Emergency Room Director

PLEASE NOTE - This position may require temporarily relocation to other TONHC Facilities: Sells Hospital, Santa Rosa Health Center, San Simon Health Center, and San Xavier Health Center.

Position Summary:

Provide supervision of assigned Emergency Room medical staff and provide complete emergent and acute health care services to patients presented to the Emergency Room for care.

Scope of Work:

As a supervising staff physician, the incumbent performs and provides the diagnosis, care, and treatment of primarily emergency care and some inpatients. The position is located at the Tohono O'odham Nation Sells Hospital, Emergency Department, Sells, Arizona. Incumbent works under the general supervision of the Medical Officer (Clinical Director), who provides administrative oversight. Incumbent functions with considerable independence. Work performed is reviewed for conformance to policies, procedures, and practices relating to health care delivery.

Essential Duties and Responsibilities:(Depending on the area of assignment, an incumbent may not be required to perform some of the duties listed below):

Administrative Duties (50%):

• Provide overall planning of organizational development and implementation on program documents, reports, budgets, staffing, and other business in concerns with the operation of the Emergency Room Department.
• Plans and adjusts work schedules and operations to meet established objectives, priorities, deadlines, and standards of care.
• Provides information on capabilities, staffing, equipment requirements, and problems in meeting work demands.
• Makes changes in assignment tasks to positions to improve workflow and services rendered, promote health care, and increase productivity.
• Evaluate operations and services provided to patients and propose and implements changes and improvements.
• Assigns work to employees in an efficient, equitable, and selective manner to achieve a satisfactory quality of patient care.
• Provide instructions, explanations, and training for tasks and job techniques.
• Advises workers of performance requirements and reviews work status and progress on an individual or group basis.
• Assesses the adequacy of patient care of service rendered to identify causes of inadequacies and to correct deficiencies.
• Coordinates team activities with the work of the organization and with other related activities.
• Inform employees about the policies, procedures, and management goals related to the unit's workload.
• Provide supervision to staff physicians, physician assistants, and nurse practitioners assigned to the department.
• Recommends promotions, reassignments, status changes, performance awards, sets up a work schedule, approves/disapproves leave requests, sets a level of performance expectation, and appraises employee performance.
• Resolves informal complaints of employees and refers those beyond the unit level to higher management.

Clinical Duties (50%):

• Assumes responsibility for the diagnosis, prevention, therapy, maintenance, and rehabilitation of family members in the capacity of a senior specialist or expect.
• Makes preliminary diagnosis, directs, prescribes, or provides treatment, or arranges for specialized care or patient referral as required.
• Evaluates patients, adults/adolescents who come to the Emergency Room.
• Provide medical care and public health services to individuals eligible for services provided by TONHC in homes, schools, clinics, job sites, and other community locations within the assigned service area.
• Provides patient care and obtains consultation as needed to an individual in need of critical care, which requires immediate decisions or is complicated because the patient fails to respond to previously tried treatment regimens.
• Provide primary medical care to patients with a broad spectrum of illnesses.
• Provide emergency care to patients relating to major trauma such as fractures of multiple extremities, stab wounds, open wounds of chest and abdomen, partial evisceration, concussions, head traumas, frequent cardiac arrests, and emergency cases of suicide attempts.
• Makes appropriate referrals and consultations after primary complete evaluation and documentation are complete.
• Recognizes and provides initial treatment of acute psychiatric problems.
• Offer emergency medicine expertise and consultation in emergency medicine to the physicians of TONHC and other services entities within the Tohono O'odham Nation.
• Instructs and supervises interns and residents and healthcare students rotating through the department.
• Provide on-the-job supervision and formal or informal lectures, discussions, and demonstrations; services as coordinator of the in-service education program in emergency medicine.
• Participate with other departments in planning joint administrative and technical programs to make recommendations for the maximum coordinator of emergency medical services with other patient services.
• Attends professional meetings and seminars to ensure state-of-the-art care to patients.
• Assures that TONHC meets the requirements of the Joint Commission on accreditation of the hospital concerning the quality of care.
• Represents the emergency medical staff and serves on other hospital committees as assigned.
• Interacts with TONHC EMS and other Emergency Management Services (EMS) to improve Native American Indian patients' services.
• Communicate effectively with patients and families in situations of medical, psychosocial, and cultural complexity.
• Informs supervisor of progress as appropriate and recommends changes to improve the quality of Emergency Room Services.
• Seeks advice of supervisor when deemed necessary.
• Performs other job-related duties as assigned and contributes to a team effort.

Knowledge,Skills, and Abilities:

• Knowledge of applicable federal, state, tribal laws, regulations, and requirements.
• Knowledge of legal regulations and confidentiality requirements, specifically the Privacy Act of 1974 and the Health Insurance Portability and Accountability Act of 1996 (HIPAA).
• Knowledge of the economic, educational, health, and social challenges faced by Native Americans in rural and urban settings.
• Skill in respectful and compassionate intercultural communication.
• Skill in providing superior customer service to external and internal customers.
• Ability to carry out professional practice fully respectful of Tohono O'odham culture, customs, and traditions.
• Ability to provide effective and comprehensive health care for patients across a full range of clinical settings.
• Ability to responsibly develop new approaches for situations in which the established techniques/practices and treatment regimen have not been effective.
• Ability to work independently with a wide latitude to determine and pursue a course of treatment with and for patients.
• Knowledge of service unit medical staff bylaws, rules, and regulations and compliance with all appointment requirements and maintain status as an active member of the medical staff.
• Knowledge of currently planned care and population-based, or community-oriented, primary care principles, theories, methods, and techniques to provide effective, efficient primary care services to reach the strategic plan's goals.
• Ability to delegate authority, manage staff, implement and evaluate programs and recognize and adapt to changing priorities and needs.
• Ability to prioritize by conducting extensive investigations, analysis of largely undefined factors and conditions to determine the nature and scope of healthcare problems to develop solutions.
• Ability to develop new concepts, theories, or programs to resolve outstanding issues.
• Ability to plan, develop, advise on, and implement vital medical and healthcare programs essential to the agency's mission.
• Ability to work a flexible schedule, regularly, rotation or call back basis to provide continuity of medical services during evenings, nights, holidays, and weekends.
• Ability to travel within and outside the boundaries of the Tohono O'odham Nation as necessary to carry out duties and responsibilities.
• Ability to adapt and cope in stressful situations.
• Ability to communicate efficiently and effectively both verbally and in writing.
• Ability to exercise independent judgment.
• Ability to establish and maintain positive and effective working relationships with other employees and the general public.

MinimumQualifications:

• Doctor of Medicine or Doctor of Osteopathy from the United States or Canadian medical school approved by a recognized accrediting body in the year of applicant's graduation

OR;

• Doctor of Medicine or equivalent degree from a medical school not of the USA or Canada that provided education and medical knowledge equal to accredited schools in the United States and demonstrated by a permanent certification from the Educational Commission for Foreign Medical Graduates (ECFMG), or a Fifth Pathway Certificate

AND;

• Must possess the minimum education and licensure requirements for the specialty of Emergency Medicine.
• A minimum of one year of experience working in the Emergency Medicine specialty post residency

Licenses, Certifications, Special Requirements:

• Certification by an American Specialty Board in Emergency Medicine or five (5) years equivalent residency training and experience in the Emergency Medicine specialty.
• Must possess and maintain a permanent, complete, and unrestricted license to practice medicine in a State, District of Columbia, Commonwealth of Puerto Rico, or the United States territory.
• Upon recommendation for hire, a criminal background and a National FBI fingerprint check are required to determine suitability for employment, including a 39-month driving record.
• May require possessing and maintaining a valid driver's license (no DUIs or major traffic citations within the last three years).
• If required, must meet the Tohono O'odham Nation tribal employer's insurance requirements to receive a driver's permit to operate program vehicles.
• Based on the department's needs, incumbents may be required to demonstrate fluency in both the Tohono O'odham language and English as a condition of employment.