Psychiatrists - 3227
Job Opportunity at Eskridge & Associates

Posted on Oct 10    512.244.7023

Location: Fort Hood, TX
Job Type: Contract
Job ID: W4144209

The contractor shall provide services of four (4) full-time Psychiatry Physicians for Carl R Darnall Army Medical Center (CRDAMC), Fort Hood Texas.

  • Shall have and maintain a valid, unrestricted license to practice medicine from one of the 50 states in the U.S. or the District of Columbia, Puerto Rico, or the U.S. Virgin Islands
  • Shall hold a Doctor of Medicine (M.D.) degree from an accredited college approved by the Council on Medical Education and Hospitals of the American Medical Association or American Osteopathic Association, or Doctor of Osteopathy degree (D.O.) from a college accredited by the American Osteopathic Association.
  • Be a Doctor of Medicine (M.D.) or Osteopathy (D.O) who is board certified or board eligible in Psychiatry.
  • Shall have been continuously employed in the practice of Psychiatry or in training for two of the three years prior to the commencement of services under this contract.
  • Must be able to obtain and maintain privileges at Carl R Darnall Army Medical Center (CRDAMC) through approval of the Credentials Committee.
  • Shall be able to close all open encounters with seventy-two (72) of the patient encounter.
  • Have sufficient experience to be able to adequately diagnose and treat mental diseases and injuries to include, but not limited to:
    • Outpatient psychiatric evaluation and treatment of active duty soldiers
    • Inpatient evaluation and treatment as needed
    • Consultation/liaison with other hospital services and agencies on Fort Hood, to include command elements
    • Perform medical evaluation boards, command-directed evaluations, sanity boards, psychological autopsies, and TDRL evaluations
  • Shall be able to read, write, and speak English well enough to effectively communicate with patients and other healthcare providers.
  • Shall have current Basic Cardiac Life Support (BCLS) by way of an American Heart Association approved training program. This certification shall be maintained in a current status at all times while performing services under this contract at the HCP’s or contractor’s expense.
  • Shall possess sufficient initiative, interpersonal relationship skills and social sensitivity such that he/she can relate constructively to a variety of patients from diverse backgrounds.
  • Graduates of foreign medical schools are required to possess both a medical license and other certification by the Educational Commission for Foreign Medical Graduates (ECFMG) or 5th Pathway.
  • Shall be required to meet Continuing Medical Education (CME) requirements. The government will not reimburse for these costs.
  • The contractor shall ensure contract HCPs have received Occupational Safety and Health Administration (OSHA) required training for the position in which they will perform, and that training currency is maintained. Documentation of such training shall be provided to the Contracting Officer’s Representative (COR). 1.2.15. Position requires access to Department of Defense computer systems, therefore provider shall be a U.S. Citizen or otherwise meet the requirements of AR 25-2.
  • The physician shall be able to type and have had experience using computers especially Microsoft programs. The physician will not be required to type a certain amount of words per minute. CRDAMC will provide computer training for the CRDAMC computer system.
  • The Psychiatrist shall be able to perform all duties with minimal clinical supervision or guidance. The contract HCP shall consult the Chief, Department of Behavioral Health, or designee, when issues cannot be resolved.

Hours of Performance:
  • Duty hours: Duty hours shall be as set forth by the applicable Department Chief or his/her designated government representative. Normal duty hours are 0730-1630 Monday through Friday. A 1-hour unpaid break will be given during the shift as determined by the clinic. The above timeframes are subject to change my mutual agreement of the government and the contractor. The actual schedule will be determined by the supervisor and is subject to change due to changing mission requirements. The contractor shall only be paid for actual hours worked. Hours scheduled for shifts do not include travel time involved in reaching the medical treatment facility. The Contract HCP shall be rested and fully physically and mentally capable for performing the duties required under this contract. Compensatory time (comp time) is not authorized. Each time that services are performed during normal workdays and for scheduled on-call services, the contractor shall sign-in the time of commencement/termination of services on a timesheet maintained in the location where services are performed. The department chief will determine the location of this timesheet. Morning and afternoon rounds on the inpatient ward will be required during these duty hours and will be coordinated through the department chief. Total regular hours in a 14-day period equal an average of 80 hours.
  • BEEPER/CALL BACK: Call services are required. Beeper service is defined by the Contract HCP carrying a beeper, pager or cell phone for a scheduled call/beeper shift. Call back service is defined as actual patient care performed at CRDAMC. Carrying a beeper or pager does not qualify as call back services, as actual patient care must be provided to invoice for call back hours. Beeper service rotations shall be shared between all available mental health staff members and shall include weeknights, holidays and weekends. Each contracted provider expects to pull no more than two call days per month. A typical shift for beeper service during the normal work week is 4:30 p.m. to 7:30 a.m. (15 hours) the following day except for Fridays which goes from 4:30 p.m. to 9:00 a.m. (16 and one half hours) on Saturday. On Saturdays, a typical beeper shift is 9:00 a.m. to 9:00 p.m. (12 hours) on Sunday. On Sundays, a typical call/beeper shift is 9:00 a.m. to 7:30 a.m. (10 and one half hours) Monday (if Monday is a holiday, then shift will lend at 9:00 a.m.). As a physician, the psychiatrist will also be expected to provide physician backup for the inpatient psychiatry service when on call.
  • The contracted provider will be the primary or back-up mental health provider during on-call services. When the psychiatrist is on-call for weekends or holidays, the provider shall be required to perform histories and physicals for newly admitted patients on the inpatient psychiatry service and perform rounds/complete notes and required documentation on all existing inpatients on the psychiatry service, as well as perform psychiatric consults as requested by the Emergency Department and other inpatient services with CRDAMC.
  • The contract psychiatrist is not required to remain at a place of residence while on call, but shall be available by Government furnished pager during on-call periods. The provider shall respond telephonically within 5 minutes of the page or call being sent and shall be prepared to provide on-site consultation and/or assistance at CRDAMC within 60 minutes of the page being sent, if so required to disposition the case. Cases may be dispositioned by phone if this is acceptable to the attending physician requesting psychiatric consultation.
  • The contract psychiatrist may bill a minimum of one hour for each on-site emergency response. Where an emergency response requires services for periods longer than 1 hour, the provider may round periods of 30 minutes or more to the next whole hour. Periods of less than 30 minutes shall not be billed to the Government.
  • The contract psychiatrist is required to have internet access and sign orders electronically while on call. Contract psychiatrist well be issued a government laptop with required security applications installed for use while at work and when performing call services.
  • May be required to work at the different locations due to transitioning services, staff shortages, or peak/surge workloads within their skill set.
Specific Tasks:
  • Facilitate patient access to medical care by recommending appropriate referrals to other health care providers in accordance with MTF policies and regulations.
  • Prepare all records and reports as may be required in support of services rendered and as required by the MTF.
  • Take part in clinic Quality Assurance Program as required to meet the standards of the Joint Commission on Accreditation of Healthcare Organizations.
  • Responsible for maintenance of the highest standards of professional care in the treatment of patients and in the teaching and training of residents and technicians. Prepare and document appropriate history, physical examinations and diagnosis. Maintain documentation of all treatment provided in accordance with hospital directives and prepare such records and reports as may be required by the contract. Ensure all documentation and reports are legible.
  • Coordination with other departments of the medical facility staff to provide complete care to patients.
  • Provide and document medical advice to patients by telephone as appropriate and in accordance with MTF protocols.
  • Provide clinical direction to supporting government personnel assigned to their area during the performance of clinical procedures.
  • Consult with supervisor and/or colleagues, which are normally available, regarding problems either professional or administrative.
  • Responsible for the quality and the timeliness of treatment records and reports required to document procedures performed and care provided.
  • Participates in clinical education programs and in clinical staff quality improvement functions as prescribed by Chief, Behavioral Health.
  • Comply with the MTF quality control program and the standing operating procedures of the MTF.
  • Participate in clinical and quality review processes as determined by hospital policy.
Federal Holidays:
The following Government Holidays are observed:
  • New Year’s Day, January 1
  • Martin Luther King, Jr.’s Birthday, 3rd Monday in January
  • President’s Day, 3rd Monday in February
  • Memorial Day, Last Monday in May
  • Independence Day, July 4
  • Labor Day, 1st Monday in September
  • Columbus Day, 2nd Monday in October
  • Veteran’s Day, November 11
  • Thanksgiving Day, 4th Thursday in November
  • Christmas Day, December 25
Note: Any of the above holidays falling on a Saturday will be observed on the preceding Friday; holidays falling on a Sunday will be observed on the following Monday. Any holidays that are declared by Presidential Executive Order shall be observed in the same manner as the holidays listed above. If the area in which a contract employee is scheduled to work is closed due to a holiday declared by an Executive Order and the employee is not required to report in, payment will not be made for those hours. Closures of the installation due to inclement weather or other such acts of God shall be handled in the same manner.
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