LH Medical Group - OB Hospitalists Jobs

Position Objective:

Responsible for the day-to-day administration of the hospitalist program for more than one practice.  Serve as the liaison between the Practice Manager, Hospitalist Supervisor of the program, individual physicians, patients, community physician groups, affiliate hospitals, and other departments and divisions with matters related to patient care, operations, and billing processes.  Work in conjunction with the Hospitalist Supervisor to ensure a coordinated and cohesive administration of inpatient services by the hospitalists. Serve as contact to families with questions; address patient billing problems and customer satisfaction concerns; provide assistance with problem solving; work closely with Medical Director to assist in optimal service and patient flow. Maintain a daily updated patient census to ensure timely discharge correspondence transmittal, confirming follow-up appointments, and physician billing capture. Onboard new hospitalists to the division and provide continued support to the team. Facilitate effective communication and efficient organization of the group. Responsible for time reporting, computerized systems, telecommunications, and facilities as it relates to the hospitalist program.

Essential Job Duties:

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 

1.  Routinely prepares, analyzes, and creates detailed statistical reports to be used by service leadership.  Proficiently generates data in sophisticated reports with graphs and charts for written and/or verbal format using Microsoft Office applications. 

2.  Coordinates all arrangements for meetings with medical center staff, members of the medical staff, other healthcare professionals, and other business professionals, which include: room requests, catering, audiovisual, billing, supplies, handouts, production of visual aids and confirms speaker(s).

4.  Maintains office records, files, and logs ensuring information is accurate, complete and current.

5.  Assist with the procurement and management of telecommunication devices for clinicians.

6.  Generates and distributes clinician schedules as necessary – uses flexibility to handle changes and rescheduling of clinician shifts due to last minute changes in staffing.

7.  Provides office coordination to maintain office supply inventory, and ordering

8.  Facilitates clinical billing data entry and review using hospital EMR system, and demonstrates basic knowledge of medical professional billing and CPT codes.

9.  Coordinates correspondence for the department and all associated areas, including processing incoming mail and responding to routine correspondence according to established procedures; answers and screens telephone calls, takes messages; provides assistance with routine requests and inquiries, and refers as appropriate.

10.  Provides support to Manager and Supervisor as necessary for special projects and assignments.

Educational/Experience Requirements:

• Excellent analytical, written, interpersonal, independent thinking and communication skills required.
• Must be able to be able to multi-task and demonstrated team work skills
• High school diploma or equivalent, Associate Degree in Business preferred
• Basic knowledge of medical terminology, CPT and ICD-10 coding.
• Demonstrated proficiency with Outlook email, Word and Excel software applications.
• Computer skills required in database management and web based analytics.
• Maintains productivity may work at times with minimal direction, must be be to prioritize work assignments appropriately.
• Detail oriented.
• Minimum 2 years in health care environment in administrative and/or coordinator role. 3 years in health care environment preferred

Required License/Certifications: 

None

Working Conditions, Equipment, Physical Demands:

There is a reasonable expectation that employees in this position will not be exposed to blood-borne pathogens.

Physical Demands – Light Work

The physical demands and work environment that have been described are representative of those an employee encounters while performing the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions in accordance with the Americans with Disabilities Act.

The above job description is an overview of the functions and requirements for this position.  This document is not intended to be an exhaustive list encompassing every duty and requirement of this position; your supervisor may assign other duties as deemed necessary.

Luminis Health Clinical Enterprise, Obstetrics and Gynecology

Title: Advanced Practice Provider – OB Triage

Department: Women’s and Children’s Services

Reports To: Chair Luminis Health Women’s and Children’s Services

Cost Center/Job Code: 30001-41012-003047

FLSA Status: Exempt

Position Overview:

The Advanced Practice Provider for OB Triage is responsible for promoting efficient throughput in the obstetrics triage care delivery area.  Important tools required for this position include 1) the ability to promptly recognize and initially manage maternal or fetal emergencies that present for evaluation in the unit, 2) effectively communicate timely patient status to referring providers, patients and their families 3)comprehensive documentation of clinical care provided to patients to facilitate quality care and timely charge capture 4) collaboratively implement evidence-based clinical protocols, and process improvement tools required to deliver and advance care in the OB Triage area, and 5) engage providers as needed to assist in the timely triage of OB patients that present for care.

The advanced practice provider is a key member of perinatal quality team, is supported by the OB/Gyn Hospitalist and facilitates triage of all patients presenting for assessment to the unit.   Measures of success for this role includes: timely turnaround times that promote throughput on our labor and deliver unit, prompt recognition of emergency conditions and initiation of anti-hypertensives, antibiotics and other therapies as required by clinical conditions, and prompt disposition of patient presenting for Obstetrical Care.

Key relationships would include: 

Director of Perinatal Operations, Labor and Delivery Director of Nursing, OB/Gyn Hospitalists, Laborists, OB/Gyn Residents, Emergency Department Personnel and other APP’s

Essential Job Duties:

1.  Evaluate and address medical problems specific to obstetric care, Antenatal testing and ultrasound appropriate for diagnostic assessment of fetal well being
2. First assist in C-sections if required to do so emergently.
3. Effectively request consultation of other specialties when indicated,
4. Demonstrates competence and skill while performing in the OB triage unit
5. Demonstrates knowledge of and competency in the management of basic obstetrical and postpartum emergencies and complications. 
6. Create diagnostically appropriate treatment plans,
7. Document and operationalize all medical evaluations, history, physical, diagnostic labs, imaging and procedures, treatments, outcomes, and referrals consistent with The Joint Commission, state regulatory standards, and evidence-based standards of care. Maintains documentation compliant with current coding and billing.
8. Functions professionally on an interdisciplinary team including nursing, residents, OB/Gyns, midwives and other advanced practice providers.
9. Utilizes appropriate chain-of-communication and communicates with specialties, including other APP’s, Medical directors, and nursing using TEAMSTEPPS principles.
10. Facilitates excellence in quality assurance and the delivery of patient care as part of our High Reliability Organization.
11. Define, promote and model best practice in clinical operations that optimizes clinical space and personnel for efficient triage workflows.
12. Provides optimal quality of patient care while following safety guidelines
13. Contributes to cohesive group relations; uses open communication to resolve problems in and between departments.
14. Demonstrates commitment to professional department and organizational core values.

Educational / Experience Requirements:

• PAs: Bachelor’s degree, graduation from an ARC-PA accredited Physician Assistant program, and certification by the National Commission of Certification of Physician’s Assistants are required. Candidate must hold an active Maryland license through the Maryland Board of Physicians.
• NPs: Bachelor’s degree, RN experience, and completion of Acute Nurse Practitioner degree. Candidate must hold an active Maryland license through the Maryland Board of Nursing.
• One year of OBGYN, surgical, emergency, or critical care experience is preferred.
• Credentialing must be obtained from Luminis Health Medical Staff Office and maintenance of BLS /ACLS/EFM certification is required.
• The applicant must have an PA-C, NP or CNM certification.

Required License/Certifications:

• Licensed to practice in the State of Maryland and Board Certified.

Working Conditions, Equipment, Physical Demands:

There is a reasonable expectation that employees in this position will be exposed to blood-borne pathogens.

Physical Demands: Medium Work

Title:  Medical Director APP Perinatal Operations/Lead Certified Nurse Midwife

Department:  OB/Gyn Hospitalists

Reports To: Chair Women’s and Children’s Service Line - Luminis Health

FLSA Status:  Exempt 

The purpose of this position is to provide perinatal clinical and administrative APP leadership for women’s health services and programs.  In addition, this APP leader will serve as a liaison between the CNM delivering providers/OB triage APP’s and service line as well as hospital operational leaders. 

The APP Perinatal Operations Medical Director/Lead Certified Nurse Midwife is responsible for leading and improving the clinical activities of the APP’s engaged in clinical care across our perinatal units as well as guide uniformity in care within all practices that leverage APP’s to deliver perinatal care.  In this capacity, the APP Perinatal Operations Medical Director/Lead Certified Nurse Midwife oversees and enforces evidence–based care process’ for inpatient and ambulatory obstetrical patients as outlined by professional society guidelines (ACOG, AWHONN, ACNM) MIEMMS standards, LHAAMC Women’s and Children’s protocols and policies.  Ensures clinical access to ambulatory offices for patients desiring midwifery care and ensures appropriate personnel and process’ to advance efficient perinatal throughput across our units.

Responsibilities – Administrative:

·         Attends and participates in OB Hospitalists meetings, Women’s and Children’s Executive Leader’s monthly meetings, Monthly 1:1 with the chair, leads monthly APP/CNM practice meetings, Wednesday noon meetings per service rules, Medical Staff meetings per LHOB/Gyn policy, Women’s and Children’s Yearly leadership retreat and meetings associated with strategic planning and initiatives of the service line

·         Orientates, onboards and educates new APP’s to inpatient environment and ensures onboarding of ambulatory APP providers across LHOB/Gyn practices. 

·         Review and educate fellow APP’s including CNM’s about practice financials – including billing, coding, collecting and documentation changes

·         In partnership with Ob/Gyn hospitalists for LHAAMC, serves as a safety officer for all perinatal units, primarily OB triage and may serve as a clinical consultant for the ED and medicine service across Luminis Health. 

·         Participates in APP, resident and medical student education as defined by the residency program director

·         Develops and resolves conflicts with the CNM and APP OB Triage clinical and call schedules

·         First in chain of communication for APP’s that are perinatal services providers

·         Executes on and enforces quality protocols developed by the Women’s and Children’s Leadership

·         In conjunction with the Perinatal Operations medical director and the OB/GYN Hospitalists, promotes throughput on ALL Perinatal units

• Executes on quality improvement projects with guidance from PI team and VP of Women’s and Children’s

·         Enforces Weekly service line meeting, TEAM STEPPS, Electronic Fetal Monitoring certification and Simulation attendance

·         Participates with Women’s and Children’s System Chair in Succession planning for APP leaders and practice members

• Participate with OB/Gyn Chief of the Service and Associate Chair for Quality and Safety in Focused Professional Practice Evaluations and Ongoing Professional Practice Evaluations

·         Participate in leadership evaluation and program feedback twice yearly

·         CNM’s and APP’s work across several ambulatory settings including general OB/Gyn office practice and Centering Pregnancy in accordance withthe Centering Health Initiative guidelines and inpatient environments including our perinatal units and OB Triage. 

·         The APP Perinatal Operations Medical Director/Lead Certified Nurse Midwife models quality care in the above environments, and participates in process improvement initiatives that advance enhanced patient experience, uniformity in care, timely and appropriate documentation to reflect quality care.

·         The APP Perinatal Operations Medical Director/Lead Certified Nurse Midwife Ensure that care is in scope for all APP providers and up-to-date professional practice agreements are in place

Required Minimum Education. Board Certified

Required Minimum Experience: Minimum of 5 years Obstetrics and Gynecology practice experience and demonstrated leadership comptetencies

Per professional society guidelines

Please choose one:

Medium work. Exerting up to 50 pounds of force occasionally, and/or up to 30 pounds of force frequently, and/or up to 10 pounds of force constantly to move objects.

There is reasonable expectation that employees in this position will be exposed to blood-borne pathogens.