Medic - Hospital at Home - Days/Evenings

Virginia Commonwealth University Health Systems; Richmond (VA); On-site; USD 52,000 - 70,000; Full time

Job summary

VCU Health at Home program seeks a Home Health Medic to perform comprehensive assessments, diagnostics, and treatments in patients' homes as part of the Home Hospital model. The role collaborates within an interprofessional team to optimize outcomes and prevent unnecessary hospital use.

Under Nurse Manager supervision, you will conduct daily in-person visits, provide virtual support, and coordinate with nursing and provider teams.

Qualifications

• Minimum of three (3) years of clinical experience.
• Current EMT-P/Paramedic certification/licensure in Virginia; BLS/ACLS.
• Virginia Driver's License in good standing at hire and thereafter.

Responsibilities

• Perform comprehensive assessments, diagnostics, and medical treatments in patients' homes.
• Coordinate care with Home Hospital nursing and provider teams.
• Provide triage and virtual support including calls and telehealth.
• Maintain accurate documentation reflecting assessments and interventions.
• Drive safely and adapt to varying weather and travel requirements.

Skills

AEMT/EMT-Intermediate/Paramedic MMAC

Driver

Customer service

Problem solving

Organization

Communication

Adaptability

Flexibility

Education

EMT-P/Paramedic certification

Bachelor's degree

Job description

VCU Health at Home delivers mobile, integrated health services as part of its Continuum Integration service line to enhance the patient experience by providing comprehensive, safe and efficient in-home care as an alternative to an emergency department visit or bricks and mortar hospitalization. The Home Hospital Medic for VCU Health at Home is an interdependent member of the care team who is responsible for performing comprehensive assessments, diagnostic testing and medical treatments in a patient's home or current residence. The practice of the Home Health Medic is focused on longitudinal assessment, participation in an existing, multidisciplinary, interprofessional treatment plan; communication with and referral to other members of the treatment team based on changing patient needs are essential functions.

Essential Job functions:

A leader in the provision of mobile healthcare using patient-centered resources in the out-of-hospital environment, the Home Health Medic examines, screens, treats, performs diagnostics, and coordinates health services for patients in the VCUMC Home Hospital program.

Performs under the direct supervision of the Nurse Manager to ensure quality care during daily in-person visits to patients receiving acute care at home through Home Hospital which includes daily assessments, vital sign monitoring, and patient education; lab draws, wound care, and medication administration may also be necessary and will be closely coordinated with the Home Hospital nursing and provider teams.

Provides quality acute/inpatient level of virtual support to the Home Hospital healthcare team if needed including triage of calls, virtual medication administration, virtual visits, telephone outreaches, education, and escalation of services both clinical and non-clinical.

Provides high level clinical care through the ability to perform phone and in-person triage and intervene or elevate appropriately using critical thinking skills for both inpatients and complex adult and/or geriatric patient populations.

Ensures acute inpatient individuals are receiving appropriate services during their Home Hospital stay including but not limited to therapy, food, consultative, mobile imaging, labs, and medical equipment to prevent un-necessary hospital readmissions.

Using strong communication skills, provides patient/caregiver education and ensures patients and/or caregivers are confident and comfortable in self-care management through use of in-person or virtual teach back education strategies.

Provides quality patient care and education in accordance with VCUMC Home Hospital policies and state regulations, as approved by the Medical Directors of Home Hospital and professional standards of care.

Provides accurate and legible documentation of patient care with attention to detail to accurately reflect assessment and interventions.

Maintains the ability to understand, utilize and efficiently integrate technology for longitudinal patient assessment, clinical interventions, physician consults and data collection related to paramedicine.

Performs other duties as assigned and/or participates in special projects in order to support the mission of VCUHS and department. Provides assistance to team members. Accepts alternate assignments, as required, graciously.

Patient Population:

Demonstrates the knowledge and skills necessary to provide equitable care appropriate to the age of the patients served on their assigned unit.

Demonstrates knowledge and related competencies of the principles of growth and development of the life span and possesses the ability to assess data reflective of the patient's status and interprets the appropriate information needed to identify each patient's requirements relative to their age, specific needs and to provide the equitable care needed as described in departmental policies and procedures.

Adults (18-64 years), Geriatrics (65 years and older)

Employment Qualifications:

Required Education:

High School Degree or equivalent

Successful completion of an accredited EMT-P/Paramedic course

Preferred Education:

Bachelor's degree

Licensure/Certification Required:

Current EMT-P/Paramedic certification/licensure in Virginia

BLS and ACLS Certifications

Valid State of Virginia Driver's License- must have at time of hire and maintain for duration of employment a motor vehicle operator record acceptable to VCU Health's insurance carrier/underwriter

Licensure/Certification Preferred:

N/A

Minimum Qualifications:

Required Qualifications:

Minimum of three (3) years of clinical experience

Other Knowledge, Skills and Abilities Required:

• Demonstrated knowledge and skills necessary to provide appropriate care within the scope of practice of an AEMT, EMT-Intermediate, Paramedic - or MMAC Qualified Combat Medic/68W, Corpsman or Medical Technician/4NOX
• Must be able to drive vehicles safely in all types of weather
• Excellent customer service and interpersonal skills.
• Strong problem solving, analytical and decision-making skills with ability to work independently with minimal supervision
• Strong organizational, planning and implementation skills
• Able to balance multiple tasks simultaneously.
• Excellent written and verbal communication and documentation skills
• Adaptable to a changing work environment
• Flexibility to accommodate day, night, weekend, and on call work as required.

Cultural Responsiveness:

Demonstrates a commitment to diversity, equity, and inclusion through continuous development, modeling inclusive behaviors, and proactively managing bias.

Other Knowledge, Skills and Abilities Preferred:

• Community Paramedic experience desirable
• Strong clinical skills with knowledge of both emergency medicine and chronic disease management
• Robust knowledge of pharmacology, anatomy and pathophysiology as well as related clinical pathways and implications in high-risk populations
• Outstanding understanding of community resources and the needs of diverse populations
• Maintains an understanding of ethics as it relates to providing primary care evaluations and access across the spectrum of the patient population.
• Maintains a basic understanding reimbursement payer models (value-based versus fee-for-service)

Working Conditions:

Periods of high stress and fluctuating workloads may occur.

May be exposed to adverse weather conditions; cold, hot, dust, wind, etc.

Required to car travel to off-site locations, occasionally in adverse weather conditions.

May be exposed to limited hazardous substances or body fluids. *

May be exposed to human blood and other potentially infectious materials. *

May have periods of constant interruptions.

* Individuals in this position are required to exercise universal precautions, use personal protective equipment and devices, and learn the policies concerning infection control.

Physical Requirements:

Physical Demands: Lifting/ Carrying (0-100 lbs), Push/Pull (0-100 lbs.), Stoop, Kneel, Squat, Crawl, Climb, Balance, Bend

Work Position: Sitting, Walking, Standing

Additional Physical Requirements/ Hazards:

Physical Requirements: Manual dexterity (eye/hand coordination); Perform shift work; Maneuver weight of patients; Hear alarms/telephone/tape recorder; Reach above shoulder; Finger Dexterity; Color Vision; Acuity - far; Acuity - near

Hazards: Depth perception; Use of Latex Gloves; Exposure to toxic/caustic/chemicals/detergents

Mental/Sensory - Emotional:

Mental/Sensory: Strong Recall, Reasoning, Problem solving, Hearing, Speak clearly, Write legibly, Reading, Logical Thinking

Emotional: Fast pace environment, Steady pace, Able to handle multiple priorities, Frequent and intense customer interactions, Able to adapt to frequent change.