Clinical/Resident Assistant

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Summary

The Division of Hospital Medicine (DOHM) is one of thirteen divisions within the Department of Internal Medicine at the University of Michigan Medical School with 120+ instructional, clinical and research track faculty, clinical management of over 50% of the Departments inpatient activity and robust sponsored research funding. Our research in the area of health services continues to grow with faculty who have focused their efforts in areas such as hand hygiene, antimicrobial stewardship, medical decision making, patient safety and medical student teaching. In support of our clinical mission, our faculty manage a combined total of 13,000 inpatient and observation patients annually. Additionally, many of our faculty hold administrative positions throughout the Medical School and the VA. Full-time, 40 hours.

What You'll Do

Resident Assistant

Resident Assistants (RA) support Resident providers within the Internal Medicine Residency Program. Michigan Medicine is among the top programs for post-graduate medical training. In addition to excellent clinical experiences, our residents participate in an innovative curriculum that augments clinical training. The programs guiding principle: The optimal inpatient experience includes specialty experiences balanced with general medicine and critical care exposure. The resident assistant role maximizes time for education. Designed to help teams with non-medical patient care tasks. At the University Hospital, each service has a resident assistant that performs clerical and other support tasks for the team by promoting quality, service excellence, patient- and family-centered care, and maximize throughput by serving as the primary administrative, clinical support coordinating all non-physician tasks directly related to patient care such as scheduling or coordination of tests for same day/next day, medical records requests in coordination with bed placement, and post-hospital follow-up care prior to discharge. RAs are central to communication, logistics management, and bridging the gap between the inpatient and outpatient settings by helping connect the dots between care team members and transitions of care programs. RA members are impactful in quality improvement throughout the Divisions clinical operations by identifying barriers to discharge and care progression. This administrative, clinical role is high impact in a fast-paced clinical setting and currently responsible for fourteen medical teams. In addition to General Medicine services, RA provide service to specialty services on the Cardiology, Gastroenterology/Hepatology, and Hematology/Oncology inpatient services, which offer opportunities to work directly with fellows and attendings in these fields daily. Service locations include Michigan Medicine Main Hospital, and soon Michigan Medicine Pavilion Hospital.

This position is 40 hours per week, located at the main Adult Hospital with standard hours of 7:00 AM-3:30 PM 

Mission Statement

Michigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally.  Our mission is guided by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society.

Responsibilities*

  • Serve as an important and valued member of assigned patient treatment team.
  • Assist division leadership to be aware and ensure ACGME work hours are met, by continuing to complete administrative tasks allowing residents to focus on education.
  • Communication Flow Coordination to ensure uninterrupted continuum of care:
  • Attend daily interdisciplinary rounds.
  • Schedule all PCP and sub-specialty post-hospital follow-up appointments prior to discharge with goal to have all appointments identified prior to patients discharge.
  • Place referrals and discharge orders as requested by medical team.
  • Facilitate communication between residents, attendings, and referring physicians. 
  • Review newly admitted patients appointment schedule to address conflicts with inpatient stay and adjusts appointments to accommodate follow-up as needed. Create and update internal RA notes for team dissemination for seamless coverage. 

Coordination of services:

  • Coordinate with Michigan Medicine scheduling departments to make follow-up appointments
  • Obtain test results and records as needed from referring hospitals, outside physicians and/or ancillary services.
  • Communicate with the Transition of Care Pharmacy to ensure insurance authorization for timely medical coverage and fulfillment at time of discharge.
  • Coordinate with CVC partners when cardiac monitoring hardware is needed for patients prior to discharge.
  • Coordinate discharge needs with referring providers which may include follow-up studies, testing, specialist appointment scheduling, prescription needs or other referrals.
  • Create and provide work, school, or hospital transition notes.
  • Collaborate with outpatient infusion scheduling (MIST) for patient therapy plans and care coordination.
  • Obtain pathology reports/slides, microbiology culture results and sensitivities, imaging and all other medical records from outside hospitals/facilities.
  • Send H&P and DC summaries to providers for continuation of care and provider satisfaction.
  • Establish patients with PCP (internal or external) verifying the patient?s insurance is compatible with clinic guidelines.
  • Establish patients with new sub-specialty outpatient clinics, adding specialist as part of the care team and updating after visit summary (AVS) with the correct demographic information.
  • Participate in quality improvement initiatives.
  • Report barriers as they pertain to continuation of care and discharge length of stay (scheduling, system, or resource shortages).
  • Monitoring long length of stay issues, updating long length of stay list and partnering with care management, social work and hospital leadership for discharge preparation.
  • Participate with new initiatives utilizing experience and operational knowledge as requested by DOHM leadership team.
  • Proactively identifying system issues and improving upon those within scope of responsibility.
  • Identifying workflow barriers and creating new standards practices within scope of responsibilities.
  • Resident assistants will be cross trained and able to provide appropriate back-up coverage as needed for seamless coverage.
  • Other duties as assigned.

Required Qualifications*

  • Associate degree in a health science field, or an equivalent combination of education and experience.
  • Progressively increasing experience in a clinical setting, either inpatient or outpatient for three years.
  • Strong computer skill including Microsoft Outlook and MiChart applications along with exceptional written and verbal / interpersonal skills.
  • Excellent attendance
  • Must have demonstrated knowledge of medical terminology.
  • Strong organizational skills and the ability to successfully complete multiple tasks within established and changing deadlines is required.
  • Must be able to work independently with minimal supervision.
  • The ability to complete multiple high priority items in a timely and thorough fashion is crucial.

Desired Qualifications*

  • Associate degree in a health science field.
  • Independent capacity to complete a detailed list of tasks. Identifies work needs and determines task priorities without frequent oversight to the satisfaction of physicians and patients in a timely fashion.

Background Screening

Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings.  Background screenings are performed in compliance with the Fair Credit Report Act. Pre-employment drug testing applies to all selected candidates, including new or additional faculty and staff appointments, as well as transfers from other U-M campuses.

Application Deadline

Job openings are posted for a minimum of seven calendar days.  The review and selection process may begin as early as the eighth day after posting. This opening may be removed from posting boards and filled anytime after the minimum posting period has ended.

U-M EEO/AA Statement

The University of Michigan is an equal opportunity/affirmative action employer.