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Everyone Is a Caregiver

At UMass Memorial Health, everyone is a caregiver – regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 16,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day.

UMass Memorial Medical Center / Medical Group

JOB DESCRIPTION

Job Title: Virtual Home Hospitalist, UMass Memorial Health Hospital at Home

Position Reports to Title: Medical Director, Hospital at Home, UMMMC

I. UMass Memorial Health

UMass Memorial Medical Center is a tertiary care referral center serving more than one million people in central Massachusetts and the surrounding region. We offer a competitive salary and benefit package. We are an equal opportunity employer building strength through diversity. We encourage applicants who will add to our cultural competency and diversity.

The area is rich in history and cultural diversity. It offers a broad range of excellent primary and secondary schools, and several highly regarded colleges including Clark University, The College of the Holy Cross, and Worcester Poly Technical Institute. The area also offers a variety of affordable housing options from newly renovated condominiums to gracious Victorian homes. The area also boasts numerous restaurants, theater groups and concert venues. It offers easy access to Boston, Cape Cod, and Providence and Newport Rhode Island, all of which are within an hour’s drive. In short, it provides a myriad of social, cultural and recreational amenities making this area a truly desirable location in which to practice and live.

Come join the best place to give care, the best place to get care, and the best place for YOU!

As an equal opportunity and affirmative action employer, UMMMG recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds.

With more than 1,100 physicians, the UMass Memorial Medical Group is one of the largest, integrated multispecialty group medical practices on the entire East Coast. Our physicians provide primary care and specialty services for both routine and complex health needs, and they practice at locations in Worcester and throughout Central Massachusetts.

UMass Memorial Health Care is the largest health care system in Central Massachusetts. We are the clinical partner of UMass Medical School, with access to the latest technology, research and clinical trials. Our health care system includes four hospitals: · UMass Memorial Medical Center (Worcester) · Clinton Hospital (Clinton) · HealthAlliance Hospital (Leominster and Fitchburg) · Marlborough Hospital (Marlborough)

In addition to our fully equipped medical centers, our system also includes home health and hospice programs, behavioral health programs and community-based physician practices.

As the leading employer in the Worcester area, we look to draw talent and ideas from individuals of different backgrounds and viewpoints.

II. Position Summary:

The Virtual Home Hospitalist is a core member of the UMass Memorial Medical Center (UMMMC) Hospital at Home (UMMMC HAH) clinical team and plays a central role in admitting, transferring and caring for patients from the UMMMC University, Memorial, Pavilion campus emergency departments and med/surge floors to the UMMMC HAH program. After an initial in-person training and onboarding process in the Worcester based command center (located at 306 Belmont Street), the Virtual Home Hospitalist may practice virtually provided they are providing care within the state of Massachusetts, have a HIPPA secure private space to provide care, have stable high-speed internet connection and are available to come into the command center in Worcester for medical student, resident, attending trainings and should urgent issues arise where this is required clinically for any reason. It is also expected that the Virtual Home Hospitalist will at a minimum occasionally practice in the Worcester based command center to build relationships with UMMMC HAH caregivers and participate in shadowing and training of new recruits (i.e. practicing clinically in-person from the command center several days per month). In their role, the Virtual Home Hospitalist will closely collaborate with the UMMMC HAH nursing and paramedic caregivers to provide telehealth facilitated inpatient level care in the home for patients requiring ongoing inpatient level acute care. On a routine basis, the Virtual Home Hospitalist (a) provides clinical consultation and support to the HAH RN screening patients for admission to the UMMMC HAH program (b) facilitates admissions to the UMMMC HAH program (c) serves as the primary responding clinician and caregiver for patients admitted to the UMMMC HAH service and (d) models the highest standards of care for an often social and medically vulnerable population.

III. Major Clinical Responsibilities:

1. Provides direct patient care during 12-hour daytime shift (7:00a-7:00p)

2. Provides emergency overnight coverage support to HAH APP/RN/MIH caregivers (7:00p-7:00a) on 50% of on active daytime call days which may include after-hours phone calls, telehealth video visits, orders and after hours patient escalations.

3. A 1.0 full time equivalent will initially be defined as 160 (7:00a-7:00p) shifts per year inclusive of emergency overnight coverage on 50% of nights with an overnight coverage stipend with goal to move towards elimination of overnight coverage requirement and overnight coverage stipend via development of dedicated night coverage team.

4. Supports all UMMMC HAH new patient acquisition efforts led by the UMMMC patient acquisition RN team during hours of new patient referral acceptance with clinical consultations and close communication with referring UMMMC caregivers.

5. Performs “admission tuck-in” video visits with patients on day of admission with RN or paramedic in the home and prioritizes medication reconciliations, patient and family collaborative care planning and proactive safety planning.

6. A typical daily schedule include:

7:00 am Shift starts

7:00-7:30 am Multidisciplinary rounds

7:30-8:30 am Admission consultations

8:30-1:00 pm Patient video visits, orders, specialty consults, documenting

2:00-7:00 pm Admission consultations, “admission tuck-in” video visits

7:00 pm – 7:00 am Overnight coverage for urgent needs (50% of nights)

7. Serves as a key contributor in identify opportunities to improve program care processes

8. Will provide supervisory services to residents and APPs working within the HAH program

9. Highly collaborative caregiver closely partnering with nursing, paramedic, APP teams with excellent verbal and written communication skills

10. Joins and contributes to regularly scheduled UMMMC HAH and hospitalist team meetings

11. After initial clinical training and onboarding, the UMMMC Virtual Home Hospitalist will have the option to provide clinical care working remotely from home office provided this care is provided in HIPPA compliant space with privacy for video visits and required availability to nursing, paramedic, APP care team. The UMMMC Virtual Home Hospitalist will be asked to work from 306 Belmont command center in Worcester from time to time to participate in clinical conferences, trainee education, mentoring and clinical care.

12. Equitably participates in clinical coverage over weekends (two weekends per month) and holidays (two major holidays and one minor holiday per year).

13. The UMMH Virtual Home Hospitalist will have the opportunity to work clinically both as a Virtual Home Hospitalist and Brick/Mortar Hospitalist if interests and service needs align for the candidate, the UMMMC HAH program and hospital medicine programs

All responsibilities are essential job functions.

IV. Position Qualifications:

License/Certification/Education:

Required:

1. MD or DO degree

2. MD or DO licensure in the State of Massachusetts

3. BC/BE Internal Medicine or Family Medicine

4. BLS and ACLS certification

Experience/Skill:

Required:

1. Recent inpatient level acute care experience

2. Comfort with telehealth or growth mindset to learn telehealth

3. Comfort with closely partnering with patient, family, unskilled and skilled caregivers in the home to create and execute care plans

4. Comfort with care of the complex geriatric patient in low control environments

5. Comfort with uncertainty and holistically balancing risks of brick/mortar hospitalization and home hospitalization to provide second-to-none-quality care

6. Highly collaborative, passion for working with small, dedicate care team

7. Ability and interest to pro-actively manage a panel of inpatient-level acutely ill patients using combination of remote- and in-home resources

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

We’re striving to make respect a part of everything we do at UMass Memorial Health – for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day.

As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law.

If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at talentacquisition@umassmemorial.org. We will make every effort to respond to your request for disability assistance as soon as possible.