Physician – High Risk Populations (MD/DO) – Bridge Program (Homeless Healthcare)

Respite Clinic Specific Functions

• Patient Assessment and Diagnosis
• Conduct comprehensive medical evaluations of patients admitted to the medical respite program, including taking medical histories, performing physical examinations, and ordering necessary diagnostic tests to identify medical issues.
• Treatment Planning
• Develop individualized treatment plans based on patient assessments, considering both acute medical needs and underlying chronic conditions, while addressing social determinants of health.
• Medication Management
• Review and manage medications, including providing instructions on proper medication administration and addressing potential drug interactions.
• Care Coordination
• Collaborate with other healthcare providers, case managers, and social workers to coordinate care, ensuring patients receive necessary services like mental health support, housing assistance, and benefits navigation.
• Discharge Planning
• Create discharge plans with patients, identifying necessary follow-up appointments, connecting them to community resources, and facilitating a smooth transition back to their living situation.
• Clinical Oversight
• Provide clinical supervision to other medical staff within the medical respite program, including nurses and nurse practitioners, ensuring quality care delivery.
• Advocacy
• Advocate for the needs of patients experiencing homelessness, working with community partners to address systemic barriers to healthcare access.
• Review Program Referrals
• Assist referral nurse in evaluating referrals for medical appropriateness or eligibility for the respite program as needed.

Bridge Clinic and Mobile/Street Specific Functions

• Patient Assessment and Diagnosis
• In a multidisciplinary team, conduct comprehensive medical evaluations of patients admitted to the medical respite program, including taking medical histories, performing physical examinations, and ordering necessary diagnostic tests to identify medical issues.
• Provides direct patient care in a variety of settings, including medical respite clinic, bridge clinic, and mobile-street medicine.
• Ensures compliance with regulatory and accreditation standards, including Joint Commission and Central Health Standard Operating Procedures, Policies, and Procedures.
• Improves patient well-being through accurate and timely diagnosis and delivery of relevant, high-quality medical care.
• Coordinates with primary care providers, specialists in hospitals, post-acute, outpatient, and community settings.
• Communicates effectively with patients, families, colleagues, and healthcare professionals.
• Plans and coordinates daily care with Central Health’s care team members.
• Engages, leads, and supervises learners affiliated with Dell Medical School, and participates in teaching endeavors with Dell Medical School learners.
• Exhibits compassion, vulnerability, and empathy when working with employees and patients, advancing Central Health’s health equity and DEI goals.
• Provides patient-centered care that is inclusive and focuses on cultural humility.
• Interacts professionally, contributing positively to the team environment.