ST. CHARLES MEDICAL GROUP

PHYSICIAN JOB DESCRIPTION

TITLE: SCMG Physician - Neonatologist

REPORTS TO POSITION: SCMG Chief Medical Officer

DEPARTMENT: SCMG Neonatology

DATE LAST REVIEWED: March 23, 2021

OUR VISION: Creating America's healthiest community, together

OUR MISSION: In the spirit of love and compassion, better health, better care, better value

OUR VALUES: Accountability, Caring and Teamwork

DEPARTMENT SUMMARY: St. Charles Bend Neonatology provides regional care to premature and sick neonates for Central Oregon. NICU is a Level IIIB with evolving capabilities including Pediatric surgery support. Candidates will provide expertise to the Perinatal Center, referral hospitals and will need significant experience and comfort with the range of patients referred to the NICU.

POSITION OVERVIEW:

The Neonatologist is the team leader for newborn care delivery in the Perinatal Center and the NICU located at St. Charles Bend with a focus on Family Integrated care. The Neonatologist will provide oversight and support to the Resuscitation team in the Family Birth center and to referral hospitals via Telemedicine as it becomes available. He/She will oversee the NICU multidisciplinary care team and will have direct oversight for the Advanced Practice Team. Duties include consultations, admissions, daily rounds, procedures, and discharge planning. Skill set include all aspects and procedures as they relate to NICU care. The Neonatologist serves as medical control for babies being transported throughout the region. Embedded in the role is leadership and participation in key administrative meetings, Quality Improvement, Morbidity & Mortality review and Outreach support.

Work schedule: A 1.0 FTE (Full Time Equivalent) is equal to 122 - 24 hour shifts per year (day coverage + night call). This position has flexibility in FTE requirement ranging from .5 to .83 FTE.

Night Call is considered an essential part of the role. Work schedules and hours are modified based on input from the Provider team under the direction of the Clinical Division Director, or designee. In general, Physicians share equally in weekend and holiday schedules based on their FTE, with the goal to look for opportunities to adjust and meet individual needs that remain fair to the group.

Call expectation: After hours call is a condition of employment.

Work location: The Physician works in St. Charles Medical Center Bend Hospital. Other outreach locations may be added as patient and business needs dictate.

ESSENTIAL FUNCTIONS AND DUTIES: (May perform additional duties of similar complexity within SCHS as required or assigned)

Clinical Expectations:

• Practice and model excellence in the neonatology care domains of diagnosis, aligning treatment goals to patient values, making definitive diagnoses, guiding treatment, ensuring follow-up care, promoting growth, and preventing illness.
• Practice medicine within the scope of license, training and credentialing. Cooperate with other SCHS physicians and caregivers to insure optimal patient care.
• Assess, plan, implement, and evaluate individual patient care while demonstrating expert knowledge of evidence-based, neonatology.
• Collaborate with other members of the NICU providers and multidisciplinary team to ensure a world-class patient experience.
• Collaborates with pharmacy to provide appropriate medications accurately in accordance with SCHS policies and procedures for medication administration.
• Analyzes data collected to determine health status and identify differential diagnoses based on history, physical exam, and review of radiographic and laboratory data.
• Manages therapeutic regimen as outlined by established protocols for patients with acute illnesses. Reassesses and modifies plan as necessary to achieve medical and health goals.
• Documents reassessment and response to treatment to determine effectiveness of plan of care.
• Performs indicated routine or emergent procedures.
• Performs invasive diagnostic and supportive procedures including airway management and intubation, non-invasive ventilation, mechanical ventilation, central venous and arterial access, therapeutic hypothermia, and hemodynamic support.
• Oversees continuous monitoring of vital signs, oxygenation, growth and nutrition, multisystem organ function and neurodevelopment
• Provides counseling, education, anticipatory guidance, and support for patients and family members.
• Serves as liaison with discharge planners or with other agencies providing post-hospital care; accurately completes patient discharge instructions and/or discharge summaries.
• Provides emergency care, as required, according to basic life support and advances cardiac life support protocols.

Administrative Expectations:

• Document all patient care within the Electronic Medical Record (EMR) and complete all necessary tasks in compliance with health system policies and regulatory agencies to ensure timely and accurate billing.
• Be familiar with the SCHS organization structure.
• Participate in SCMG physicians meetings and assist in policy formation for SCMG and Physician's practice.
• Keep medical knowledge and skills current through regular continuous medical education (CME) activity. Must attest to having adequate CME to meet maintenance of board certification and compliance with Medical Staff office (MSO) rules and continuing privileges without restriction.
• Keep all licenses and appropriate certifications current and unrestricted.
• Maintain active privileges at a St. Charles Health System hospital sufficient to permit performance of job duties.
• CQI
• Outreach

Behavioral Expectations:

• Participates in creating a cooperative healing environment that supports all aspects of the care environment and the wholeness of each individual, patient and caregiver.
• Provides and maintains a safe environment for caregivers, patients and guests. Conducts all activities with the highest standards of professionalism and confidentiality.
• Delivers excellent customer service and patient care in a manner that promotes goodwill, and is timely, efficient, accurate, and courteous.
• Educates, counsels, and assists patients and families regarding current health problems, health maintenance activities and preventive behaviors.
• Provide a therapeutic presence in service to others by purposefully responding to the needs of patients/customers in a caring way.
• This includes introducing oneself and stating your purpose, spending time with the family to determine their care goals, active listening, and using skillful communications (appropriate touch, eye contact, etc.).
• Complies with all applicable laws, regulations, policies and procedures, supporting the health system's corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violations of applicable rules, and cooperating fully with all health system's investigations and proceedings.

EDUCATION

Required:

• Graduation from an accredited medical school.
• Successful completion of an accredited residency program in Physician's chosen specialty (ies).
• Successful completion of additional educational programs necessary to enable Physician to acquire and maintain privileges to perform the range of services contemplated. This includes board eligibility/certification in the specialty being practiced.
• Complete annual fire/safety, etc. education in-services as required.
• Attend mandatory educational offerings as described in SCHS policies/procedures and/or as required by other regulatory bodies.
• Complete annual CME as required to maintain license and appropriate Board certification.
• Complete in a timely manner assigned Computer Based Learning modules.

Preferred:

• n/a

LICENSURE/CERTIFICATION/REGISTRATION

Required:

• Current license as MD / DO.
• Board Certified or Board Eligible in Neonatology. Those applicants who are not board certified at the time of application but who have completed their residency or fellowship training are required to become board certified within seven years of residency or fellowship training.
• Unrestricted Federal DEA number registered in Oregon
• Unrestricted ability to participate in Medicare / Medicaid, or other federal or state governmental health care programs.
• Valid driver's license and the ability to meet SCHS driving requirements.
• Current Neonatal Resuscitation Program (NRP) certification
• Additional certifications may be required based on privileges granted to provider by Medical Staff Services at SCHS Inpatient locations.

Preferred:

• n/a

EXPERIENCE

Required:

• Experience in environments providing care in Neonatology.
• Experience using EMR (Electronic Medical Records) software
• Advanced written and verbal communication skills to effectively interact with a diverse population and professionally represent St. Charles Health System
• Experience working in a team environment and proven ability to collaborate, manage facilitation, and consensus building among health care professionals and agencies to achieve expected results

Preferred:

• Preferred at least two years active practice in neonatology
• Epic EMR software experience
• Quality Improvement experience
• Commitment to Family centered care

PERSONAL PROTECTIVE EQUIPMENT

• Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely.

GENERAL

• Must have excellent communication skills and ability to interact with a diverse population and professionally represent SCHS.
• Strong team working and collaborative skills.
• Ability to multi-task and work independently.
• Attention to detail.
• Excellent organizational skills, written and oral communication and customer service skills, particularly in dealing with stressful personal interactions.
• Intermediate to advanced proficiency with Electronic Medical Record systems.
• Intermediate in Microsoft applications (Word, Excel).

**Nothing in this job description is intended, nor shall be interpreted, as a grant or approval of medical staff membership or clinical privileges. By law and applicable accreditation standards, medical staff membership and clinical privileges can be granted or approved only by a hospital's medical staff and governing body. Employment processes and requirements, which are governed primarily by the human resources policies of St. Charles, are separate and distinct from medical staff membership and clinical privileging processes and requirements, which are governed primarily by the bylaws and policies of the hospital medical staff. Accordingly, employed physicians and providers of St. Charles are required at all relevant times not only to satisfy the requirements and perform the duties set forth in this job description, but, also, to satisfy the requirements and perform the duties for obtaining and maintain appropriate medical staff membership and clinical privileges.

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