Location: Oregon 100% Remote – Telemedicine 

Specialty: Board Certified – Hospice & Palliative Medicine

Details:

• Duration: September-Ongoing 

• Schedule: Flexible – 2 to 4 weeks/month

• Shift: Monday-Sunday 8a-5p + call

• Weeknight Call: Monday-Friday, 5pm-8am (typically 0 – 5 calls/night)

• Weekend Call: Friday 5pm-Monday 8am

• Scope: 100% adult Hospice/Palliative care – Remote position

• Duties/Volume: not seeing patients via telehealth the entire time (8am-5pm). It is covering the service/providing clinical care of 130-150 patients; however, this is done through the nurses seeing the patients in their home or facility and contacting physician. Working with hospital liaison and intake on reviewing chart to see if someone is appropriate and giving orders for medications on admission. Doing certificate of terminal illness ( CTI) the day after a patient is admitted or on Monday for those admitted during weekends. CTI will require review of hospice admit RN note and review of medical records in EPIC. Medications review with hospice covered and non-covered medications at time CTI is done on all new patients. This is based on hospice preferred medication list. Med review note in chart. 2-6 admissions /day. Fewer on weekends. Possible phone calls or telemedicine visits with patients for goals of care or symptom management. These almost always happen when RN in home and use their phone for calls/videos. Assessing appropriateness for GIP on inpatients. Working with hospice team and hospitalist to coordinate care for GIP patients. IDT meetings required and occur every Tuesday morning and every other Thursday. Signing prescriptions for hospice patients. Signing faxes for orders for facilities. Experience with starting and titrating opioid infusions, ketamine and methadone. Occasional face to face visit for admission (most other administrative F2F visits can be done by our NP or other physicians).

• EMR: Epic

• Support: Full support staff, RN’s, hospital liaison, laptop can be supplied

• Interview process: No interview unless requested by the contractor

• Credentialing: 60-90 days

• Require: Board Certified in Hospice and Palliative Medicine (open to FM, IM or EM), Open to license for OREMOTE , Clean NPDB without malpractice