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EM - Associate Director and Director of Observation Medicine

Northwest Hospital

Location: Randallstown, MD

ED Volume: 54,000

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Northwest Hospital

5401 Old Ct Rd
Randallstown, MD 21133

Northwest Hospital has a combined position for an EM Associate Director and Director of Observation Medicine.

As an associate medical director at USACS, you will have the opportunity to manage the delivery of care within the emergency department and coordinate a staff of qualified physicians. USACS also offers the unique benefit of shared ownership, providing the opportunity for you to voice your opinions and impact key company decisions.

Functions of the Director of Observation Services for USACS:

  • Oversees the development of observation units throughout the USACS system.
  • Oversees observation management at IAC sites.
  • Responsible for participating in Clinical Resource Group, National Clinical Governance Board and chair of the observation subcommittee.
  • To be a resource to unit leadership in the operations of the observation units.
  • Work closely with the APP director of observation services to enhance program development and standardize unit operations.
  • Course director of annual observation medicine conference.


  • Board certified in Internal Medicine, Family Practice Medicine or Emergency Medicine.
  • Minimum of 3 years’ experience caring for hospital-based patients.
  • Previous administrative experience.
  • Maintain active state license.
  • Maintain active and up to date ACLS if not EM boarded.
  • Maintain active relevant CME in Observation Medicine.

Clinical and Administrative Job Description

  • Business development – generate opportunity, gather data, create business model, present opportunity and sell model. Presentations conducted on-site to provide hospital leadership with an understanding of observation medicine and its impact on hospital operations from a financial perspective.
  • Assist with the oversight of observation management at IAC locations.
  • Implementation & start up: support and training with all key hospital personnel required to startup an observation unit program.
  • Initial kick-off meeting onsite with hospital leadership.
  • Weekly calls with key hospital personnel during the implementation and start up.
  • Provide educational expertise in the training of ED providers.
  • Observation academy - quarterly conference to train, develop and educate physician medical director, lead APP’s and nurse managers on the operational components of implementing an observation unit.
  • Operations – serve as resource for medical directors and lead APP’s.
  • Drive progression of program including development of needed tools
  • Manage monthly operations meeting and billing/coding meeting monitoring quality and efficiency of every USACS program.
  • Annual observation conference – manage the structure and agenda of annual conference.



A part of Lifebridge Health System which also includes Sinai Hospital of Baltimore. It is a 240-bed not-for-profit hospital offering a wide range of patient services. The hospital’s philosophy of patient-centered care continues with their newly opened Rapid Evaluation Unit. This new ideology substantially lowers wait times and assures a heightened accuracy of triage.

Emergency Department

  • 48 bed Emergency Department with significant coverage daily
  • 45 hours of day physician coverage
  • 69 hours of day APP coverage
  • Admission rate 20%
  • Observation Services
  • RAZ unit, exclusive to APPs, use APPs to their highest level of their professional license

Observation Unit

  • Cerner EMR System
  • 20-bed Observation Unit exclusively for emergency medicine patients
  • Approximately 5,500 obs patients/year
  • Average patient length of stay <20 hours
  • National observation program support and oversight


Randallstown is a suburban community located approximately six miles northwest of Baltimore with the exciting attractions of the city and its vibrant Inner Harbor area. It is also within one hour of the cultural and educational opportunities of Washington, D.C. The area has excellent schools and safe, friendly neighborhoods. The hospital is easily accessible from the I-695 beltway. The best qualities of urban and suburban life are combined in Randallstown.

Randallstown is in Baltimore County, Maryland just outside of the City itself. The community has a population of 32,000 and is known for its ethnic diversity.


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