Hospitalist - SNF

Job Number 68528
Posted 12/30/2019
Account Northern Light AR Gould Hospital
Department TAMC Hospitalist
Location |ME| AR Gould Hospital, ME 04769
Schedule Regular Full-time
Shift Day
Hours 0800-1700
Job Details
GENERAL DESCRIPTION/STATEMENT: The Skilled Nursing Facility (SNF) Hospitalistwill be the primary provider of medical care for his/her panel of patients whoare patients at Aroostook Health Center (AHC) and Presque Isle Nursing Home (PINH)SNF. He/she will also have occasional responsibilityof hospitalized at The Aroostook Medical Center as directed by the LeadHospitalist. This position is responsible for the provision of quality medicalcare to AHC, PINH, and ARG patients. TheHospitalist will ensure that the care provided to patients is timely,coordinated, comprehensive, and meets professional standards of practice.

Using ARG Standards of Behavior-demonstrate professionalismat all times with patients and co-workers.A team player is necessary for this position of variable skills, organizationand independent working environment.Fast paced setting requires independent thinking and ability andwillingness to be flexible and adaptable to changes.


1. Superviseand coordinate care with the midlevel under his/her direction.

3. See, examine, evaluate, and formulate aplan of care for the patients under his/her care.

4. Care for adult patients as appropriate fora wide variety of general medical conditions, including those at AHC, PINH, aswell as on the general medical/surgical unit, rehabilitation unit, progressivecare unit, and intensive care unit.

5. Ordertesting (e.g. laboratory, radiology, etc.) as needed for proper diagnosis.

6. Order andsupervise the general plan of medical care throughout the patient's stay.

7. See and examine all patients underhis/her supervision on a daily or more frequent basis, as needed, and documentthese encounters as required by ARG bylaws.

8. Orderconsultations with other physician specialists as needed.

9. Be available to the nursing staff toprovide timely consultation to patients.

10. Coordinate the plan of care withancillary staff such as physical, occupational, and speech therapists,dieticians, nurse educators, social service providers and others.

11. Discuss patient's medical conditions withpatients and their families as appropriate, and help them make informed medicaldecisions.

12. Seek inputfrom patient's Primary Care Provider, as appropriate.

13. Coordinatepatient and family education as needed.

14. Work with TAMC's Social ServiceDepartment to ensure proper post discharge care.

15. Communicate with the patient's PrimaryCare Provider at time of discharge to assure the seamless provision offollow-up care.

16. Assure his/her patient's medical recordsare completed in a timely fashion.

17. Assure appropriate and timely charges arerecorded.

18. Adhere to allhospital bylaws.

19. Serve on various hospital committees, asneeded to maintain and improve the quality of care all patients receive.

20. Ensure compliance with applicable lawsand regulations of federal, state, and local governments and applicablestandards for licensure and accreditation.

22. Ensureadequate supervision of nursing and non-professional support staff.

23. Consult regularly with the MedicalDirector of the Hospitalist program regarding clinical and operational issuesand concerns.

24. Implement all Quality Assurance andPerformance Improvement programs and initiatives determined to be necessary by ARG.

oThe services to be performed by the Physicianshall be further determined by the management of ARG and the ARG medical staffin the manner and the extent permitted by the Corporate Bylaws of the Hospitaland the Bylaws of the organized Medical Staff of the Hospital as well as anyHospital or Medical Staff rules and policies.The duties and responsibilities of Physician may be amended from time totime.


Assist otherstaff and providers as required with special projects and requests. Job ofteninvolves coordinating, training, supervising, or managing the activities ofothers to accomplish goals. Very advanced communication and organizationalskills are required.


Unrestrictedlicense to practice medicine in the state of Maine is required.


This positionwill require weekday coverage from 0800 – 1700 with call requirements asdirected by ARG medical bylaws


1. MD, DO or equivalent degree required.

2. Extensive skill, knowledge and experience ina skilled and inpatient care setting is required.

3. Advanced communication skills

4. Word processing/data input competency

6. Physically able to perform all duties

7. Available fordaytime/evening work hours with some flexibility

8. Willingness to accept wide continuum ofduties


This job iscategorized in the Dept. of Labor classification as at a LIGHT work level.

1. Sitting. Up to6 hours per day

2. Standing Up to 4 hours/day

3. Walking. Up to 4 hours/day

4. Lifting/Carrying. Up to20 lbs occasionally (less than 1/3 of shift or job cycle), and/or up to 10 lbsfrequently (up to 2/3 of shift).

5. Twisting. Occasionally ( less than 1/3 of shift)

6. Bending.. Occasionally (less than 1/3of shift)

7. Squatting/Kneeling. Occasionally (less than 1/3/ of shift)

8. Endurance: This job is classified as requiringLIGHT level of physical effort.

9. Extreme Wrist Position. Rarely

10. Pinching. RARELY

11. Hand/Wrist Repetitions. This is NOT a repetitive job

12. Manual Dexterity. Frequent fine motor skills are required.

13. Either Handedness. 70%- 100% of job cycle time

14. Both Handedness. 70%-100% of job cycle time.

15. Sight. Requires minimum 20/20 near vision correctedor uncorrected, and minimum corrected or uncorrected 20/40 far vision.

16. Hearing. Can hear a forced whisper at five (5) feet .Forced whisper is not the same as a whisper. Better definition is "must be ableto recognize speech at normal tone and volume at normal conversationaldistance."

17. Speech.Ability to speak and be comprehended in normal conversation.

18. Exposure toInfection, radiation, electric shock or toxic or caustic chemicals: Thisjob presents significant potential exposure to bloodborne pathogens. Risk ofexposure to other airborne pathogens and transmissible diseases (includingpotentially fatal infections) is also possible. OSHA Bloodborne PathogenStandard requires offer of Hepatitis B immunization if not previously immune,and Bloodborne Pathogen Training. No significant radiation exposure isanticipated under normal working conditions.


1. High/LowTemperature. Expected workenvironment 70 - 80?F. No significant exposureto extremes of temperature, weather, humidity, or adverse atmosphericconditions are anticipated under normal work conditions.

2. Hazardous Noise. NONE anticipated under normal workingconditions.

3. WorkingwithOthers. Close association is frequent and comprises amajor portion of the job. Job often involves coordinating, training,supervising, or managing the activities of others to accomplish goals. Advancedcommunication and organizational skills are required.

4. ConfinedSpacesorCrampedBodyPositions.NONE.

5. BodyInjuries. Likelihood of significant traumatic injury -deep cuts, fractures or permanent disabling injuries. NONE/ NEGLIGIBLE undernormal job conditions. Risk of needlepuncture injury and hand laceration is small, but significant.

6. MovingObjects. NONE/NEGLIGIBLE under normal workingconditions

7. ToxicConditions. NO SIGNIFICANT EXPOSURE to toxic or causticchemicals is anticipated under normal working conditions.


1. Problem-SolvingSkills. Frequent problem-solvingskills required. Requires a high degree of critical thinking – using logic andreasoning to identify strengths and weaknesses of alternative solutions,conclusions, or approaches to problems.

2. Judgment/Assessment.Continuously assesses situations and determines corrective actions needed. Ableto exercise a high level of professional judgment.

3. Supervision.Supervises individuals and must perform functions involved with supervi­sion ofemployees in the particular department, including team building, coaching anddeveloping others, coordinating the work activities of others, and resolvingconflict and negotiating with others.Individual may also be involved in the training or teaching of others, aswell as guiding, directing and motivating subordinates.

4. Reading/Comprehension. Ability to speak,read and write English to a high degree of competence. Knowledge of structureand content of the English language, including highly technical language associatedwith the practice of medicine.

5. Math/Arithmetic.Knowledge of arithmetic, algebra, geometry, calculus, statistics, and theirapplications.


1. ComposureUnderWorkingConditions(including demanding, and/or rude, patients/ clients/ staff/ visitors). Must remain calm and exercise self-control inworking relation­ships with patients, staff, and visitors.


1. Willingness to work cooperatively isnecessary

2. Strong public relations and customersatisfaction motivation

3. Ability to maintain professional manner understress

4. Ability to maintain high degree ofconfidentiality

5. Mentoring ability is required: This may requiredealing with individuals in terms of their total personality in order toadvise, counsel, and influence them with regard to problems that may beresolved by legal, scientific, clinical, spiritual, and/or other principles.

Equal Opportunity Employment
We are an equal opportunity, affirmative action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, age, disability status, gender, sexual orientation, ancestry, protected veteran status, national origin, genetic information or any other legally protected status.

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