Physician

Position Description

Harlem United is the parent company for Upper Room AIDS Ministry (URAM). URAM provides the healthcare services from the Federally Qualified Health Center located in the heart of Harlem. We provide Primary Care, Specialty Care, Dental Care and Wellness Care to those seeking diagnosis and treatment. All employees of URAM are responsible to perform their job practicing good risk management, quality assurance, and delivering excellent internal and external customer service.

Under the supervision of the Medical Director and in accordance with established policies and procedures, the Internal Medicine Physician delivers high quality comprehensive primary care for homeless, underserved, chronically ill populations including HIV, Hepatitis C, SUD, Diabetes, Heart Disease and other comorbidities. The AIDS institute Guidelines hivguidelines.com and the U.S. Preventive Services Task Force (USPSTF) ahrg. qov are utilized as resources and guides for accepted standards of care.

Essential Duties and Responsibilities

Essential duties and responsibilities include, but are not limited to, the following:

• Provides Primary Care, routine and acute care, for both scheduled, same day and walk in appointments
• Maintains a professional demeanor at all times, including demonstration of sound moral and ethical character, compassion, adherence to all agency standards for dress and decorum
• Demonstrates proficiency in use of electronic medical record
• Complies with productivity expectations under the direction of the Chief Medical Officer
• Initiation of treatment and management of chronic illnesses including, but not limited to, HIV infection, asthma, bronchitis, diabetes, lipid disorders, and hypertension
• Generates appropriate referrals to ancillary and specialty services
• Maintains documentation according to standards of the agency and regulatory agencies
• Documents clinical activities and information
• Initiation/ changes in treatment
• Referrals to specialty services, or social based services
• Prescribing including electronic scripts
• Documents and locks progress notes within 48 hours of client encounter
• Ensure timely prescription writing, order, progress notes, and referrals
• Follows prescribing practices according to agency policy and state regulations
• May administer medication according to the same procedures and protocols applied to the nursing staff
• Performs routine diagnostic and therapeutic procedures according to accepted practice standards
• Interpretation of laboratory studies and follow-up on consultation reports
• Provide health education and counseling during visits
• Adheres to regulatory guidelines in regards to compliance, ie, Coding practices.
• Attends patient care related meetings, as necessary, including but not limited to morning huddles, case conferences
• Manages coordination of care for individual clients by working with available resources both internal and external to the agency
• Provide clinical supervision to Advanced Practice Clinicians (PA and NP) as assigned by the Medical Director
• Provide phone on-call coverage on a rotating schedule
• Participates in CQI activities
• Other duties as assigned by the Medical Director

Other Responsibilities

• Participate in Meetings
• Attends conferences and community based activities, including advocacy efforts to eliminate homelessness, HIV and disparities in care as designated by the Medical Director or designee
• Participates in Collaborative Activities as designated by the Chief Medical Officer or Director of Clinic Operations

Qualifications/Education/Experience

Education and Certification

MEDICAL DOCTOR LICENSED TO PRACTICE IN THE STATE OF NEW YORK

Board Certified or Board Eligible in Internal Medicine

• 1. Achieve and maintain HIV specialist status, preferred
• 2. Accumulate a minimum of 10 specific HIV CME credits throughout the year and a total of 25 credits total per year
• 3. Possess or obtain within first 90 days of employment a DATA Waiver for Buprenorphine Prescribing authority

Special Skills and Knowledge

In addition to the above-listed job responsibilities and educational requirements, the

Ideal candidate for this position possesses most or all of the following:

1. Bilingual preferred (English/Spanish or English/French)

2. Experience in treating hard to reach populations, including the homeless, 'immigrants, HIV infected, substance users, and mentally ill

3. Desire and ability to work as part of an interdisciplinary team dedicated to the delivery of high quality care

• 4. Leadership abilities with trouble shooting and problem solving skills
• 5. Proficient in use of electronic medical record systems and other technology required for use in the delivery of care
• 6. Track record of positive interpersonal skills with staff, clients, and others
• 7. Willingness to work off hours on special projects as reasonably dictated by Chief Medical Officer
• 8. The spirit and desire to practice in a community based interdisciplinary mission driven system of care

Special Requirements

• The employee must be able to lift and/or move more than 50 pounds. Requires full range of body motion including handling and lifting patients, manual and finger dexterity and eye/hand coordination. Requires sitting, standing and walking for extensive periods of time. The employee frequently is required to reach with hands and arms. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus. Ability to work with a moderate noise level in the work environment is required.
• The above information is intended to describe the most important aspects of the job. It is not intended to be construed as an exhaustive list of all responsibilities, duties and skills required in order to perform the work. The health center reserves the right to revise or change job duties and responsibilities as the business need arises. Additionally, this job description is not intended as an employment contract, implied or otherwise, and the Center continues to maintain its status as an at-will employer.
• If the essential functions of this position cannot be performed in a satisfactory manner by the employee, reasonable accommodations may be made.