The Nocturnist at Harlem Hospital Center ("Harlem") has the primary responsibility for he care and management of all patients on the General Medicine floors in the Department of Medicine, with consultation provided by specialists. He/She will also rotate the responsibility for supervising residents on the Medicine Consultation Service. This position will report to the Chief Hospitalist and to the Director of Medicine. After completing a focused professional practice evaluation (FPPE) within the second quarter of employment, the Chief and Director will evaluate the Nocturnist on a semi-annual basis with regard to productivity, quality of care, participation in performance improvement activities, attendance at departmental meetings, compliance with clinical guidelines and algorithms, achievement of defined clinical goals, as well as other characteristics that may be modified from time to time as part of the Department's ongoing professional practice evaluation (OPPE).
A day in the life of a Nocturnist include but not limited to:
- Supervises Internal Medicine residents on rotation in the General Medicine floors.
- Ensures that all components of the history and physical examination, follow-up visits, consultations and other documentation of care are complete and accurate.
- Ensures that consultations are requested in a timely fashion.
- Ensures all necessary documents and functions required for discharge are completed by the residents who report to the Hospitalist, including medication reconciliation, discharge summaries, provision of necessary patient information, patient contracts (if applicable), and prescriptions.
- Completes verifications in a timely fashion and provides all information required by Faculty Practice, the Department, Phycare or Harlem to ensure proper billing for services rendered.
- Ensures that all patients considered for discharge are notified at least 24 hours in advance, and that this notification is documented.
- Prepares appeals for his/her own patients' hospitalizations that are denied by the Centers for Medicine and Medicaid Services (CMS) or by payer's.
- Ensures that the dignity and rights of patients are respected at all times.