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Hospice And Palliative Medicine Physician- District Of Columbia

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Job Title:  Hospice and Palliative Medicine Physician- District of Columbia
Job Ref No:  34586
Job Type:  Permanent
Location:  Washington, D.C.
City:  Washington
Job Description:  Make the most of every moment -it's the heart of our philosophy and mission at Capital Caring, a leader in hospice and palliative care in the DC metro region. We live our mission of improving the care of people facing life-limiting illness every day and are seeking a dedicated, Hospice and Palliative Medicine Physician to join us in our District of Columbia Neighborhood.

Our Core Values include:
  • Complete Customer Satisfaction
  • Culture of Trust
  • Leadership to Grow
  • We are all Learners and Teachers
  • Live within the Model

The Hospice and Palliative Medicine Physician is a member of the Active Medical Staff of Capital Caring and provides services to our patients throughout our continuum of care. This continuum includes, but is not limited to: home and facility-based hospice; home and facility-based palliative care; inpatient hospice; hospital-based palliative care consultation; and outpatient palliative care clinics.

HOSPICE MEDICINE:

When the Hospice and Palliative Medicine physician functions within the hospice environment, s/he serves as a part of the assigned hospice interdisciplinary team/group (IDT/IDG) as the Hospice Medical Director (HMD). The HMD assumes overall responsibility for the medical component of the hospice's patient care. S/he shares with other members of the medical staff the responsibility for quality of care provided to patients receiving Capital Caring Hospice Services.

Specific hospice-related services provided by the Hospice and Palliative Medicine Physician include: 1) Palliation and management of terminal illness, 2) Medical care interventions targeting unmet general medical needs, and 3) hospice pre-election evaluation and counseling services.

Specifically, the HMD or physician designee (as required by Medicare's Conditions of Participation):

a. Collaborates with the IDT/IDG to insure that the medical needs of the patient are met and providing oversight of the plan of care

b. Certifies that the patient meets the eligibility criteria for hospice care based upon available diagnosis and prognostic indicators; determines related diagnosis(es) if any; current subjective and objective medical findings, current medication and treatment orders; and reviews information about the medical management of any of the patient's conditions unrelated to the terminal illness.

c. Collaborates with the patient's attending physician to develop and update the patient's plan of care, to identify needs not met by the attending physician, to ensure the most cost effective regimen for pain and symptom management. The HMD may also determine, in consultation with the patient's physician and authorized decision maker, when a patient can no longer remain at home and should be moved to a congregate living facility of the patient's choosing.

PALLIATIVE MEDICINE

When the Hospice and Palliative Medicine physician functions within the Palliative Care environment, s/he serves in a consultative role for hospitalized and/or outpatients with Palliative Care needs. The Hospice and Palliative Medicine physician is part of the assigned interdisciplinary team/group (IDT/IDG) for each palliative care patient, and coordinates the Palliative Medicine plan of care in conjunction with the patient's attending physician and other consultants. S/he shares with other members of the medical staff the responsibility for quality of care provided to patients receiving Capital Caring Palliative Care Services.

Specific Palliative Medicine-related services provided by the Hospice and Palliative Medicine Physician include: 1) Palliation and consultative management of chronic, progressive (usually terminal) illness, and 2) Hospice pre-election evaluation and counseling services.

The Palliative Medicine consultant:

a. Collaborates with the IDT/IDG to insure that the medical needs of the patient are met and providing oversight of the plan of care

b. Collaborates with the patient's attending physician to develop an update the patient's plan of care, to identify palliative medicine needs not met by the attending physician, and to insure pain and symptom management and control.

PERFORMANCE CRITERIA/ESSENTIAL FUNCTIONS:

The Hospice and Palliative Medicine Physician provides a varied array of services to patients within Capital Caring Hospice Services and Capital Caring Palliative Medicine Services. These services/essential functions may change based on the care program of the patient. Within the philosophy, objectives and policies of Capital Caring, these essential functions are as follow (H = specific to hospice patients; PC = specific to palliative care patients; H/PC = applies to both hospice and palliative care patients):

1. Provides medical management across all care settings within Capital Caring at the direction of the General Manager with support from the Neighborhood Lead Physician. (H/PC

2. Implements time-based billing procedures using Suncoast software and other appropriate methods to capture timely billing (weekly for home and nursing home; daily for inpatient and clinic charges). Achieves expected productivity standards as defined by the organization and in alignment with best practices/the Capital Caring model. (H/PC)

3. Participates in medical staff activities including weekly fellow teaching and related activities.(H/PC)

4. Re-certify patients, as appropriate, for continuation of Medicare Hospice benefit at appropriate levels of care. Adheres to best practices using the Capital Caring clinical algorithms. Signs certifications, re-certifications, orders, and completes documentation within specified time frames. Prepares thorough and complete documentation of any and all clinical encounters to support charges. (H)

5. Maintains current knowledge of the latest research and trends in Hospice and Palliative Medicine, particularly in regard to pain/symptom management. Maintains continuing education as required for licensure and to insure specialty level expertise in end-of-life care. Must attend at least one hospice/palliative care educational program per year and have a professional development plan for passing the (ABMS Hospice and Palliative Medicine) certification exam within 24 months of employment (or other appropriate competence evaluation). (H/PC)

6. Encourages and models coordination and communication with the patient's attending physician. Helps to keep the team mindful of the importance of customer service with regard to the attending physician and other referral sources. Demonstrates high "consultant etiquette" by a willingness to call attending physicians to discuss patient matters. (H/PC)

7. Participates in QAPI activities as needed, including regular medical record reviews and medical peer review. Seeks to continually improve the care practices of Capital Caring to assure compliance with regulatory and accreditation standards. (H/PC)

8. Completes all facility and payer credentialing in a timely fashion - not more than two (2) weeks after receipt.

9. Documents in appropriate chart and forms in an accurate and timely manner to provide a written record of assessments, plans of care, and to assure the availability of information to team members.

10. With the GM, GO Team/Care Reps, and other stakeholders, promotes Capital Caring in hospice and palliative care concepts in the medical community in order to:

a. Ensure collaborative relationships with the medical community

b. Continuously improve relationships between Capital Caring and the medical community

c. Stimulate referrals to Capital Caring

Employment with Capital Caring comes with great benefits - with flexibility to choose the health and welfare plans to best meet your needs.
  • Competitive salary
  • Health, Dental, Vision Insurance
  • 403(b) plan with a generous match
  • Education Assistance/Tuition Reimbursement
  • Generous Vacation, Sick and Personal Leave


Qualifications

LICENSURE: Licensed to practice medicine in the Commonwealth of Virginia, State of Maryland and/or the District of Columbia as dictated by job responsibilities and regional assignments. DEA and State Controlled Substances Registration in above jurisdictions.

EDUCATION: A licensed physician (Doctor of Medicine or Osteopathy) from an accredited school. Board certification in a related specialty; certification in Hospice and Palliative Medicine is preferred.

EXPERIENCE: 3-5 years of related experience or a Palliative Care Fellowship preferred. Expertise in the medical care of terminally ill individuals required.

Employer:  Capital Caring.
08/20/2018

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