Employed by PAGNY for The Division of Correctional Health Services (CHS) of New York City Health + Hospitals (H+H) is responsible for the delivery of medical care, mental health care, and discharge planning in the jail system. Approximately 25% of new admissions per year to the NYC jail system will receive care on the mental health service. This service strives to provide safe, holistic and evidence-based therapeutic interventions for the diverse range of mental health issues that face the population, from serious mental illness to the natural struggles that accompany incarceration. The service provides some of the most comprehensive and unique treatment modalities in the country, including specialty housing units for individuals with serious mental illness, a 24-hour on-call psychiatric service, robust creative arts programming, a strong DBT training program, clinics in each of the facilities, substance use treatment, integrated re- entry services, and relationships with multiple training institutions throughout the city.
Responsibilities:
CHS is seeking Full time, Part Time and Per Diem Staff Physicians Assistants to join our team at Rikers Island in East Elmhurst, NY to promote an academic practice environment with ample opportunities for continuous education, clear pathways for career growth and engagement of front-line staff in the ongoing process of improving clinical care. Staff physicians Assistants provide primary care to patients in jail-based clinics, perform intake evaluation and treatment and provide emergency care with the support of Emergency Medicine physicians. Staff physicians Assistants work as part of a care delivery team with strong administrative support staff, integrated nursing and mental health. Compensation and benefits are competitive and malpractice is covered.
Complete comprehensive histories and physicals on all new admissions including completion of master problem list (MPL) with diagnosis, lab, and EKG contraindication form and medication list where applicable. Diagnose and treat acute and chronic illnesses Evaluate the need for consult services and submit the prioritized consult when indicated. Review all on island/off-island specialty consult clinic and hospital returns Evaluate to ensure that the standard of care is met and implement the recommendations of the consultant. Implement plans for patient care utilizing protocols approved by the Medical director and/or treatment plans reflecting the current standard of care. Respond to emergencies and fire drills on a priority basis and in a timely and professional manner Be familiar with performance indicators (P.I.) and take appropriate measures to comply with these standards Perform chart reviews and summaries on all transfe Update the MPL, rewrite medication orders (getting them countersigned) and resubmit consults as needed. Request radiology exams, lab-test, EKG’s when indicated and interpret these results with the patient’s clinical All results should be reviewed with the supervising MD or Chief physician. Notify the staff MD and Urgicare about 3hour runs and EMS trips. Complete and submit all encounter forms on a daily basis Witness, sign, and document patient healthcare refusals Complete special housing rounds when assigned Review laboratory results and document in the medical chart as necessary Generate medical modifications as needed Generate special needs tracking forms as needed Maintain clinical competency by reviewing CHS protocols, current medical literature and M.E’s. Ensuring that all progress notes and orders are countersigned before the end of the shift Assure that standard of care is maintained Maintain all required credentials Maintain current licensure and CME requirements. Ensure that standard of care is maintained Adhere to policies and procedures of CHS and be familiar with them by reviewing them as needed Attends all mandatory in-services Complies with and maintaining Employee Health requirements