3 Cheshire Medical Center jobs in Keene

Overview

Grow your Leadership Career in Family Medicine with Cheshire Medical Center!

Chair, Department of Family Medicine - Dartmouth-Hitchcock Keene - Keene, NH

Cheshire Medical Center at Dartmouth Keene is seeking an experienced Board Certified Family Medicine Physician to join our team as Chair of Family Medicine. Our ideal candidate has relevant experience as a medical director or above in a primary care practice or hospital system.

The Chair of the Department of Family Medicine will provide strategic and operational leadership for a department with a strong focus on community and population health. This individual will oversee approximately 50 providers, including physicians and advanced practice providers (APPs), across the main campus family medicine clinic, urgent visit services, work closely with the Medical Director of the new Family Practice Residency Program to support education and training, 3 Nursing Homes in our area, each with a medical director and a physician in charge of NH oversight, and community satellite family medicine clinics in Walpole and Winchester. The Chair will report directly to the Chief Medical Officer (CMO) and play a pivotal role in shaping the department's clinical, educational, and quality initiatives.

Our team is engaged, high-functioning, and innovative in delivering the best model of care to our community, and we are excited to find the next provider to become part of our clinic and make a difference.

Required Qualifications:

• 5+ years of leadership experience as a Medical Director or Chair/Chief in Family Medicine.
• Demonstrated success leading multi-disciplinary teams that include physicians and APPs.
• Experience in population health management and Accountable Care Organization (ACO) initiatives.
• Proven track record in quality improvement and peer review processes.
• Experience with APP onboarding, mentoring, and development.
• Excellent communication, collaboration, and strategic planning skills.
• Experience with Interdepartmental Collaboration
• Experience with culture change
• Experience in promoting provider well-being
• Experience in process improvement

Why we live here:

• Four seasons and an outdoor lifestyle
• Easy access to major cities and airports
• Proximity to mountains and seacoast
• An abundance of local lakes for boating and swimming
• No state sales or income tax

About Cheshire Medical Center:

Cheshire Medical Center, a leading member of the world-class Dartmouth Health system, advances the health and wellness of the communities throughout the Monadnock Region through a combination of outstanding care and exceptional service. The leading employer in the area, Cheshire is a 169-bed facility employing 1,600 staff, of which 300 are providers, who live and serve within our communities.

On our Keene campus, our team delivers an impressive range of clinical services that reflect the needs of the individuals and communities we serve. Being part of the Dartmouth Health family enables us to provide services that far exceed those of a typical rural hospital, including extensive programs in primary care, cancer care, cardiology, orthopedics, and public health. Our clinical practice is distinguished by an exceptional staff, a deep commitment to safety and quality, and a culture that values the contribution of every staff member and volunteer. In addition, we perform extensive, innovative outreach efforts focused on removing barriers to good health throughout the region. Our membership in the Dartmouth Health system also enables us to provide access to hundreds of highly trained specialists and a depth of clinical and technical resources that enhance our capacity to serve our neighbors and strengthen our daily pursuit of excellence.

About Keene:

Keene is a picturesque college town in southwestern NH that is an ideal place to call home. Keene has a strong sense of community with a vibrant downtown area, low crime rate, excellent public schools, and 4-season outdoor recreation opportunities. This small city boasts a rich history - it was home to some of America's first settlers and played an important role during the Revolutionary War. Today, you can shop on the square downtown, explore restaurants and coffee shops, and enjoy the parks and gardens throughout the town. It's also an easy drive to Boston or the seacoast.

How to Apply:

Interested candidates should submit a CV and cover letter addressed to Gina O'Brien, MD, Chief Medical Officer, to Kaitlin Romeo at Applications should be submitted online HERE.

Join our team and lead excellence in Family Medicine and patient care!

Required Licensure/Certifications

American Board Certified/Truly Board Eligible in Family Medicine from ABFM or AOBFM
Must obtain and maintain a medical license in the State of New Hampshire

Must obtain and maintain a Federal DEA

**PURPOSE** **AND** **SCOPE:**
Functions as part of the dialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with organization policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies. Responsible for the setup and operation of hemodialysis machines. Assist in the maintenance of a safe and clean working environment. Supports the organization commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the organization Quality Enhancement Goals (QEP).
**PRINCIPAL** **DUTIES** **AND** **RESPONSIBILITIES:**
**Patient Related**
Education:
+ Assist other health care members in providing patient specific detailed education regarding adequacy measures where appropriate - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM), and regarding disease process/access.
Treatment:
+ Welcome assigned patients and inquire as to their wellbeing since their last treatment.
+ Evaluate vascular access for patency, perform vascular access cannulation, and perform administration of heparin as delegated or as allowed by state law.
+ Obtain necessary pre and post treatment vital signs and weight and perform vascular access evaluation pre- treatment
+ Initiate dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD).
+ Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed.
+ Monitor patients' response to dialysis therapy.
+ Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document.
+ Discontinue dialysis treatment according to established procedures and evaluate patient prior to termination of venous access - standing & sitting blood pressure
+ Obtain Hemostasis and apply appropriate dressings.
+ Evaluate the patient prior to discharge.
+ Perform and record Pre and Post dialysis evaluation, weight, and vital signs with initial identification
+ Responsible for calculating and entry of individual patients' dialysis machine programming for Ultrafiltration (UF) goal; treatment time; and UF modeling as prescribed.
+ Responsible for ensuring appropriate safety alarms are enabled, including Narrow Venous Limits, (NVL) 160.
+ Record accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification
+ Responsible for accurate documentation of information related to patient treatment including completion of Hemodialysis Treatment Sheet and, if applicable, progress notes.
+ Report any significant information and/or change in patient condition directly to the registered nurse or supervisor.
+ Observe patient and conduct machine safety checks according to facility policy. Report any change or unusual findings to the registered nurse or supervisor.
+ Perform and document any intervention for unusual patient status and document patients' response to intervention.
+ Evaluate patients' vascular access during treatment including arterial and venous monitoring pressures, provide appropriate intervention as needed, document and report any unusual findings to the registered nurse or supervisor.
+ Obtain all prescribed laboratory testing and prepare specimens for collection.
+ Ensure that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy.
+ Prepare, organize, and efficiently utilize supplies and equipment to prevent wastage.
+ Monitors patients performing self-care under the supervision of RN.
**Staff Related**
+ Assists in training of applicable direct patient care staff on appropriate programs under the supervision of a nurse.
**Education/Communication:**
+ Follows all organization business policies, procedures and systems incorporated into training, including compliance with ethical business practices
+ Maintain environmental integrity and aesthetics - ensure all areas are safe and clean.
+ Clean and disinfect dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy.
+ Conduct all tasks necessary for preparation for dialysis treatment and document where appropriate and perform all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT).
+ Initiate Solution Delivery System (SDS) system.
**RECORD KEEPING:**
+ Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities.
+ Enters all treatment data into the designated clinical application in an accurate and timely manner.
+ Review treatment sheets for completeness, ensure nursing signatures are documented, and ensure
omitted entries are completed or corrected by appropriate staff.
+ Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart.
+ Prepare/print lab requisitions for prescribed or stat Lab specimens according to laboratory destination.
+ Collect, label, appropriately prepare and store lab samples according required laboratory specifications.
+ Ensure collection of lab specimens by appropriate lab courier.
**INFECTION CONTROL:**
+ Assists in collecting information for infection control audits.
+ Supports staff and patient Adherence to infection control practices.
+ Follows infection control Policies and Procedures
+ Participates in and reinforces infection control education of patients and families under the direction of the CM or designee as allowed by state law.
**TRANSITIONAL CARE UNIT:**
+ Follows all newly admitted patients through their first 4 weeks of dialysis and coordinating their transitional dialysis care
+ Reinforces all education and care related matters as it relates to the new patient as allowed by state law
+ Liaisons with appropriate FKC staff members to provide the best patient experience including making sure all disciplines are scheduled to see patient according to plan.
+ Assists in assuring patient understanding or home dialysis products, benefits of home and how home dialysis can work for them.
+ Sets and preforms a treatment on all machines used in the transitional care unit.
+ Assist in assuring patient understanding of treatment options including demonstration of the peritoneal dialysis set-up.
+ Assists with coordination of transition to patient's modality choice.
+ Assists with supply ordering and inventory for TCU
**PHYSICAL** **DEMANDS** **AND** **WORKING** **CONDITIONS:**
+ The physical demands and work environment characteristics described here are representative of those an employee
encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable
individuals with disabilities to perform the essential functions.
+ Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the
Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable
accommodations can be made.
+ Day to day work includes desk and personal computer work and interaction with patients, facility staff, and physicians. The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required.
+ The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials
+ The position provides direct patient care that regularly involves heavy lifting and moving of patients and assisting with ambulation.Equipmentaidsand/orcoworkersmayprovideassistance.Thispositionrequiresfrequent,prolongedperiodsof standing and the employee must be able to bend over. The employee may occasionally be required to push and/or pull equipment, exerting up to 15 pounds of force. The employee may be required to lift and to lower solutions on a frequent basis of up to 30 lbs., and on an occasional lift basis up to 40 lbs., as high as 5 feet. There is a two-person assist program and "material assist" devices for the heavier items.
**EDUCATION** **AND** **LICENSES:**
+ HighSchooldiplomaorG.E.D. required.
+ Must meet Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification requirements within the required state or CMS timeline.
+ Allappropriatestatelicensure,education,andtraining(ifany) required.
+ Demonstrated commitment to organization culture, values, and customer service standards
**EXPERIENCE AND REQUIRED SKILLS** **:**
+ Previouspatientcareexperienceinahospitalsettingorarelatedfacility preferred.
+ Continued employment is dependent on successful completion of the organization dialysis training program and successful completion of CPR certification.
**_EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity_**
**Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.**
**EOE, disability/veterans**