Title: Regional Physician Supervisor (RSMD)

Location: Harlingen, Texas

Position Type: Full Time (30-40+ hours/week), Hourly

Education Level: Doctor of Medicine Degree, certification

Job Category: Health Care

 

Our Company Promise: We are committed to providing our Employees a stable work environment with equal opportunity for learning and personal growth. Vighter’s Mission is to provide efficient, fast, high quality healthcare staffing to our clients.  Our Culture’s 5 key elements are crucial to the effectiveness of our employees in accomplishing our mission. These elements are:

Dependability Integrity Personability Transparency Responsiveness

Summary:

Vighter is recruiting healthcare professionals (HCPs) to conduct basic screening assessments and provide healthcare services to individuals detained by Customs and Border Protection (CBP). HCPs work administratively under the Regional Program Manager and Regional Deputy Program Manager while performing healthcare services under the medical direction of the National Medical Director and Physician Supervisors who collaborate with CBP’s Office of the Chief Medical Officer (OCMO). Healthcare is delivered in accordance with approved medical protocols and in compliance with Department of Homeland Security (DHS) directives.

Vighter’s HCPs work alongside uniformed CBP Agents/Officers at numerous locations near the border in Texas, New Mexico, Arizona, California, and Florida. The medical staff must be capable of providing health care services for persons of all ages, to include infants, children, adults, and pregnant females. Candidates must be comfortable working in a detention setting. Services may be provided in a field setting with minimal facilities, a soft-sided (tent-type) facility, or a secure detention facility, such as a US Border Patrol Station. This is an amazing opportunity to work with diverse populations alongside a supportive team of healthcare professionals and administrative staff.

Education, Licensure/Certification & Experience:

Must have a minimum of five years of experience as an attending or independently practicing physician in a direct patient care setting. Degree: Doctor of Medicine, Doctor of Osteopathic Medicine or equivalent from a school in the United States or Canada. The degree must have been accredited by the Council on Medical Education of the American Medical Association, Association of American Medical Colleges, Liaison Committee on Medical Education, Commission on Osteopathic College Accreditation of the American Osteopathic Association, or an accrediting body recognized by the U.S. Department of Education at the time the degree was obtained. Degree from Foreign Medical School: A Doctor of Medicine or equivalent degree from a foreign medical school must provide education and medical knowledge equivalent to accredited schools in the United States. Evidence of equivalency to accredited schools in the United States is demonstrated by permanent certification by the Educational Commission for Foreign Medical Graduates, a fifth pathway certificate for Americans who completed premedical education in the United States and graduate education in a foreign country, or successful completion of the U.S. Medical Licensing Examination. Subsequent to obtaining a Doctor of Medicine or Doctor of Osteopathic Medicine degree, a candidate is required to have successfully completed a residency program in a hospital or an institution accredited for such training. For purposes of this standard, graduate training programs include only those internship, residency, and fellowship programs that are approved by accrediting bodies recognized within the United States or Canada. Residency trained and board certified is required. Board certified/board eligible in a primary care field, to include: Family Practice, Internal Medicine, or Emergency Medicine by the American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA) approved board. Other relevant board certification / eligibility will be considered by OCMO upon request. Must have a current, active, valid, unencumbered license/registration/certification to practice healthcare in the state in which the candidate will work. License/registration/certification must not have been withheld, suspended, revoked, denied, surrendered, or lapsed due to an investigation. Must possess a current valid Basic Life Support (BLS) certification from one of the following approved organizations: American Heart Association (AHA) BLS for health care providers, AHA Advanced Cardiac Life Support (ACLS) certification, American Red Cross CPB/BLS for the professional rescuer, American Safety and Health Institute (ASHI) CPR and AED for healthcare providers and professional responders. Experience in detention/correctional healthcare, humanitarian care, ambulatory care, or a pediatric setting encouraged, but not required. Bilingual in English and Spanish is highly preferred, but not required.

Knowledge, Skills, & Abilities:

Regional Physician Supervisors work to assure delivery of quality healthcare services in accordance with the SOW for the medical services contract within medical units at U.S. Customs and Border Protection sites including, Office of Field Operations (OFO) ports of entry, U.S. Border Patrol Border (USBP) Stations. Performs the clinical responsibilities as agreed upon by the National Program Director. Expert knowledge of the current standards of practice in clinical medicine. Ability to serve proficiently as a clinical expert, providing technical assistance and consultation to clinic medical staff. Ability and proficiency to properly use equipment, materials and supplies in simple diagnostic and treatment procedures. Ability to provide input for congressional inquiries and to effectively communicate with Federal Agencies and other organizations as indicated. Mastery of managerial and administrative practices, to include expertise in routine management of ambulatory clinic functioning and responsibilities. High degree of independence, initiative, clinical judgment, and follow-through on a wide range of sensitive, complex, and clinical issues. Teaching experience acknowledging a level of expertise and capacity for developing and assessing clinical educational programs. Knowledge of issues confronting the healthcare delivery system, including specific problems and concerns of special population groups. Knowledge of program policies and guidelines, and operating procedures relating to healthcare delivery systems. Ability to work in a multi-cultural and multi-lingual environment. Ability to utilize telephonic interpreter/translation services to complete assigned duties if not fluent in a language the patient understands. Ability to adapt to sudden changes in schedules and flexibility in work requirements. Ability to communicate proficiently in English (verbal and written) in order to develop positive rapport with patients, co-workers and other stakeholders. Ability to establish and maintain positive working relationships in a multidisciplinary environment. Ability to navigate in an electronic work environment including electronic health records, web-based training and communications. Moderate proficiency in, common word processing, presentation and spreadsheet software programs. Knowledge of regulations (HIPAA/Privacy Act) regarding the confidentiality of patient medical records and information as well as Personally Identifiable Information (PII). Ability to initiate and maintain compliance with DHS and CBP policies and any overriding federal standards/policies, or accreditation standards that may apply. Ability to develop and maintain compliance with standard operating procedures and protocols. Ability to perform record keeping functions in accordance with program policies and the system of records management. Ability to use the electronic medical record and maintain an “active status” for use and complete all required trainings. Ability to utilize the electronic medical records system for all documentation, to include, but not limited to all patient care, monitoring, medication administration/observation documentation, and input of any paper records as applicable. Ability to assure a safe and clean working environment and assists in the disposal of biologically hazardous waste on a regular basis. Ability to oversee laboratory services and has awareness and ability to perform quality control of laboratory reagents and perform CLIA waived testing as needed. Ability to completes all annual training or additional training as directed. Ability to travel to each assigned medical unit quarterly and be able to work at an assigned medical unit daily to provide oversight as required. Ability to assist with patient care in time of staff shortage or surge. Ability to serve at or provide patient care at alternate medical units within assigned sector/region on an as needed basis as required. Ability to be available telephonically and/or to report to the medical unit during non-core hours. Serves as the sector/region medical authority for the medical services contract and medical units at for the U.S. Customs and Border Protection sites including, Office of Field Operations (OFO) ports of entry, and/or U.S. Border Patrol Border (USBP) Stations. Provides medical direction and necessary guidance/oversight as required by state licensure for appropriate advanced practice provider supervision, oversight, consultation, coordination, and direction for all medical services, to include mental health and pediatric care in the absence of a behavioral health advisor or pediatric advisor. Clinical supervisory authority over sector physicians, mid-level providers, all clinical staff, all medical unit functions, laboratory, and pharmacy. Provides on-call coverage for assigned medical units/sector 24 hours a day/7 days a week, however, call coverage may rotate based upon staffing. Responsible for developing and coordinating all aspects of healthcare delivery at his/her assigned facilities. May provide direct care to patients in accordance with current accepted practice, licensure, certification, credentialing and or granted privileges. Maintains non-involvement in the security aspect of patient care and custody. Participate in disease surveillance activities and public health and epidemiology studies/efforts, as needed. Provides age-appropriate screening, treatment, and patient instruction pertinent to the discipline and facility setting for acute and chronic conditions for all ages. Serves as the laboratory director in sites where CLIA waived testing is performed, providing oversight of appropriate diagnostic tests and services, to include monitoring and meeting CLIA requirements. Acts as a reviewer for all outside referrals/consults to specialty services, to include hospital or emergency care that exceed services offered at the medical unit. Audits referrals and post-referral follow-up, as needed, as part of the medical quality management (MQM) program. Provides oversight for any patients requiring enhanced medical monitoring. May be expected to respond to and or coordinate response to medical emergencies and medical sentinel events. Seeks guidance from the Medical Director, Pediatric Advisor, Behavioral Health Advisor, or other leadership as appropriate. Serves on the national and local MQM committees and oversees root cause analyses and quality improvement projects/initiatives in collaboration with the national and local MQM committee. Attends/Leads general staff meetings at assigned medical units and leads or oversees MQM initiatives and reviews, working in close collaboration with the local physician and Patient Safety Risk Manager, as applicable. Performs record keeping functions in accordance with program policies and position. Maintains functional proficiency and ease of use utilizing electronic health records as required by, and appropriate to, position. Completes all initial, annual, and ad hoc training or competencies as required/assigned. Maintains patient confidentiality, and confidentiality of medical records, in compliance with the Privacy Act and HIPAA regulations in all work activities as applicable. Adheres to, and maintains awareness of DHS and CBP Policies, Procedures, Directives, and Operational Memoranda. Leads, attends, and participates in general/medical staff meetings at the local and national level. Performs chart reviews as part of MQM, focused professional practice evaluation (FPPE), on-going professional practice evaluation (OPPE), annual performance evaluation, medical sentinel event reviews, quality assurance and perform improvement initiatives. Completes summaries of all completed chart reviews, identifying trends, performance concerns, best practices. Some items may be delegated if a local physician is assigned at a specific facility, for those assigned personnel to that facility. Management and oversight of the Peer review program for the Physicians and APPs assigned as part of OPPE and completion of an annual evaluation process for the assigned Physicians and APPs. Performs collaborative mid-term review of performance with assigned Physicians and APPs as part of an annual performance evaluation process, addressing any clinical practice concerns if identified. Portions of the APP peer and chart review process, FPPE, and OPPE may be delegated, if a physician is assigned to the local facility. Provides emergency care to employees or visitors for life, death, loss of sight/limb situations until Emergency Medical Services Arrives. Other duties as assigned.

Duty Hours / On-call Requirements:

The CBP mission runs 24/7/365 to protect our country and as such shift schedules for HCPs include: day, night, weekday, weekend, and holidays.

Travel:

This is not a travel position so candidates can be expected to work at alternate worksites within 50 miles of their permanent residence. Candidate must have and maintain a valid driver’s license and, in some cases, the use of their privately owned vehicle to complete various work activities. Note: Per the Joint Travel Regulations, candidates with a permanent residence less than 50 miles from a worksite are considered local hires and are not eligible to receive per diem or travel pay.

Pay & Benefits:

Competitive pay package

Qualifications:

Must be able to walk, stand, bend, and/or sit for more than 8 hours per day. Must be able to perform BLS/CPR if necessary and assist patients into/out of a wheelchair. Must be able to perform duties in a stressful and often austere environment without physical limitations. Must be able to use an elevator or walk up and down stairs. Must be able to lift up to 50 pounds and carry up to 10 feet. Must be able to routinely grasp or handle objects, use finger dexterity, bend elbows/knees and reach above and below shoulders. Must be able to read and interpret handwritten and typewritten print. Must be able to communicate by voice and detect sound by ear. Must be willing to work day, night, weekdays, weekends, holidays, and overtime if necessary. Must be able to perform duties in an indoor and/or outdoor environment. Must be able to pass a criminal background investigation. Candidate must not have been convicted of, pled guilty to, pled nolo contender to, or received probation prior to judgement for any crime other than a minor traffic violation, the record of which has not been expunged. Must undergo Urine Drug Screening (UDS).

 

Vighter LLC is an equal opportunity and affirmative action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law. This position is contingent upon contract award.

 

 

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