Medical Director for Complex Care, Correctional Health Services

Job Description

NYC Health + Hospitals is the largest public health care system in the nation. We are a network of 11 hospitals, trauma centers, neighborhood health centers, nursing homes, post-acute care centers, and correctional health services. We are a home care agency and a health plan, MetroPlus. Our health system provides essential services to 1.4 million New Yorkers every year in more than 70 locations across the city's five boroughs. Our diverse workforce of more than 42,000 employees are uniquely focused on empowering New Yorkers, without exception, to live the healthiest life possible. Visit us at nychhc.org and stay connected on facebook.com / nycHHC or Twitter@hhcnyc.

NYC Health + Hospitals / Correctional Health Services is one of the nation’s leading correctional health care systems in quality of and innovations to care, and access from pre-arraignment through compassionate release. In-jail services include medical, nursing, mental health, substance use treatment, social work, dental and vision care, discharge planning, and reentry support. In addition to providing direct patient care in the jails, CHS leverages the resources of the nation’s largest municipal health care system to help discharged patients successfully return to their communities. CHS is also a pivotal partner in New York City’s criminal justice reform efforts.

Summary of position :

This position works under the direction of the Assistant Chief of Service, Medicine, exercises wide latitude of independent judgment and initiative in supervision of overall administration and management of the Medicine Department.

The position assumes full responsibility and authority in areas delegated. May direct a group of services across multiple jail facilities

Responsibilities include :

• Serve as the clinical director for Complex Care, providing clinical supervision to clinicians (1 NP, 1 RN) who supporting care delivery and coordination for the more medically complex patients in the jails.
• This role encompasses the following responsibilities :
• Establishing clinical criteria for inclusion.
• Defining the overarching vision and program objectives.
• Attending weekly Complex Care rounds to ensure the effective delivery of care.
• Consulting on Complex Care patients and offering clinical guidance and support to front-line providers within jail facilities.
• Providing direct patient care at least 50 percent of schedule
• Serving as a clinical point of contact for colleagues from other departments as needed.
• Delivering patient education related to complex diagnoses.
• Ensuring that patients are assigned to medically appropriate housing areas on Rikers Island.
• Providing clinical input and support for medically appropriate discharge plans for patients being discharged to the community, including necessary medications and follow-up appointments.
• Ensure safe transitions and coordination of care between the jail and external facilities, including the following tasks :
• Obtaining and reviewing external medical records for comprehensive patient assessment.
• Reviewing the daily hospital census of Correctional Health Services (CHS) patients.
• Collaborating with the Complex Care Nurse Practitioner to schedule appropriate specialty appointments, track these appointments, and communicate care plans to all relevant parties within CHS to ensure proper execution.
• Engaging with hospitalists and inpatient specialty teams when CHS patients are hospitalized and as they transition back to the jail or community.
• Arranging expedited admissions to the hospital and ensuring the success of planned admissions for Complex Care patients.
• Collaborate with other CHS teams regarding shared patients, with particular emphasis on those involved in Mental Health Discharge Planning and Re-entry and Transition Services.
• Participate in clinical release work and support legal advocacy in concert with the Clinical Court Advocacy (CCA) team by :
• Acting as a resource to resolve clinical inquiries from CCA staff (social workers) and providing input regarding patient eligibility for CCA services.
• Interfacing with legal representatives to furnish relevant clinical information pertinent to a patient’s legal case.
• Composing letters that detail medical conditions for legal documentation.
• Assuming on-call responsibilities for critically ill patients, ensuring timely communication with hospital staff, CHS leadership, and legal representatives regarding urgent cases.
• Engage in the planning, development, and implementation of programs, policies, procedures, and evaluative monitoring techniques designed to fulfill the objectives established by CHS and Health and Hospitals Corporation (HHC) leadership.

Department Preferences :

Qualification Requirements :