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Internal Medicine Physician- Hospitalist, San Antonio, TX (ID#15077)

Cherokee Nation Mission Solutions (CNMS) is committed to delivering innovative solutions to solve its clients’ toughest problems, whether it be in the next state or around the world. CNMS utilizes the most qualified teams to support each client’s mission, providing responsive, strategic and innovative paths forward. CNMS makes it a priority to build personal, business relationships with each client and to consistently go above and beyond their expectations.

SUMMARY
We are seeking a qualified, board-certified Internal Medicine physician to work on a personal services contract with the Department of Medicine providing Hospitalist coverage at San Antonio Military Medical Center (SAMMC). This is a short-term/ temporary position that is scheduled to end late October or early November 2019. Temporary full-time, pro re nata (PRN), and locum tenens physicians will be considered.

ESSENTIAL DUTIES AND RESPONSIBILITIES

  • Academic Hospitalist position overseeing an inpatient team while teaching active duty residents, interns, and medical students at San Antonio Military Medical Center (SAMMC), part of Brooke Army Medical Center (BAMC), at Joint Base San Antonio (JBSA). The majority of patients will be retired and active duty military and their dependents. Duties include admitting and rounding, with some time spent on a non-teaching service composed of advanced practice providers (nurse practitioners and physician assistants).
  • Shifts are determined by the government’s Internal Medicine Service Chief and based on academic schedule, workload, and teaching/ attending duties, and can include shifts of up to 16 hours per day; work periods of up to four weeks; and inpatient ward attending coverage of up to 10 academic blocks (each block is 4 weeks in duration), weekends, and Federal holidays. However, a typical Hospitalist work schedule consists of 14 consecutive days on-shift (working approximately 12 hours per day, usually during daytime and early evening), followed by 14 consecutive days off-shift.
  • The typical expectation is to be available by pager for 12 hours during weekdays and until noon on weekends unless on call, and overnight approximately once every 8 nights with infrequent overnight pages should residents have questions.
  • On-call and call-back services are required on a rotating basis, and are scheduled during hours other than routine duty hours, Monday through Friday, including weekends, legal Federal holidays, and locally-declared training holidays scheduled by the Department of Medicine. Telephonic or in-person bedside consultation for inpatient care is required while on-call. On-call coverage can vary based on need, and has historically ranged from one night, weekend, holiday, or a partial night or day of on-call coverage to a one-week block of on-call coverage.
  • Based on Government client needs, it might be necessary to support the Department of Medicine at any hospital location, including emergency department or outpatient clinics. Other work locations can include Wilford Hall Ambulatory Surgical Center (WHASC), Fort Sam Houston Primary Care Clinic, Taylor Burke Health Clinic (TBHC), Camp Bullis TX, Randolph AFB Clinic (RAFBC), and the Community Based Medical Home (CBMH) Schertz TX. However, the primary performance location is and the majority of work performed to date has been at SAMMC.
  • Provide hospitalist services at a high level of quality alongside various medical personnel throughout the hospital.
  • Work with network participants in order to appropriately manage services for the beneficiaries.
  • Perform services under the control and general supervision of the Chief of the Department of Medicine or his/ her designated government representative.
  • Comply with all government requirements in relationship to HIPPA and SHARP.
  • Must be rested and fully physically and mentally capable of performing the duties required. Must not have worked the 8 hours prior to beginning services at SAMMC unless was on-call.
  • Hospitalists are paid for work performed while scheduled and physically at the hospital. Work performed while unscheduled or not physically located at the hospital is not compensated.

SUPERVISOR/MANAGEMENT AUTHORITY
May manage or supervise multiple projects without having direct supervisory responsibilities.

EDUCATION AND EXPERIENCE

  • Doctor of Medicine (MD) or Doctor of Osteopathy (DO) who is board certified in Internal Medicine by the American Board of Internal Medicine (ABIM).
  • Must be a graduate of an Internal Medicine program accredited by the ACGME and have a minimum of 2 years of recent experience in inpatient consult medicine or inpatient ward attending, or at least 6 months of general internal medicine outpatient experience within the last 12 months, or a combination of inpatient and outpatient experience for at least 4 months within the last 12 months.

KNOWLEDGE, SKILLS, ABILITIES, AND REQUIREMENTS

  • Must be a U.S. Citizen.
  • Must have and maintain a valid, unrestricted license to practice medicine from one of the 50 states, District of Columbia, Puerto Rico, Guam, or U.S. Virgin Islands and shall be able to obtain clinical privileges to practice medicine with the applicable Military Treatment Facility (MTF) credentials committee.
  • Maintain all certifications in a current status as required of the position as well as meet Continuing Medical Education (CME) requirements of the American Medical Association or the American Osteopathic Association.
  • Shall have current Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS) by way of an American Heart Association approved training program.
  • Must have or obtain a current, valid Drug Enforcement Administration (DEA) registration number prior to performing work.
  • Must meet all the required credentials and stipulations of practice as described in the hospital Medical Staff Bylaws.
  • Shall maintain proficiency in all applicable hospital systems including IMPAX, Composite Health Care System (CHCS), ESSENTRIS, Armed Forces Health Longitudinal Technology Application (AHLTA), Ambulatory Data System (ADS), speech recognition, windows operating systems and other common office applications and systems that may be added to the Hospitalist role in order to function effectively and remain current.
  • Shall be able to read, write, and speak English well enough to effectively communicate with all patients and other health care providers.
  • Shall possess sufficient initiative, interpersonal relationship skills, and social sensitivity to relate constructively to a variety of patients from diverse backgrounds.
  • Must obtain and pass a general physical examination within 45 days prior to commencement of work. The physical examination shall include the following:
    • A histry showing completion of a primary series of immunization with tetanus and diphtheria toxoids and that a booster dose is current (within the past 10 years).
    • A test fr immunity to the hepatitis (Type B) virus with documentation of the results. A profile shall be established to show immune status to hepatitis. Non-immunity (lacking anti-HB(c) or anti-HB(s)) shall be required to complete an immunization series with a Hepatitis-B vaccine (e.g., Recombivax, Engerix).
    • Serlogic evidence of immunity to measles and rubella, or documentation of immunization with measles, mumps, and rubella (MMR) vaccine using the following:
      • Employees born before 1957 without documentation of previous vaccination with MMR should receive one dose.
      • Employees born in or after 1957 who have received one dose of MMR previously shall receive one booster dose.
      • Employees born in or after 1957 without documentation of any previous vaccination with MMR should receive two doses of vaccine, separated by no less than one month.
    • Serlogic evidence of immunity to varicella, or documented history of illness or immunization.
    • Must be screened befre employment and annually for tuberculosis by a tuberculin skin test using the Mantoux technique (the TINE test is disallowed as a substitute). A skin test result of 10 mm of indurations or more shall be required to have a chest roentgenogram and an evaluation performed. A tuberculin skin test of 10 mm of indurations or more will require documentation providing an assessment of the patient (status of infection- active, inactive; need for preventive treatment or not as determined by age, history of BCG (Bacillus Calmette-Guerin) vaccination; duration of skin test positivity, etc.).
  • Must obtain the current influenza immunization unless documented by a physician to be medically contraindicated.
  • Cannot be included on U.S. Department of Health and Human Services (DHHS) Office of the Inspector General (OIG) List of Excluded Individuals and Entities (LEIE) or the TRICARE Sanctioned Provider List.
  • Within the last 5 years must not have had clinical privileges limited, suspended, or revoked by any health care facility, public or private, anywhere in the world:
    • This prohibition does not apply to any individual whose clinical privileges, although originally limited, suspended, or revoked by a health care facility were subsequently fully reinstated by the health care facility.
    • Limitation of clinical privileges, as used in this paragraph, refers to a partial withdrawal/ reduction of clinical privileges as a result of a determination that or pending investigation to determine whether an individual has engaged in unprofessional conduct or substandard medical practice or is incompetent to perform certain medical practices.
    • Is the subject f a current or pending hearing or appeal brought by any health care facility, public or private, anywhere in the world, which may result in the limitation, suspension, or revocation of the individual’s clinical privileges.
  • This position requires the contractor to comply with Public Law 101-647 (Crime Control Act) and submit to a criminal history background check performed by the government. The contractor will be fingerprinted and complete a Standard Form SF 85-P. The contractor shall advise their employees that a favorable report is required as a condition of employment under this contract.
  • Pursuant to 10 USC 1089(a), DoD shall process any personal injury claim alleging negligence by the Healthcare Provider (HCP) within the scope of the HCP’s performance under this contract as claims alleging negligence by DoD military or civil service HCP. The contractor or HCP is not required to maintain medical malpractice liability insurance and the Government will not reimburse or otherwise pay for such insurance should any be purchased. If any suit or action is filed or any claim is made against the contract HCP, which occurred as a result of work performed by the HCP under this contract, the HCP shall immediately notify the contractor, the contracting officer and the chief of the appropriate services and promptly furnish them copies of all pertinent documents received. The contractor and contract HCP shall cooperate with the Government, without further compensation, in the processing, review, settlement, or defense of the suit, action, or claim; and authorize government representatives to settle or defend the claim and to represent the HCP in, or take charge of, any litigation involved in such an action. The contract HCP may, at the contract HCP’s expense, participate in defense of such claim or litigation.

WORK ENVIRONMENT

San Antonio Military Medical Center (SAMMC) at BAMC provides safe, quality care for military service members, their families, veterans and civilian emergency patients. Both inpatient and outpatient services are provided by approximately 8,500 staff members, including active duty military personnel, Public Health personnel, Federal civilians, contract employees, and volunteers. The central part of the medical center is SAMMC, the largest military hospital providing safe, quality, and evidence-based care for up to 425 military and civilian inpatients. As the sole verified Level I Trauma Center within the Department of Defense (DoD), BAMC simultaneously provides emergency services during 80,000 annual Emergency Department visits and serves as the premier medical readiness training platform for both the Army and the Air Force.
With $400 million in annual revenue, 20% growth per year, approximately 950+ active contracts serving 60+ government agencies in 25 countries, 47 states, 2 territories and 2000+ employees, Cherokee Nation Businesses’ (CNB) group of Federal Contracting Section 8(a) companies is well positioned to deliver expertise needed to solve complex technical issues. Federal Solutions provides an array of services for 12 of the 15 cabinet-level departments and agencies – from applications and data services to cybersecurity and national defense.

Why consider Cherokee Nation and our Federal Solutions business? Here are some great resources highlighting what we do and compelling reasons for joining our team!
http://cherokeenationbusinesses.com/Pages/home.aspx
http://cherokeenationbusinesses.com/careers/Pages/home.aspx
http://cherokeenationbusinesses.com/federalSolutions/Pages/overview.aspx

Applicants selected will be subject to a U.S. Government security investigation and must meet eligibility requirements for access to classified information.
We are an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected Veteran status, gender identity and sexual orientation. If you’d like more information about your EEO rights as an applicant under the law, please copy and paste the links to the following two sites: EEO Statement | EEO Poster

If you are an individual with a disability and require a reasonable accommodation to complete any part of the application process, or are limited in the ability or unable to access or use this online application process and need an alternative method for applying, you may email “CNB.Compliance@cn-bus.com” for assistance. This email address is for accommodation requests only and cannot be used to inquire about the application process or status.

For Pay Transparency Non Discrimination provision, please copy and paste the following link: Pay Transparency Nondiscrimination Provision

We maintain an Affirmative Action Plan for the purpose of proactively seeking employment and advancement for qualified protected veterans and individuals with disabilities. Upon request, we will schedule time to make our Affirmative Action Plan accessible. If you are interested, please submit a written request with the email subject line: 2018 Request to View Affirmative Action Plan to the Compliance Administrator at “CNB.Compliance@cn-bus.com” This email box is not for resumes or follow up on job applications.

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