Director of General Medicine Services / Physician III @ North Texas State Hospital - Wichita Falls Campus

The Director of General Medical Services / Physician III performs highly advanced and / or managerial (senior-level) medical, clinical, or public health work. The Physician III works under the general clinical and administrative supervision of the Medical Director or designee. Work involves directing medical and infection control activities, monitoring trends and making recommendations for improvement. Responsible for the delivery of high quality general medical evaluation and treatment to patients with psychiatric disorders. Provides supervision to physicians and nurse practitioners in the

medical clinic. Acts as a resource for infection control and consultant to general medical physicians. Provides treatment to state hospital employees injured in the course and scope of employment. Works under minimal supervision, with extensive latitude for the use of initiative and independent judgement. Must understand that duties, location of work and shift pattern are subject to change as determined by the administration to meet the needs of the hospital.

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Essential Job Functions (EJFs) :

• Leads and supervises Physicians and Advanced Practice Registered Nurses (APRNs) in the general medical clinic. Provides appropriate consultation and collaboration with APRNs in order to establish the Prescriptive Authority Agreement and the Texas Board of Nurse Examiners requirement for APRN practice within the state of Texas.
• Requests input from colleagues, when indicated, and demonstrates a cooperative and supportive manner in working with the supervisor, peers, and support staff to facilitate work and information flow.
• Performs comprehensive physical assessments and medical history in order to arrive at the most appropriate multi-axial diagnostic impressions and formulations. Orders appropriate laboratory and diagnostic studies as necessary. Monitors the patients response to treatment on a continuous basis. Documents all patient encounters related to assessment, rationale for treatment interventions and other related issues in order to outline the course of hospitalization. Frequency of documentation is appropriate to the level of care the individual requires.
• Monitors patients response to treatment on an on-going basis. Reviews diagnostic studies, conducts clinical assessments of abnormal results, and follows up or refers patients as appropriate. Documentation is provided, as appropriate, to the level of care the patient requires. Treatment is consistent with standards of care stablished by The Joint Commission (TJC), Centers for Medicare and Medicaid Services (CMS), the Texas Administrative Code (TAC), and state hospital policies and procedures.
• Oversees the implementation of the hospital infection control plan as required by TJC, this includes monitoring the status of infectious diseases of employees and patients, as well as prevention. Data of immunizations of staff and patients as well as incidents of diseases are monitored and plans for improvement are developed in response to outbreaks of infectious diseases. Acts as a resource for infection control and consultant to general medical physicians.
• Actively participates in audits and other performance improvement activities. Provides appropriate input to ensure standards of care are met and acceptable level of patient care is maintained. Assists in developing Plans of Correction for deficiencies identified.
• Demonstrates respect, compassion, consideration, and responsiveness by practicing in a manner that reflects respect for the patient and family members and is attentive to the needs of other co-workers and their ability to work towards a common goal for the patient.
• Provides treatment to state hospital employees injured in the course and scope of employment. Provides initial clinical assessment and basic non-invasive care and stabilization for emergency and non-emergency occupational injuries within the scope of discipline licensure. Provides support to visitors and employees, when indicated, while waiting for transfer to outside facility for assessment and treatment.
• Establishes and maintains professional competencies through participation in Continuing Medical Education (CME) programs or activities in order to provide the best level of care to patients as well as maintain state licensure. Provides CME certificates, current licensure and other required documentation for Medical Staff credentialing file.

Knowledge, Skills and Abilities (KSAs) :

Registrations, Licensure Requirements or Certifications :

Initial Screening Criteria :