Physician Nocturnist

ST. CHARLES HEALTH SYSTEM

JOB DESCRIPTION

TITLE:                                                 SCMG Physician – Nocturnist

REPORTS TO POSITION:               SCMG Clinical Division Director, Hospital Medicine

DEPARTMENT:                                 SCMG Hospitalist Program

DATE LAST REVIEWED:                 March 19th, 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

DEPARTMENTAL SUMMARY: The SCMG Hospitalist Program providers address the diagnosis, prevention, and treatment of hospitalized patients who have been referred from the community primary care doctors, emergency room doctors, or other physicians in the hospital. 

POSITION OVERVIEW:   The Nocturnist Hospitalist Physician responds to admission requests and assumes care at such time that patients are transferred out of the Emergency Department or directly admitted from an outside facility as specified by each SCHS hospital’s medical staff bylaws. The Nocturnist Hospitalist Physician (night shift) provides medical care as the attending of record for adult inpatients (minimum age 18) presenting with primary internal medicine pathology and provides their services twenty-four (24) hours daily all days of the year. 

Work schedule: Shifts are generally ten to eleven (10-11) hours in duration and Physician will work minimum of 144 shifts per year for a traditional Nocturnist.  There is the potential to work day or swing shift as well.  Option of 7 day rotation schedule or option of flex scheduling.

Call expectation:  Back-up call during high census times may be requested.

Work location: The Physician will be rotating between Bend and Redmond Hospital for coverage needs. 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:  

• Provide 24-hour coverage of all Medicine patients on the Bend campus, both in an admitting role as well as a consultative role, in accordance with existing Co-Management Agreements.
• Provide 24-hour coverage of all Medicine and Critical Care patients at the Redmond campus, both in an admitting as well as consultative role, in accordance with existing Co-Management Agreements.
• When requested by the primary service, serve as a Consultant for all inpatient psychiatric patients in PES or Sageview.
• If medically complex, serve as a Consultant for patients in Inpatient Rehabilitation.
• Share in equitable distribution of work between all hospitalist physicians on shift.
• Maintain credentialing and privileges to perform critical care procedures, and ability to rotate through the St. Charles-Redmond hospital on an equitable basis with others in the position.
• May also transfer patients requiring a higher level of medical or sub-specialist care from the St. Charles-Redmond hospital to the SCMC-Bend hospital or another facility at their discretion and that of the accepting physician at the receiving facility.
• Maintain familiarity with the SCMG organization structure, communication systems, billing process, and completing billing and coding documentation within time assigned by SCMG administration.
• Obtain medical knowledge and current skills through regular continuing medical education (CME) activity.
• Abide by all medical staff bylaws, rules and regulations.
• Share information both when requested and when anticipating someone might have a need.
• Maintain punctual presence for assigned work days, in compliance with the SCHS policy on attendance
• Keep medical knowledge and skills current through regular CME activity.  To attest to having obtained 60 hours of Category 1 continuing medical education (CME) relevant to the practitioner’s current medical practice over the prior two-year period.
• Participation in Rapid Response Supervision maybe requested from time to time.

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 meetings and assist in policy formation for