Internal Medicine Physician - Nursing Facility Attending

 Internal Medicine, Geriatrician – Nursing Facility Attending Service (M67463)

VCU Health - Richmond, VA

We're seeking a physician to help expand our team and nursing home presence.

Mission or Goal of Unit: Clinical care: to practice the highest quality, safe and cost effective adult care in a comprehensive, innovative environment which is individualized and sensitive to a diverse population;  Science:  to enhance scientific knowledge and care through creative and pioneering investigation;  Education:  to provide comprehensive education and training to students and all professionals with enthusiasm and respect.

Chief Purpose of this position:  The Division of Geriatric Medicine at the Virginia Commonwealth University supports a large health system that cares for many adult patients with advanced chronic illness. The Division seeks a new clinician educator to with advancing the academic program.  The VCU Center for Advanced Health Management (CAHM) program is a multi-faceted care system including: office-based medical care for those who are comparatively mobile; home-based care both short-term and long-term for those that are less mobile; nursing home care for both post-hospital rehab and long term care; inpatient consult service; behavioral health counseling; pharmacy consultation; fully developed transitional RPM and telemedicine services (triage, counseling, monitoring, video-visits); and care management and social work services.  This faculty member will treat patients as part of the Nursing Facility Attending Service (NFAS) where the MD directs and organizes a complex range of medical and other care services that support a patient’s recovery from surgery, illness or management of a chronic illness or disability in a nursing home. The NFAS is comprised of four MD+APP teams in the Richmond market which combine to care for >90% of discharged patients managed in the VCUMC preferred SNF continuing care network.  This includes patients were VCUMC carries financial risk: indigent care contracts, the CMS bundled payment model, and the CMS value-based purchasing arrangement that incorporates readmission reduction goals. This consistent VCUHS care achieves optimal levels of performance and outcomes by organizing and orchestrating a wide variety of services all incorporating broad inter-disciplinary teamwork.   The position is estimated to bill 8 encounters per day, billing all payer types with timely and thorough documentation in the EPIC record.

Position Responsibilities: 

Teaching: To support teaching directly via interactions with Fellows, residents, medical students, and non-physician professionals. (Affiliate faculty appointment)

Research: To support the research mission of the Division.

Service: To provide service of the highest quality to the people of the state of Virginia and beyond.

Clinical: Anticipated clinical effort is 90%.The workload and time commitments are commensurate with existing Geriatrics faculty.

Duties:  To be responsible for managing a panel of patients throughout the continuum of care.  To assure that care is timely, appropriate, of high quality, and cost effective. To create and enhance systems to assure that all patients receive planned, evidence-based care and care is fully coordinated with ongoing continuity for the patient, family and caregiver. To work collaboratively with Attendings, Fellows, Residents, NPs, and other staff to ensure a team-based approach to care is fostered.   To understand and welcome the importance of roles as care providers, team members, and major influencers of our community’s perception of the geriatrician’s quality and service. Sharing night call (one in nine currently).

Other: (administrative duties, etc.) Submit billing and document care as required by the organization. Abide by all medical staff requirements.Participate in quality initiatives.

Required Qualifications:

• Board certified/board eligible in Internal Medicine
• Must be comfortable working with an interdisciplinary team including nurse practitioners and pharmacists, and must integrate well with members of an extended care team
• Must have direct experience managing complex inpatient and outpatient geriatric patients with a solid understanding of the geriatrician role and function
• Demonstrated experience working in and fostering a diverse faculty, staff, and student environment or commitment to do so as a faculty member at VCU

Preferred Qualifications:

• Geriatric fellowship training strongly preferred
• Experience with EPIC electronic health record preferred

Virginia Commonwealth University is an equal opportunity/affirmative action institution providing access to education and employment without regard to race, color, religion, national origin, age, sex, political affiliation, veteran status, genetic information, sexual orientation, gender identity, gender expression, or disability.

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