At Duffy Health Center, we are expanding access to care and plan to begin offering Saturday patient visits from 8:00 a.m. to 1:00 p.m. To support these new hours, we are seeking per diem team members who are passionate about serving our community.

In addition to Saturday shifts, there may be opportunities to work weekday shifts Monday through Friday. For candidates interested in a more regular schedule, this role may be structured as a part-time position with 20 hours per week, which would be eligible for benefits.

We welcome candidates seeking flexibility and are happy to work with applicants to create a schedule that meets both organizational and individual needs. If you are interested in joining our mission-driven team, we encourage you to apply.

Duffy Health Center, a non-profit located in Hyannis, MA, provides compassionate and skilled integrated healthcare for persons with complex health and social needs on Cape Cod. We envision a Cape Cod where all persons have access to quality health care, safe and stable housing, and lives filled with connection and purpose.

Duffy Health Center is a Federally Designated Healthcare for the Homeless Program. This requires that most of the patients we serve are experiencing or have recently experienced homelessness or some other form of housing insecurity.

Staff choose to work here because they believe deeply in the mission, and some staff have relevant lived experience themselves.

Position Summary

The Physician is responsible for providing primary medical care to adult Duffy Health Center patients at the Duffy Health Center facility and outreach sites as directed by Duffy Health Center. Work includes conducting thorough examinations, issuing diagnoses, and developing treatment plans, ordering tests, making referrals, authorizing prescriptions, and providing follow up.

Key Responsibilities

The statements contained in this job description reflect general details, as necessary, to describe the principal functions of this job, the level of knowledge and skill typically required, and the scope of responsibility. It should not be considered an all-inclusive listing of work requirements. Individuals may perform other duties, as assigned, including work in other functional areas to cover absences or provide relief, to equalize peak work periods or otherwise to balance the workload.

• Obtains detailed medical history from patients, records and maintains information in the patients’ medical charts.
• Examines patients, conduct systematic comprehensive physical assessment, records, and maintains information in the medical record.
• Prescribes appropriate medications and treatments, provides follow-up care, and evaluates the effectiveness of care.
• Consults the Chief Medical Officer and specialist physicians as appropriate to optimize patient care.
• Promotes patient health through education and primary prevention, provides patient education regarding medications, treatments, anticipated outcomes, and referrals.
• May perform office procedures in accordance with privileges granted by the Duffy Health Center Board of Directors.
• Provides, with other staff members, onsite provider coverage is available to cover office during administrative time when colleagues are ill or on vacation. Responsible for afterhours coverage as part of Duffy Health Center Medical call rotation.
• Meets agency productivity standards.
• Performs routine administrative duties; prepares, records, and maintains client information in a timely fashion, using Duffy Health Center electronic medical records system.
• Completes all the required paperwork and prepares reports and correspondence in accordance with agency standards.
• Records all patient information timely using electronic medical records system.
• Reviews and authorizes nurse’s notes and documentation as required for billing purposes.
• Participates in a collaborative manner with nurse practitioners and physician assistants, ensuring the highest quality clinical care. Serves as a resource for clinical decision making by the nurse practitioners and physicians assistants.
• Participates in the teaching of medical students and residents and acts as a role model and mentor for students, residents and fellows when arranged.
• Works collaboratively with other DHC departments and specialties to develop integrated care plans.
• Participates in continuing education as required for professional license maintenance and keeping attuned to best practices and medical/clinical trends.
• Coordinates with patients, providers, hospitals, and outside organizations regarding patient care issues.
• Participates in peer review; performs chart reviews and works with the quality improvement committee to develop clinical assessment tools, etc. as indicated.
• Attend and actively participates in department meetings, general staff meetings, quality assurance meetings, and other meetings, as required.
• Other duties as assigned.

Population Served

Unhoused

Housing Insecure

SUD/BH Clients

Qualifications & Skills

Education & Experience: (Required & Preferred)

A candidate for this position must have a medical degree (MD or DO) and be licensed to practice medicine in the state of Massachusetts or ability to obtain license in Massachusetts and have at least three (3) years of experience in an outpatient health clinic, experience in a community health center setting working with underserved populations preferred; or an equivalent combination of education and experience.

A candidate for this position must be appropriately Board Certified or Board-Eligible in Primary Care, specializing in Family Medicine, Internal Medicine, or Medicine/Pediatrics, successfully complete the required credentialing process, and have a valid driver’s license.

Skills & Competencies:

A candidate for this position should have the following:

• Managed patient care
• Federal, state, and other applicable standards for clinical practice
• HIPAA regulations
• Health care issues related to homelessness including mental illness, substance abuse, criminal history, and physical and sexual abuse
• Protocol for handling crisis situations
• Patient examination, diagnosis, and management
• Team-based care
• Effective supervision of staff
• Problem solving and conflict resolution
• Effective written and verbal communication
• Planning, prioritizing and organization.
• Remain flexible with work hour changes
• Effectively manage a panel of approximately seven hundred patients
• Maintain confidentiality of information
• Collaborate and work effectively as part a team, and independently
• Interact effectively and appropriately with at-risk individuals
• Commit to the philosophy and mission of Duffy Health Center which serves the homeless and at-risk population, and to the team-based approach as part of PCMH.
• Interest in ongoing growth and learning. Have the ability and willingness to reflect on performance and identify areas for improvement efforts.

Accountability

The nature of the professional or technical work means that errors in analysis, techniques or recommendations would be difficult to detect. Consequences of errors, missed deadlines or poor judgment could result in excessive costs, delay of service delivery, or legal repercussions.

Judgment

The work requires examining, analyzing, and evaluating facts and circumstances surrounding individual problems, situations, or transactions, and determining actions to be taken within the limits of standard or accepted practices. Guidelines include a large body of policies, practices and precedents which may be complex or conflicting, at times. Judgment is used in analyzing specific situations to determine appropriate actions. Employee is expected to weigh efficiency and relative priorities in conjunction with procedural concerns in decision making. Requires understanding, interpreting, and applying complex financial, medical, mental, or behavioral health research as well as federal, state, and local regulations.

Complexity

The work consists of employing many different concepts, theories, principles, techniques, and practices relating to an administrative, medical, mental health, or behavioral health field. Assignments typically concern such matters as studying trends in the field for application to the work; assessing services and recommending improvements; planning long-range projects; devising new techniques for application to the work, recommending policies, standards, or criteria.

Supervision Required

Under general direction, the employee plans and conducts the regular work in accordance with standard practices and previous training, with substantial responsibility for determining the sequence and timing of action and substantial independence in planning and organizing the work activities, including determining the work methods. The employee is expected to solve, through experienced judgment, most problems of detail or unusual situations by adapting methods or interpreting instructions to resolve the problem. Instructions for new assignments or special projects usually consist of statements of desired objectives, deadlines, and priorities. Technical and policy problems or changes in procedures are discussed with supervisor, but ordinarily the employee plans the work, lays it out and carries it through to completion independently. Work is reviewed only for technical adequacy, appropriateness of actions or decisions, and conformance with policy or other requirements; the methods used in arriving at the result are not usually reviewed in detail.

Nature and Purpose of Contacts

Relationships are constantly with co-workers, the general patient population and with groups and/or individuals who have conflicting opinions or objectives, diverse points of view or differences where skillful negotiating and achieving compromise is required to secure support, concurrence and acceptance or compliance; OR one-on-one relationships with a person who may be under severe stress, where gaining a high degree of persuasion may be required to obtain the desired effect. The employee may represent to the public a functional area of the business on matters of procedures or policy where perceptiveness is required to analyze circumstances to act appropriately.

Work Environment/Physical Requirements

· Working conditions involve exposure to intermittent machines or related noise or a combination of unpleasant elements such as odors, chemical fumes, dust, smoke, heat, cold, oil, dirt, or grease. Work may also involve occasional mental stress, such as completing multiple unrelated tasks within a relatively brief period.

· Work requires moderate agility and physical strength, standing or walking most of the work period, or helping clients or patients move. Occasionally, work may require lifting heavy objects and carrying them (up to 10 lbs.).

· Duties may involve close hand and eye coordination and physical dexterity. Manipulation and motor control under conditions which may require extreme accuracy may be critical. The manual skills required are comparable to those which might be needed in conducting laboratory tests, performing microscopic experiments, or administering injections.

· Duties regularly present the potential risk of injuries from improper exposure which could result in loss of time from work. Examples of injury include illness from exposure to communicable diseases or direct exposure to bodily fluids. Special safety precautions, training, or protective clothing such as gowns, coats, gloves, glasses may be required.

· Has access to confidential information obtained during performance of regular position responsibilities, where the effect of any disclosure would be negligible or where the full significance of the overall confidential matter would not be apparent in the work performed.

Pay: $85.00 - $100.00 per hour

Expected hours: 6.0 – 25.0 per week

Ability to Commute:

• Hyannis, MA 02601 (Required)

Work Location: In person