy of treatment strategy
Ensure that medication orders do not expire
Research and respond to kite concerns about medication reactions or renewal requests
Provide timely follow-up to requests for consultation by other discipline professionals
Analyze pharmacy and nursing reports concerning pill line no shows and appointment no shows and determine appropriate course of action in accordance with statewide directives
Take appropriate action/make referrals on all aberrant lab results
Monitor lab values on chronic care patients to optimize health outcomes
Provide information to HCM1 or respond directly to level one grievances associated with assigned patient caseload
Be a contributing and supportive team member of the medical provider and the total health services team
Consistent and punctual attendance
Respectful communication
Provide outstanding customer service (patients, peers, health services and facility leadership, custody and classification staff)
Respond in a timely manner to requests for assistance, consultation or information
Attend team and health services staff meetings
Support quality performance of others
Seek feedback and give others constructive feedback
Share knowledge and information and encourage others
Support and suggest innovative ideas and strategies
Foster teamwork
Practice fiscal responsibility
Participate in Health Services Quality Improvement activities as appropriate
Practice in accordance with DOC Policy and the Offender Health Plan
Participate in formal clinical oversight according to facility and DOC Health Services Clinical Oversight structure
Other duties as assigned
Promote safety; be an active participant, be aware, be alert, act safely and make recommendations
Attend all required training
Manage email and ensure timely response as required
Keep abreast of new methods, techniques and other developments in the field through reading research journals, attending seminars, workshops, professional affiliations, etc.
Remain up to date concerning specific work flow expectations and processes at WCCW.
Participate in Medical On Duty on-call rotations