Skilled Nursing Facility Primary Care Provider

Job Summary:

The faculty member is responsible for providing primary care visits at various skilled nursing facilities. The successful candidate will provide clinical teaching to medical students, residents, and fellows, with clinical responsibilities at UW Health inpatient and/or outpatient approved locations as part of another role.

Responsibilities:

Position responsibilities for patient care include predominantly primary care for older adult patients at skilled nursing facilities. Responsibilities will also include clinical teaching of medical students, residents and fellows, and other service appropriate to the position.

PANEL MANAGEMENT

Establish and maintain a relationship with a skilled nursing facility (SNF) panel of at least 60 long term care residents per 0.2 FTE appointment.

Direct and coordinate provision of the essential elements of health care services for the panel, including:

o Completion of required in-person compliance visits per CMS regulations at the resident's facility

o Recommendations for medical and behavioral screening and prevention activities and services

o Chronic disease management

o Coordination of care with extended members of the Care Team, including UW Health SNF advanced practice providers (APPs) and nurse case managers, UW Health SNF pharmacist, SNF medical directors, SNF clinicians, subspecialists, ER and Urgent Care clinicians, hospitalists, hospice clinicians and other non-physician providers

o Communication with surrogate decision makers when appropriate and/or involved family members per SNF resident preference

o Discussion and documentation of care preferences

o Completion of advanced care planning documents

o End of life care

Maintain the electronic health record for your patient panel:

o Problem lists

o Past medical, surgical, social and family history

o Medications

o Health Maintenance

CARE TEAM LEADERSHIP

Provide leadership and direction for advanced practice providers (APPs), learners and staff members of your local care team.

Direct the allocation of work to the most appropriate skill level of the team members.

QUALITY

Participate in site/division/department and organizational efforts that focus on improvement of care and service provided to your patients.

Be accountable to achieving quality of care and Ambulatory Care Service Goals and Standards.

CITIZENSHIP

Participate in site/division/department and organizational activities as directed by your Chair (this time is to be considered to part of your total clinic time) (see below).

Utilize specialty physician partners within UWMF for needed care outside of your Care Team -- exceptions based on specific payer requirements.

Maintain board certification.

Participate in an annual performance review.

CLINICAL CARE

Provide 8-10 hours of total SNF care time per week per 0.2 FTE. This will include:

o Consistently meet minimum work expectations related to SNF resident face-to-face care

3-4 SNF residents per half day

Round 2 half days per week at SNFs in Dane County

Each 0.2 FTE position will cover 4-5 facilities, rounding at least once per month at each site

Schedule fill rates >90%

o Address patient non face-to-face patient care needs in a timely fashion in collaboration with the APP team (includes telephone encounters, My Chart messages, etc).

o Provide care in alignment with UW Health panel management principles and the quadruple aim

o Care Team leadership

o Care Team partner coverage

o Participate in department/division and site activities as directed by Chair or Division Head

o Participate in provision of clinical services during non-traditional hours as determined by your Department

Coordinate efforts of your care team so that needs of patients are assessed and managed by appropriate members of the care team when facility staff/patients/surrogate decision-makers contact your office during regular hours of operation.

Delegate coverage of your panel to Care Team members when you are unavailable and participate in coverage of the patients of other Care Team partners when they are unavailable.

Participate in needed call responsibilities defined by department/division or site.

Complete all needed medical record documentation in a timely way consistent with ambulatory standards.

Provide a minimum of 44 weeks of clinical care per year (accounts for up to 22 days vacation, 2 weeks CME, and official weekday holidays when offices are closed).

Participate in teaching of medical students, residents and other learners within your clinic setting.

WORK LIFE BALANCE

Flexible scheduling of SNF half days is available to accommodate individual preferences and other personal and professional responsibilities. Details and eligibility may be discussed with the Medical Director, Post-Acute Care.

The SNF work environment, including level of support staffing and efficiency of operations, will be designed to support the goal of completing work in a timely manner that is convenient for SNF residents and efficient for physicians.

Out of office call arrangements and practices are defined by the Departments .

Out of office in-basket management procedures are determined within the clinical team and in accordance with Primary Care standards.

SNF APPs cover all calls related to acute needs Monday through Friday, 8:00 am to 5:00 pm.

Institutional Statement on Diversity:

Diversity is a source of strength, creativity, and innovation for UW-Madison. We value the contributions of each person and respect the profound ways their identity, culture, background, experience, status, abilities, and opinion enrich the university community. We commit ourselves to the pursuit of excellence in teaching, research, outreach, and diversity as inextricably linked goals.

The University of Wisconsin-Madison fulfills its public mission by creating a welcoming and inclusive community for people from every background - people who as students, faculty, and staff serve Wisconsin and the world.

For more information on diversity and inclusion on campus, please visit: Diversity and Inclusion

Education:

Required

Terminal Degree

MD/DO or Equivalent

Qualifications:

For an appointment at Clinical Associate Professor or Clinical Professor rank on CT Track, candidates will meet criteria established by the department and as outlined in the School of Medicine and Public Health guidelines for promotion or appointment to Associate or Professor on the CT Track.

License/Certification:

Required

Must be eligible for a WI medical license

Required

Must be board eligible in general internal medicine or family medicine by start date.

Work Type:

Part Time: 20% - 40%

It is anticipated this position requires work be performed in-person, onsite, at a designated campus work location.

Appointment Type, Duration:

Ongoing/Renewable

Anticipated Begin Date:

SEPTEMBER 01, 2024

Salary:

Negotiable

ANNUAL (12 months)

Additional Information:

The department will not be able to support a request for a J-1 waiver. If you chose to pursue a waiver and apply for our position, neither the UW nor UWMF will reimburse you for your legal or waiver fees.

The successful applicant will be responsible for ensuring eligibility for employment in the United States on or before the effective date of the appointment. University sponsorship is not available for this position.

This position has been identified as a position of trust with access to vulnerable populations. The selected candidate will be required to pass an initial caregiver check to be eligible for employment under the Wisconsin Caregiver Law and every four years.

How to Apply:

The deadline for assuring full consideration is June 22, 2024, however, this position will remain open and applications may be considered until this position is filled. Your application must be received through the Jobs at UW portal to be considered as a candidate.

Applications submitted outside of this system will not be considered. To apply for this position, please click on the "Apply Now" button and use the online UW Job Application system to submit the following: current CV, cover letter, and contact information for three (3) references, including your current/most recent supervisor. References will not be contacted without prior notice.

At UW School of Medicine and Public Health, we are dedicated to building a diverse, inclusive, and authentic workplace, so if you're excited about this role, we encourage you to apply.

Contact:

Brianna Bohnsack

bbohnsack@medicine.wisc.edu

608-265-9662

Relay Access (WTRS): 7-1-1. See RELAY_SERVICE for further information.

Official Title:

Clinical Professor(IC009) or Clinical Associate Professor(IC010) or Clinical Assistant Professor(IC011)

Department(s):

A53-MEDICAL SCHOOL/MEDICINE/GER-AD DEV

Employment Class:

Academic Staff-Renewable

Job Number:

297652-AS

The University of Wisconsin-Madison is an Equal Opportunity and Affirmative Action Employer.

Qualified applicants will receive consideration for employment without regard to, including but not limited to, race, color, religion, sex, sexual orientation, gender identity, national origin, age, pregnancy, disability, or status as a protected veteran and other bases as defined by federal regulations and UW System policies. We promote excellence through diversity and encourage all qualified individuals to apply. For more information regarding applicant and employee rights and to view federal and state required postings, click here

If you need to request an accommodation because of a disability, you can find information about how to make a request at the following website: https://employeedisabilities.wisc.edu/disability-accommodation-information-for-applicants/

Employment may require a criminal background check. It may also require you and your references to answer questions regarding sexual violence and sexual harassment.

The University of Wisconsin System will not reveal the identities of applicants who request confidentiality in writing, except that the identity of the successful candidate will be released. See Wis. Stat. sec. 19.36(7).

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