Job Description

About NYC Health + Hospitals

NYC Health + Hospitals is the largest public health care system in the nation. We are a network of 11 hospitals, trauma centers, neighborhood health centers, nursing homes, post-acute care centers, and correctional health services. We are a home care agency and a health plan, MetroPlus. Our health system provides essential services to 1.4 million New Yorkers every year in more than 70 locations across the city's five boroughs. Our diverse workforce of more than 42,000 employees are uniquely focused on empowering New Yorkers.

NYC Health + Hospitals/Correctional Health Services is one of the nation’s leading correctional health care systems in quality of and innovations to care, and access from pre-arraignment through compassionate release. In-jail services include medical, nursing, mental health, substance use treatment, social work, dental and vision care, discharge planning, and reentry support. In addition to providing direct patient care in the jails, CHS leverages the resources of the nation’s largest municipal health care system to help discharged patients successfully return to their communities. CHS is also a pivotal partner in New York City’s criminal justice reform efforts.

Work Shifts

• 12:00 A.M – 8:00 A.M
• Days: Mon-Fri
• Various Location at Rikers Island

Duties & Responsibilities

Rikers Island

Since 2016, Correctional Health Services (CHS) has been the direct provider of health care in the New York City jails. Deeply committed to human dignity and patient rights, CHS is part of the NYC Health + Hospitals system and is a key partner in the City’s efforts to reform the criminal-legal system. Our in-jail clinical services include medical, nursing, and mental health care; pharmacy services; substance-use treatment; social work; dental and vision care; discharge planning; and reentry support.

Position Overview

Under supervision of the Site Medical Director, the Physician Assistant will provide comprehensive, compassionate, and thoughtful care to our patients in the New York City jail system. The Physician Assistant will provide general primary care including conducting histories and physicals, diagnosing and treating acute and chronic illnesses, and evaluating the need for consult services

Responsibilities include:

• Diagnose and treat acute and chronic illnesses. Evaluate the need for consult services and submit the prioritized consult when indicated.
• Complete comprehensive histories and physicals on all new admissions including documentation of problem list, diagnosis, orders (e.g. labs, imaging and referrals) and ordering appropriate medications where applicable.
• Evaluate patients requesting sick call, schedule follow-ups and update medication orders. Update problem lists and reconcile patient orders at all visits.
• Implement plans for patientcare utilizing protocols approved by the Medical Director and/or treatment plans reflecting the current standard of care.
• Request radiology exams, lab tests, EKGs when clinically indicated and interpret these results based on clinical findings and in consultation with supervisors where appropriate.
• Review all specialty consults and hospital returns to ensure that the standard of care is met and recommendations of the consultant are implemented.
• Perform chart reviews and summaries for patients transferring facilities including updating problem lists, rewriting medication orders, and reconciling orders and consults as needed.
• Generate special needs referrals and documentation as needed (for patients with (disabilities, dietary restrictions, heat sensitivity, or other relevant flags).
• Teach patients about their medical conditions and treatments; counsel on risks and benefits of different treatment decisions; witness, sign, and document patient refusals of care.
• Ensure that all progress notes and orders are signed before the end of the shift.
• Respond to emergencies in a timely and professional manner.
• Notify the staff MD and Urgicare about 3 hour runs and EMS activation.
• Complete special housing rounds when assigned.
• Be familiar with quality of care and population health indicators. Take appropriate action to meet or exceed standards.
• Maintain clinical competency by participating in all CME and CHS training and in-service requirements.
• Maintain your schedule as directed with particular attention to punctuality and timely notification of absences.
• Adhere to policies and procedures of CHS and be familiar with them by reviewing them as needed.
• Complete tasks as delegated by a Site Medical Director or another supervising clinical team member.
• Maintain and provide documentation of all required credentials.
• Maintain professional attitude and appearance.
• Adhere to Occupational Health Services requirements.

Minimum Qualifications

1. Valid license and current registration to practice as a Physician Assistant issued by the New York State Education Department (NYSED); and

2. Current certification issued by the National Commission on Certification of Physician Assistants (NCCPA); and

3. One (1) year of full-time, satisfactory clinical experience as a Physician Assistant; and

4. Possession of a valid Life Support certification (e.g., Basic Life Support (BLS), Advanced Cardiovascular Life Support (ACLS)) is required in the appropriate practice area through the American Heart Association (AHA) within sixty (60) calendar days of appointment to the title.

Department Preferences

• Experience working with patients in a skilled nursing facility or other residential setting
• Experience working with patients who have serious mental illness
• Experience working with patients who carry substance use diagnoses; knowledge of harm reduction approaches to care; and familiarity with medications to treat opioid use disorder
• Experience leading quality improvement initiatives
• Understanding of trauma-informed care
• Skilled in patient-centered shared decision making
• Skilled in communicating risks and benefits of clinical interventions and assessing capacity to make informed decisions.
• Active BLS and ACLS certifications
• Infection Control Certification
• Excellent interpersonal communication skills and ability to work collaboratively within a multidisciplinary team, as well as with NYC DOC staff
• Flexible disposition

Benefits

NYC Health and Hospitals offers a competitive benefits package that includes:

• Comprehensive Health Benefits for employees hired to work 20+ hrs. per week
• Retirement Savings and Pension Plans
• Paid Holidays and Vacation in accordance with employees' Collectively bargained contracts
• Loan Forgiveness Programs for eligible employees
• College tuition discounts and professional development opportunities
• College Savings Program
• Union Benefits for eligible titles
• Multiple employee discounts programs
• Commuter Benefits Programs

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