Immanuel Pathways Des Moines - Geriatric or Palliative Care Physician - Immanuel

Key Areas

Key Responsibilities and Duties of the Job

Participant Care

80%

Primary Care (40%)

• Performs initial in-person comprehensive history and physical on new Immanuel Pathways participants. 
• Conducts in-person reassessment semiannually and as needed.
• Coordinates with the IDT to develop a comprehensive plan of care for each participant. Integrates the primary care treatment plan into the overall plan of care developed by the IDT. Interacts with team members to meet emergent and acute need of participants.  Participates in discharge planning for acute and long-term placement.
• Evaluates and treats participants during acute illness.
• Refers participants to medical specialist as indicated, communicates and follows up with specialist regarding outcome of visit. Oversees and manages participant’s use of medical specialist and inpatient care.
• Admits participants to the hospital or coordinates with hospital services; providing primary care responsibilities for medical management and updates to IDT.  In conjunction with the hospital, case manager and IDT, plans and coordinates discharge.
• Manages care of participants in the nursing home:  Provides regular visits as dictated by nursing home standards and participant needs.  Performs telephone contact with nursing home staff as required; coordinates admits for nursing home participant to hospital when necessary.
• Functions as a member of the IDT maintaining regular attendance and participates at meetings; communicates participant changes, collaborates on plan of care decisions and coordination for twenty-four (24) hour care delivery.
• Completes and documents appropriate diagnostic coding.
• Supports the Nurse Practitioner as a consultation resource who will be available at all times, either on site or by telephone.
• Participates in rotating night and weekend on-call duty.
• Willing to work with rotating students
• Willing to work with a medical scribe

Geriatric Consultative Care/Management (40%)

• Acts as a consultant to other providers and the IDT for complex cases, complex geriatric syndromes, difficult conversations, capacity assessment and other geriatric specific concerns
• Acts in a teaching role for the IDT for geriatric concepts and practices.

• At the direction of the Medical Director, reviews medical outcomes/statistical and utilization data, including reviewing of necessity of hospitalizations, and use of specialists.  When problems are identified he/she works with the Medical Director to establish best practices and works with clinical staff and IDT to make appropriate procedural and or operational changes to avoid unnecessary hospitalizations and improve the health of participants.
•  Advises the Medical Director in ways and means to establish better accountability of Immanuel Pathways services to participants and referral sources, keeps Medical Director
• Supports the Medical Director to develop protocols that will be approved annually, collaboratively working with the Nurse Practitioner.  aware of needed material and human resources as program expands.
• Willing to work with rotating students
• Willing to work with a medical scribe
• Willing to participate in research/quality improvement projects

           (Percentages are negotiable)

Quality / Compliance 

10%

• Assists with the development of policies and procedures for standards of care; performs on-going monitoring and evaluation of patient care practice and service delivery; provides guidance and training to staff regarding medical and quality assurance issues.
• Participates in and supports Quality Improvement Initiatives.
• Protects privacy and maintains confidentiality of all company procedures, results and information about employees, participants and families.
• Follows all Immanuel Pathways Policies and Procedures and Occupational Safety and Health Administration (OSHA) safety guidelines.
• Complies with state Home Health Licensure regulations for home care.

Professional Activities

5%

• Attends continuing education classes and required staff/training meetings. Maintains professional licensure and certifications.
• Provides information about Immanuel Pathways Program to interested individuals and groups in adherence to PACE regulations.

Other

5%

• May provide coverage for a counterpart at a different Immanuel Pathways PACE site on a fill-in basis for a short duration.
• Participates in the recruitment and training of Nurse Practitioners. May contribute to performance evaluations.
• Performs other duties as required or requested.   ·