Physician Assistant, Corrections Health Services, Per Diem, Variable schedule

Correction Health Services (Medical)

Address: This role can be based at any of three correctional facilities in Miami Dade County. Your location assigned is based on operational needs.

The facilities are:

• Turner Guilford Knight: 70000 NW 41st Street Miami, Florida 33166
• Pre-Trial Detention Center: 1321 NW 13th Street Miami, Florida 33125
• Metro West: 13850 NW 41st Street Doral, Florida 33178

Shift Details: Per Diem, Variable Schedule and shifts including weekends

Why Corrections:

Miami-Dade Corrections Health Services (CHS) operates under Jackson Health System (JHS) and serves approximately 5,000 patients daily. Patient care is delivered by nearly 400 healthcare employees representing a diverse multidisciplinary team of nurses & nurse support staff, physicians, psychiatrists, social workers and other professionals. CHS supports Miami Dade Corrections & Rehabilitation at 3 facilities in Miami-Dade County and leverages the resources of a large public safety net health system in the areas of education, quality, risk management & compliance.

Summary

Physician Assistant is professional technical work which relieves physicians of many essential and time consuming tasks. The incumbent interviews patients, takes medical histories, performs physical examinations, orders laboratory tests, makes diagnosis, prescribes appropriate treatment, provides postoperative care and assists during complicated medical procedures. Work is performed under the direct supervision of a physician.

Responsibilities

• Identifies patients to be case managed using MediFax, DDE or other system applying InterQual, M&R, First Health or other specific criteria related to diagnosis, clinical condition, cost and/or payor. Follows unit specific policies and procedures.
• Participates in daily rapid rounds / clinical rounds on population. Assesses / provides patient age specific needs and evaluates effectiveness of care. Prioritizes/plans care based on knowledge of growth and development of patients served. Coordinates scheduling of pre-admission work-up / admission work up /elective/emergency procedures/surgery prior to surgical or procedure date. Assesses/plans for patient care requirements throughout the continuum of care for specific diagnoses, procedures, DRGs and/or populations according to state and federal guidelines.
• Assesses complex patient care needs/situations/acuity levels obtaining significant data from assessments (physical/functional, mental, psychosocial, environmental, family support, spiritual, cultural, financial, legal).
• Participates in care planning including discharge planning and determines appropriate interventions/referrals. Assists with coordination of discharge follow-up as needed. Assesses patient needs to ensure services are appropriate to the condition/procedure/level of care and reports significant findings/seeks corrective action. Facilitates resolution of conflicts and problem solving. Identifies ethical dilemmas such as conflict of interest, and seeks appropriate resources/consultation to formulate decisions/solutions.
• Coordinates patient care throughout an episodic/continuous course of care for a specific DRG/diagnosis/procedure/population using InterQual, M&R, First Health or other specific criteria and evidence based guidelines. Plans and coordinates access to care at the next level in the care continuum. Facilitates continuity of care by organizing/conducting/participating in patient care conferences. Facilitates the delivery of services in a timely and cost-effective manner using effective negotiating skills.
• Evaluates/monitors the level of care along the continuum of care (e.g. effectiveness of meds, treatments, pain status, plan) and individualizes the plan of care including teaching/discharge planning. Assists patients/family to appropriately self-direct care, self-advocate, and make informed health care decisions to the degree possible in the ongoing plan of care. Assesses patient compliance with prescribed treatment regimen and facilitates compliance as needed. Obtains authorizations / pre-certifications and continued stay authorizations as required.
• Coordinates, arranges, consults and refers to social worker or other health team members for appropriate services post-discharge as indicated (i.e. ACLF, SNF, REHAB, HHC, DME, community case management, transportation, financial assistance, emotional support, medication, supplies etc.).
• Recommends/assists in the implementation of strategies (i.e.. evidence based practice guidelines) to control LOS and/or resource utilization within the case managed population. Identifies the achievement of goals that are a direct result of case manager interventions. Maximizes patient outcomes through incorporating community-based and non-benefit related services whenever possible. Prepares and distributes reports as required: utilization management reports, productivity, denial management, annual, LOS, clinical pathway, performance improvement, National Report of Quality Indicators, transfer, high utilizer reports, etc. Communicates team recommendations regarding practice and/or systems changes based on report. Identifies all members of the health care team appropriate for the development of evidence based guidelines.
• Performs data analysis for DRGs, diagnoses, procedures, and/or populations using data systems including HCIA/Solucient reports, WinStat, ClinAff, Esphere, etc. Facilitates and coordinates evidence based guideline development/revision activities (clinical pathways/medical criteria sets – InterQual, M&R, First Health/disease management protocols) incorporating research findings. Critically evaluates the activities and practice patterns of evidence based guidelines (clinical pathways/medical criteria sets/disease management protocols) utilizing case management resources and clinical expertise.
• Provides feedback related to evidence based guideline activities (clinical pathways/medical criteria sets/disease management protocols) to CRM department and related departments/health team members. Participates in outcome analysis as related to clinical services, functional status and financial resources.
• Evaluates/communicates outcome analysis to relevant administrative source. Utilizes an integrated system approach to case management across the continuum of care. Articulates information pertinent to clinical condition, LOS, outcomes, resource utilization, discharge planning, etc. at team meetings/presentations and to administration, medical director and physician advisor.
• Demonstrates knowledge of the legal scope of practice of health care members/providers: JCAHO, AHCA, DCF, CMS, INS, law enforcement, Baker Act, etc. Acts in accordance with legal principles of patient confidentiality, consent health care proxies, advanced medical directives, and abuse/neglect in compliance with HIPPA and corporate compliance guidelines. Plans and coordinates multidisciplinary weekly/month/quarterly team meetings with internal and external participants/agencies. Identifies the need for and participates in research projects as related to case management/disease management activities. Applies systematic use of research methods to evaluate clinical resource management practice and studies the effectiveness of such interventions.
• Incorporates patient/family learning needs/readiness to learn, as well as, cultural barriers and physical/cognitive limitations in the development/implementation of evidence based criteria tools. Informs patient/family/proxy/guardian of healthcare benefits/coverage as needed. Demonstrates behaviors of service excellence and CARE values (Compassion, Accountability, Respect and Expertise). Performs other related job duties as assigned.

Experience

Generally requires 1 to 3 years of related Physician Assistant experience. Prior correctional health and/or primary care experience preferred.

Education

Advanced degree in specialty is required.

Credentials

Valid Florida Physician Assistant license and DEA board certification are required. Other specialty certifications related to specialty are a plus. American Heart Association Basic Life Support (BLS) and any additional applicable life support certification for Healthcare Providers is required upon hire with at least 6 months validity and maintenance at JHS for the duration of employment.

Jackson Health System is an equal opportunity employer and makes employment decisions without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, disability status, age, or any other status protected by law.