Physician Assistant I, Correctional Health Services Job at NYC Health + Hospital

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. 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 New York City Health and Hospitals Corporation 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; social work; dental and vision care; discharge planning; and reentry support. 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 Evaluate the need for consult services and submit the prioritized consult when indicated. 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. Complete special housing rounds when assigned. Be familiar with quality of care and population health indicators. Maintain clinical competency by participating in all CME and CHS training and in-service requirements. 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 other supervising clinical team member. Adhere to Occupational Health Services requirements. Valid limited permit to practice as a Physician Assistant issued by the New York State Education Department (NYSED); Valid license and current registration to practice as a Physician Assistant issued by the NYSED; 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 Experience working with patients in a skilled nursing facility or other residential setting knowledge of harm reduction approaches to care; Experience leading quality improvement initiatives Understanding of trauma-informed care Skilled in communicating risks and benefits of clinical interventions and assessing capacity to make informed decisions. Infection Control Certification Flexible disposition NYC Health and Hospitals offers a competitive benefits package that includes: Comprehensive Health Benefits for employees hired to work 20+ hrs. Retirement Savings and Pension Plans Paid Holidays and Vacation in accordance with employees' Collectively bargained contracts Union Benefits for eligible titles