Physician Specialist

NYC Health + Hospitals/Correctional Health Services; New York (NY); On-site; USD 120,000 - 150,000; Full time

Benefits offered by this job

Comprehensive Health Benefits

Retirement Savings and Pension Plans

Loan Forgiveness Programs

College tuition discounts

Job summary

A health care provider organization is seeking a Physician to deliver compassionate care to patients in New York City jails. This full-time position requires expertise in managing complex chronic illnesses and collaboration with an interdisciplinary team. Candidates must be graduates from an approved medical school and possess a valid New York medical license. The role involves diagnosing and treating conditions, conducting patient assessments, and contributing to care continuity within a unique healthcare environment.

Qualifications

• Completion of residency in internal medicine or family medicine preferred.
• Experience working with patients who have serious mental illness is beneficial.
• Knowledge of harm reduction approaches to care is desirable.

Responsibilities

• Diagnose and treat acute and chronic illnesses.
• Conduct comprehensive histories and physical examinations.
• Collaborate with Physician Assistants for patient care.

Skills

Clinical decision making

Patient education

Interpersonal communication

Collaboration in multidisciplinary teams

Education

Graduation from an approved medical school

Completion of approved residency or fellowship

Licensed to practice medicine in New York

Job description

1 day ago Be among the first 25 applicants

New York City Health and Hospitals Corporation

Outposted Therapeutic Housing Units Program (OTxHU)

Since 2016, Correctional Health Services (CHS) has been the direct provider of health care in the New York City jails. Deeply committed to human dignity and patient rights, CHS is part of the NYC Health + Hospitals system and is a key partner in the City’s efforts to reform the criminal-legal system. Our in-jail clinical services include medical, nursing, and mental health care; pharmacy services; substance-use treatment; social work; dental and vision care; discharge planning; and reentry support.

Given the high visibility of this initiative, we are seeking the highest caliber health care professionals in key clinical services to staff our Outposted Therapeutic Housing Units (OTxHU). To be located in three NYC Health + Hospital acute care facilities, the OTxHU is a pioneering approach to safely increasing access to high quality clinical care for patients in custody who have complicated health conditions. OTxHUs will bridge the gap in the continuum between care provided in the jails and inpatient hospitalization, with admission to and discharge from the OTxHU in accordance with a patient’s clinical needs. CHS will be the primary health care providers on these units and the NYC Department of Correction will provide security and custody management.

The OTxHU at NYC Health + Hospitals/Bellevue in Manhattan will be the first of this unique, groundbreaking project to open with a planned completion date as early as the end of 2024. This is an incredible opportunity to be part of a passionate and motivated team providing care to some of the City’s most marginalized, vulnerable people.

*To help support continuity of operations and care, staff selected to work in the OTxHU may also be required to work in CHS locations within the jails. Additionally, while CHS seeks the most qualified individuals for these positions, preference will be given to equally qualified, internal candidates.

• Time: 08:00 AM - 05:00 PM
• Days: Mon, Tue, Wed, Thu, Fri
• Location: OTxHU- Bellevue/Rikers Island

Under supervision of the Site Medical Director, the Physician will provide comprehensive, compassionate, and thoughtful care to patients with complex chronic disease in the New York City jail system. The Physician will be part of a core interdisciplinary team working in a unique environment delivering the care to patients with significant chronic illnesses. The Physician will provide general primary care including conducting histories and physicals, diagnosing and treating acute and chronic illnesses, and evaluating the need for consult services. The interdisciplinary team will work under supervision of a Site Medical Director.

Responsibilities

• Diagnose and treat acute and chronic illnesses. Evaluate the need for consult services and submit the prioritized consult when indicated.
• Complete comprehensive histories and physicals on all new admissions including documentation of problem list, diagnosis, orders (e.g. labs, imaging and referrals) and ordering appropriate medications where applicable.
• Evaluate patients requesting sick call, schedule follow-ups and update medication orders. Update problem lists and reconcile patient orders at all visits.
• Implement plans for patient care utilizing protocols approved by the medical leadership and/or treatment plans reflecting the current standard of care.
• Request radiology exams, lab tests, EKGs when clinically indicated and interpret these results based on clinical findings and in consultation with supervisors where appropriate.
• Collaborate closely with CHS Physician Assistants, including providing clinical guidance, cosigning notes, and providing other supervision based on clinical circumstance and PA requirements.
• Review all specialty consults and hospital returns to ensure that the standard of care is met and recommendations of the consultant are implemented.
• Perform chart reviews and summaries for patients transferring facilities including updating problem lists, rewriting medication orders, and reconciling orders and consults as needed.
• Generate special needs referrals and documentation as needed (for patients with disabilities, dietary restrictions, heat sensitivity, or other relevant flags).
• Teach patients about their medical conditions and treatments; counsel on risks and benefits of different treatment decisions; witness, sign, and document patient refusals of care.
• Ensure that all progress notes and orders are signed before the end of the shift.
• Respond to emergencies in a timely and professional manner.
• Notify the appropriate parties, including Urgicare, about 3-hour runs and EMS activation.
• Complete special housing rounds when assigned.
• Be familiar with quality of care and population health indicators. Take appropriate action to meet or exceed standards.
• Maintain clinical competency by participating in all CME and CHS training and in-service requirements.
• Maintain your schedule as directed with particular attention to punctuality and timely notification of absences.
• Adhere to policies and procedures of CHS and be familiar with them by reviewing them as needed.
• Complete tasks as delegated by a Site Medical Director or other supervising clinical team member.
• Maintain all required credentials.
• Maintain current licensure and CME requirements (Appropriate documentation must be on our files).
• Maintain professional attitude and appearance.
• Adhere to Occupational Health Services requirements.

Minimum Qualifications

• Graduation from an approved medical school.
• Completion of approved residency or fellowship in the specialty or sub-specialty and Board eligible or certified or Subboard eligible or certified.
• Five years experience in field of specialty or subspecialty acceptable to the Medical Board of the Hospital.
• Licensed to practice medicine in the State of New York.

Department Preferences

• Three to five years’ work experience, which may include residency in a directly related medical specialty.
• Experience working with patients in a skilled nursing facility or other residential setting.
• Experience working with patients who have serious mental illness.
• Experience working with patients who carry substance use diagnoses; knowledge of harm reduction approaches to care; and familiarity with medications to treat opioid use disorder.
• Experience leading quality improvement initiatives.
• Understanding of trauma-informed care.
• Skilled in patient-centered shared decision making.
• Skilled in communicating risks and benefits of clinical interventions and assessing capacity to make informed decisions.
• Completion of residency in internal medicine, family medicine or other primary care-oriented specialty.
• Compliance with appropriate Maintenance of Certification requirements or other Board Certification requirements.
• Excellent interpersonal communication skills and ability to work collaboratively within a multidisciplinary team, as well as with NYC DOC staff.

Benefits

• Comprehensive Health Benefits for employees hired to work 20+ hrs. per week.
• Retirement Savings and Pension Plans.
• Paid Holidays and Vacation in accordance with employees' Collectively bargained contracts.
• Loan Forgiveness Programs for eligible employees.
• College tuition discounts and professional development opportunities.
• College Savings Program.
• Union Benefits for eligible titles.
• Multiple employee discounts programs.
• Commuter Benefits Programs.

Seniority level

Mid-Senior level

Employment type

Full-time

Job function

Health Care Provider

Industries

Hospitals and Health Care