FAR Group is a global defense solution provider based in Virginia, working with the U.S. government and its allies to deliver comprehensive solutions with a focus on effectiveness and security.
Through all the strategic business units, FAR Group delivers defense solutions and provides professional services, construction & infrastructure, and security & military products & services.

[Family Practitioner].

• Location: Highway 191 and Hospital Drive Chinle, AZ 86503
• Schedule: Tour of Duty: 8:00 am to 5:00 pm, Monday through Friday, Forty (40) hours per week.

Job Overview:

The Candidate is required to provide outpatient/inpatient/telehealth Family Practice, Internal Medicine, or Med/Peds Physician with Subspecialty of Medical Acupuncture services to support the mission of the Indian Health Service (IHS) by raising the physical, mental, social, and spiritual health of American Indians and Alaska Natives to the highest level.

Responsibilities and Duties:

Candidate shall furnish services to include but not limited to the following:

1. The candidate shall provide professional medical services or direct patient care services under the terms of this contract, appropriately and timely medical services in accordance with the standards of care established by recognized medical care organizations and in accordance with the policies and procedures of Service Unit's Medical Staff Bylaws and Rules & Regulations, including attendance at department and medical staff meetings at CCHCF. The candidate shall be scheduled to provide on-call services after their regularly scheduled shift during the week and as scheduled on weekends in both inpatient and outpatient settings. The candidate shall make rounds in the inpatient wards to ensure that patients are receiving proper medical care. There is some variability of daily and weekly hours based on workload, emergency cases, scheduling of cases and staffing variability.

2. The candidate shall provide direct patient care services:

A. In the capacity of a senior specialist or expert within the candidate’s specialty area, the candidate shall assume responsibility for the diagnosis, prevention therapy, maintenance, and rehabilitation of patients by performing interviews and examines each patient, review past medical history and requests or performs complex diagnostic tests and examinations deemed necessary to obtain all possible information related to each case. Make preliminary diagnosis, directs, prescribes, or provide treatment or arranges for specialized care or patient referral as required. Based decision upon information obtained, professional medical knowledge and skills and prescribed policies and procedures. Make note of observations to be incorporated into clinical/EHR records. Provides emergency care as required, provides definitive management in all medical categories for cases that do not require referral. Give total patient care including prevention, health maintenance, early diagnosis, treatment, and follow-up services to patient under his/her care.

B. The candidate conducts outpatient clinics making observations appropriate to the outpatient’s underlying disease and treatment plan, including current symptoms. Reviews the patient’s medications, diet, therapy course, adherence to management plan and patient observations. Modifies regimen as required, instructs and counsels patients and family members as required. Performs or assists other physicians in the performance of minor and outpatient surgery.

C. The candidate shall manage the Acupuncture Clinic by providing acupuncture services to help relieve patients’ symptoms, pain management, and promote well-being. The candidate shall consult with patients about symptoms, provide diagnoses, and treat patients with acupuncture methods that may include needles, cups, ear balls, seeds, pellets, and supplements. The candidate shall collaborate with the medical officers and allied health professionals and be a resource to increase awareness and knowledge of acupuncture and integrative health by providing clinical expertise in the delivery of acupuncture services to the patient population.

D. Telemedicine Services: Telemedicine - Candidates shall provide telemedicine services for patients with mild respiratory illness in the CSU Respiratory Clinic. These services will be rendered on the CSU premises, but the candidate may not be physically present with the patient. From time to time, based on the patient’s clinical condition, the candidate may do a brief hands-on assessment in person with these patients as indicated. Telephone - Candidates shall provide telephone visits for patients in need of chronic care management for whom it would be high risk to travel to the hospital for care. For Telehealth services, the candidate shall provide remote clinical support including but not limited to working with all outpatient telehealth clinics including consenting patients for drug therapies, evaluating, and treating patients in telephone clinic, and communicate results of orders to patients in a timely manner.

E. The candidate shall care for critically ill patients in the Emergency Room (ER), Special Care Unit (SCU), and inpatient wards. Coordinates care with specialists both within and outside of the I.H.S.

F. The candidate shall refer patients to appropriate contracted medical or other government facilities, providing full clinical information for care and diagnostic procedures that cannot be adequately provided at CCHCF. Coordinates and integrates information obtained into the ongoing health care program at CCHCF and assures the provision of timely follow-up care as required.

G. The candidate advises the medical officers in other services concerning these operations. Is in complete charge of guiding and directing the assisting medical officer and nurse. Provides consultation on difficult cases to practitioners in the same or other specialties. Works closely with allied health professionals (i.e., Community Health Nurses, Social Workers, Health Educators, etc.) to utilize and coordinate the services of other health care professional in the management of the patient’s medical, psychological, and social problems.

H. The candidate shall provide appropriate documentation on rendered patient care utilizing CCHCF’s EHR system. The candidate is responsible for utilizing the CCHCF EHR system to obtain, dictate, electronically enters, and assures preparation of appropriate medical records for all patients seen to assure the accumulation and organization of all pertinent clinical data needed to provide comprehensive medical care. Clinical data reports shall be completed in a timely manner and shall be maintained in compliance with Joint Commission standards. It is the responsibility of the candidate to use the training resources provided by the CCHCF to develop competency in utilizing the EHR system.

I. The candidate shall be familiar with the cultural, social, political, geographic, demographic, economic, and epidemiological characteristics of the patients and the communities served. The candidate shall be receptive and respectful of the culture at CSU. Cultural awareness and cultural diversity include language barriers, rural Native lifestyles, and native ceremonies. The candidate shall be aware of the basic traditional medicines and ceremonies that are available to patients, from the womb to geriatrics. CSU has traditional providers on staff providing traditional diagnostic care for all patients who seek it. The candidate shall embrace and incorporate these elements into the care of the patients for positive outcomes. The candidate shall complete mandatory on-line training made available during orientation.

3. The candidate shall be subject to peer review per Joint Commission standards.

4. The candidate shall adhere to the Safety management reporting requirements in accordance with CCHCF’s Safety Measure Policy.

5. The candidate shall be responsible for all applicable Federal, State, and Local Taxes, Meals, Travel/Transportation. Lodging is available but must be paid for by the candidate or contract agency. Government quarters are available at prevailing rental rates plus utilities, as applicable, if government quarters are utilized. The candidate shall be responsible and liable for the proper care of government owned or leased property furnished in occupied quarters.

6. The candidate shall submit a proper invoice as required for payment of services rendered and attach a timesheet/work record to verify the hours worked. A certification statement of service rendered will be included with a signature from the designated COR for this contract.

Qualifications:

The candidate shall meet the qualifications and credentialing standards and retain the qualifications and certification throughout the term of this contract.

1. Training/Experience. The Candidate shall have completed thirty-six (36) months of Family Practice or Internal Medicine Residency Training or have completed forty-eight (48) months of Internal Medicine & Pediatric Residency Training with a minimum of six (6) months experience in the specialty required by the contract, unless otherwise approved by the CCHCF’s Credentials Committee. There must be no lapse of services of no more than 6 months prior to beginning tour of duty with CCHCF.

The candidate shall provide three current letters of reference from other health care providers familiar with the candidate's clinical practice skills within the same discipline. One letter must be from the Chief of Staff/Medical Director or Immediate Supervisor at the hospital in which the candidate either holds or last held staff privileges. If the candidate has just completed a residency program, one of the letters shall be from the program director or service chief.

2. Certification/License/Registration. The Candidate shall be board certified with the American (Osteopathic) Board of Internal Medicine or American (Osteopathic) Board of Family Practice. Dual Internal Medicine-Pediatric providers shall be board certified with the American (Osteopathic) Board of Internal Medicine and American (Osteopathic) Board of Pediatrics. Only candidates just graduating from Family Practice or Internal Medicine or Internal Medicine & Pediatric Residency Training may be board eligible.

If the candidate is to perform out the normal training parameters of his/her specialty, then the candidate shall provide certification of hospital privileges in those additional scope of practice(s). The candidate shall maintain appropriate licensure, a valid, current, full and unrestricted license to practice as an Internist, Family Practice, or Med/Peds with Medical Acupuncturist in any state within the United States, District of Columbia or the Common-Wealth of Puerto Rico, and certification throughout the term of this contract.

· Drug Enforcement Administration (DEA) License. The candidate shall maintain a valid, current, full and unrestricted DEA license with Schedules II through V and maintain certification throughout the term of the contract.

· The candidate shall maintain a valid and current Cardiopulmonary Resuscitation (CPR), Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS) certifications and are mandatory for Family Practice, Internal Medicine, or Med/Peds.

· Motor Vehicle Operator’s License. If required by the position, the candidate shall possess a valid state driver’s license throughout the term of this contract.

3. Health Requirements/Conditions of Employment:

· Medical Evaluation. The Candidate shall provide a fitness for duty certificate issued by a licensed physician to perform the proposed job without significant risk to personal health or the health and safety of others.

· Immunization. The candidate shall provide documentation as evidence of immunization as required by NAIHS immunization policy for the following:

- Hepatitis A - Two dose series at zero and six months.

- Hepatitis B - Three dose series at zero, one, and six months or documented immunity. A signed declination of Hepatitis B vaccination series will be accepted.

- Measles, Mumps, Rubella (MMR) - Two doses or titer documentation.

- Varicella (chickenpox) – Two doses, titer documentation or history of varicella/shingles.

- Tetanus, diphtheria, pertussis (Tdap/Td) - one dose of Tdap, then tetanus (Td) booster every 10 years thereafter.

- Meningococcal - Two vaccines (MenACWY and MenB) recommended for microbiologists routinely exposed to N. meningitidis.

- Documentation of annual TB test- may include Mantoux TB skin test (PPD). All new employees will require the two-step TST.

Acceptable lab testing: QuantiFERON Gold or T-Spot test.

For positive TB test results, please submit a copy of recent chest x-ray results.

- Influenza – Mandatory annual vaccination.

Job Type: Full-time

Medical specialties:

• Internal Medicine
• Pediatrics

Schedule:

• 8 hour shift
• Monday to Friday

Ability to commute/relocate:

• NM 87420, US: Reliably commute or planning to relocate before starting work (Required)

Experience:

• Family Practice or Internal Medicine Residency Training: 3 years (Required)

License/Certification:

• BC/BE (Required)
• Internal Medicine License (Required)

Work Location: In person