Emergency Room Physician

Resolution Think LLC's joint venture, Cognito Systems,  is seeking a part-time ER Physician to work on site at Madigan Army Medical Center at Joint Base Lewis-McChord, WA. The lives of our nation’s active-duty military depend on outstanding healthcare. Cognito Systems strives to provide highly qualified healthcare professionals to work in the heart of military medicine. As a civilian contractor working for Cognito Systems, you will serve as a an ER Physician providing care to active duty service members, veterans, and their families. 

Essential Functions and Job Responsibilities

• Be a Part of the Team: Cognito Systems, LLC is Mentor-Protégé Joint Venture between Resolution Think and Quarter Line Consulting Services. Cognito Systems is committed to providing high-quality service to our customers and to delivering world-class healthcare to members of our military and our nation’s veterans.
• The Benefits: Our team offers competitive compensation packages, a full range of benefits, continuing education, and excellent work-life balance to ensure your success
• Compensation: $285/hr.

• Clinically supervise and teach emergency medicine residents, PAs, PA fellows, interns, 
  medical students, and house staff during assigned ED shifts; complete teaching attestation 
  and co-sign charts within 72 hours; when clinically supervising residents, provide verbal 
  feedback on performance at end of shift and one written teaching evaluation per emergency 
  medicine residency policy.
• Ensure accurate, complete, and timely (within 72 hours) documentation in the electronic 
  health record (EHR); respond to coding queries and correct deficiencies promptly; maintain 
  records per hospital directives and DHA PM 6025.02. 
• Provide expert guidance to Government Service PAs in ED Fast Track as needed.
• Stabilize and manage patients requiring transfer beyond MAMC capabilities, coordinating 
  with the Patient Logistics Center, discussing with the accepting physician, and completing 
  necessary documentation per COBRA and EMTALA regulations.
• On day shifts, review abnormal microbiology results and culture sensitivity reports in the 
  electronic medical record and counsel/treat patients as appropriate. 
• Intermittently prepare, deliver, and proctor a 30-minute oral board clinical case for the 
  emergency medicine residents.
• When assigned to shifts in the main ED, review charts of patients who Left Without Being 
  Seen, contacting high-risk patients or those with abnormal labs per ED policy.
• Regularly review the ED tracking board (LaunchPoint) and monitor the waiting room to 
  enhance efficiency and patient safety.
• Obtain clinical consultations as needed.
• Respond to Pierce County Base Station calls, directing pre-hospital care per Washington 
  State, Pierce County, and Madigan guidelines.
• Respond to mass casualty situations per hospital procedures.
• As part of the Coordinating Team (charge RN, medic shift leads, nursing supervisor, and 
  administrator on duty), address workflow issues, staffing shortages, supply deficiencies, or 
  equipment failures on shift.
• Remain in or immediately available to the ED throughout the shift; do not leave without a 
  privileged replacement; receive a safe and effective handoff from a designated staff member 
  before assuming duties. At the end of the shift, ensure a safe and effective transition of care 
  to the oncoming privileged provider.
• Submit schedule requests on time via the electronic system; shifts may be in main ED, ED 
  Fast Track, or Vertical Split Flow based on need and availability; provide intermittent ED 
  coverage during Grand Rounds (Wednesdays 0700-1600) or staff-only days.
• Perform monthly peer reviews for ED providers using the electronic chart review system
• Complete all required paperwork, computer-based training, and face-to-face training per 
  Madigan policies.
• Prepare additional records/reports as required of Army Medical Department officers or 
  physicians in routine patient care.
• Complete Washington State Labor and Industry and civilian employe