Physician's Assistant - Keene, NH

SUMMARY

The Physician Assistant provides care to patients at Phoenix House Inc. following established standards and practices and within the scope of their licensure and credentialing, including writing orders for medications, performing diagnostic tests and therapeutic medical procedures, documenting clinical care and billing for services delivered. The Physician Assistant at Phoenix House is accountable to:

  • Medical, clinical and administrative staff members, patients and patients' families, social services and community partners
  • Managing their day-day clinical, administrative, operational and fiscal responsibility as it relates to patient care
  • Ensuring uniform implementation and execution of Phoenix House policies, procedures and protocols
  • Actively assisting the Phoenix House Executive Leadership Team with the administration of Phoenix House New England's strategic plans and goals.

ESSENTIAL DUTIES AND RESPONSIBILITIES

  • Be responsible for creating a safe and accident-free environment. Safety comes first over all responsibilities.
  • Provides diagnosis, treatment, consultation and follow up for patients seen in Phoenix House programs:
    • Completes timely History and Physical and documentation
    • Orders appropriate lab and diagnostic procedures and studies
    • Interprets and integrates data to deliver appropriate therapeutic goals
    • Utilizes referral services when appropriate
    • Provides education to patients on both acute and chronic care of condition.
  • Implements medical care within their limits of privileges, including writing orders for medications, and prescribing out-patient medications according to individual state Pharmacy Rules and Regulations.
  • Effectively communicates with the patient and the family/support system about the treatment plan, resources and required follow up care.
  • Utilizes the Phoenix House of New England's electronic health record by appropriately documenting all patient interactions ensuring to include all necessary documentation and coding is comprehensive and complete to support both quality of care and revenue cycle.
  • Actively participates in program committees and maintains both a collegial and independent relationship with members of the medical staff and clinical/administrative team members.
  • Demonstrates support of and assists with the execution of cost saving process improvement initiatives.
  • Partners with other programs and team members to ensure efficient flow of patients.
  • Takes pride in their environment by helping to maintain an organized, uncluttered, and clean workplace.
  • Partners with and reports any programmatic safety concerns through on-site observation, incident report generation and/or review, root cause analysis, best practice review and implementation training to improve programmatic and organizational standards.
  • Partners with and reports quality improvement needs through review of Patient Satisfaction Survey reviews and other identified and developed tools.
  • Consults with Regional Medical Director and Program Directors related to implementing and maintaining structure & accountability related to organizational goals, values, and mission.
  • Assesses and reports programmatic implementation of policies, procedures, and best practices.
  • Participates and/or Facilitates necessary trainings related to identified programmatic and/or organizational needs.
  • Supports accurate, timely, legible clinical & clerical notes.  Document developments and important events in accordance with clinical policies for reporting and record keeping.  Use Phoenix House systems, including Electronic Health Record (EHR), effectively and appropriately.
  • Completes 30, 60, 90-day self-performance supportive review documentation as required.
  • Completesall necessary human resource files, timecards, and e-learning requirements in a timely fashion.
  • Works cooperatively with supervisor and team members.
  • Completes all notes in a timely manner.
  • Meets with supervisor on a regular basis.
  • Serves as a rolemodel through positive, appropriate conduct and participation in special agency events.  Project a good image to the public.
  • Dresses in a professional manner.
  • Performs other duties as assigned by direct supervisor or designee. Perform initial patient screenings and patient history and physicals.
  • Provide medical assessment, which may include preliminary psychiatric assessment and pharmacologic management when indicated.
  • Collaborate with referral sources, internal team members and external service providers to ensure appropriate patient care and continuity of care.
  • Initiate, direct, and modify care plan; observe, evaluate and record behavior, condition and response to medication, treatments and therapeutic activities.
  • Complete all direct service EMR documentation according to department standards and timelines.
  • Ensures all clinical care services are provided in compliance with regulatory standards established by governing bodies.
  • Provides medication and medication injections and routine health screenings that include taking patients vital signs.
  • Pursues professional development trainings and education that support agency mission, values, and strategies.
  • Demonstrate use of evidence-based practices.
  • Attends Medical Services staff monthly meetings.
  • Ensures understanding of Evaluation and Management procedures as well as new CPT coding to ascertain proper billing for patients and appropriate financial billings.
  • Participates in physician peer reviews as directed by agency Medical Director.
  • Attends to other duties as assigned.

QUALIFICATIONS

The requirements listed below are representative of the knowledge, skill, and/or ability required.

  • Minimum experience: one year providing high-quality health care to a diverse patient population, preferably within an inpatient setting.
  • Strong computer skills, to include electronic health records.
  • Experience with substance use disorders preferred
  • Knowledge of the treatment of co-occurring disorders and MOUD as appropriate.
  • Bilingual preferred
  • Ability to comply with internal, local, state and federal policies and regulations.
  • Ability to assist client population.
  • Ability to work and communicate with others.
  • Ability to serve as a positive role model to clients.
  • Ability to apply organizational management skills and maintain self and client discipline.
  • Ability to prepare and maintain required documentation.
  • Ability to maintain a valid driver's license.

COMPETENCIES

  • Demonstrate empathy and compassion for clients in group and daily interactions.
  • Maintain objectivity towards all clients and make clinical decisions based on accurate information.
  • Demonstrate appropriate boundaries between staff and clients.
  • Work cooperatively with others and supervisors.
  • Demonstrate patience and consideration in dealing with others.
  • Demonstrate thoughtful decision-making.
  • Ensure client confidentiality in accordance with all federal, state and local laws and regulations.
  • Communicate regularly with clinical staff regarding special needs for individual residents
  • Provide mental health evaluation and monitoring to clients
  • Provide health education to residents related to medical and psychiatric issues

PERFORMANCE EXPECTATIONS

·  Maintain objectivity towards all patients and make decisions based on accurate information.

·  Utilize trauma-informed best practices with patient and staff to promote effective and safe coping skills and self-

care.

·  Proficiently utilize Electronic Health Record, computer, telephone, fax, copier, electronic monitoring, diagnostic and therapeutic equipment necessary to perform duties within the limits of their training, experience and granted privileges.

·  Demonstrate appropriate boundaries between self and staff/patients.

·  Demonstrate patience and consideration in dealing with others.

·  Demonstrate thoughtful decision-making.

·  Promote self-help concept within program.  Encourage patients to create their own solutions and encourage patients to use each other for support.

·  Work cooperatively with others and supervisors.

·  Communicate, whether written or verbally, in a responsible and respectful fashion.

EDUCATION/EXPERIENCE:  MA from an accredited institution with the requirements for the PA program.

 

LICENSES/CERTIFICATIONS

Attainment of National certification (PANCE) from NCCPA and State required licensure as required by funding/regulatory sources.

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential duties and responsibilities of this position.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties and responsibilities.

REGULARLY REQUIRED:  to sit, use hands to finger, handle or feel objects, tools, or controls; reach with hands and arms, and talk or hear.

OCCASIONALLY REQUIRED:  to stand, walk, stoop, kneel or crouch and lift and/or move up to 10 pounds

WORK ENVIRONMENT

The work environment characteristics described here are representative of those an employee encounters while performing the essential duties and responsibilities of this position.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties and responsibilities.

The work environment is that of a substance use and mental health disorder treatment milieu which may include:

§  Exposure to and contact with patients under a variety of circumstances whose exposure elements may include infection with Hepatitis B, C, HIV, TB, COVID-19 or other Infectious and contagious Diseases.

§  Exposure to patients with co-occurring mental health issues.

§  Weekend and holiday hours

§  Business-related travel

SCHEDULING NEEDS

First shift, weekend off-site call coverage and holiday shifts may be required.

Phoenix House is an Equal Opportunity Employer providing equality of opportunity to all who are protected against discrimination by law, regulation or executive order, including veterans and individuals with disabilities. EEO is the Law: Applicants and employees are protected under Federal law from discrimination. Click www.dol.gov/ofccp/regs/compliance/posters/pdf/eeopost.pdf to learn more.