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Observation Medicine - Medical Director

Adventist Healthcare - Shady Grove Medical Center

Location: Rockville, MD

ED Volume: 63,000

Job Functions:

  • To oversee day-to-day management of the unit
  • Responsible for peer review, quality assurance, provider staffing
  • Patient complaints and management of patient protocols
  • To provide leadership in the operations of the unit


  • Board certified in Internal Medicine, Family Practice Medicine or Emergency Medicine
  • A minimum of 3 years’ experience caring for hospital based patients
  • Previous administrative experience desirable
  • Maintain active State license
  • Maintain active and up to date ACLS

Clinical and Administrative Job Description

  • Physician will be required to work a minimum of eight (8), four (4) hour clinical shifts per month or 32 clinical hours. The monthly clinical shift minimum is subject to increase at USACS’s sole discretion, as USACS establishes additional Observation Units.
  • Physician’s combined clinical and administrative hours in observation will be a minimum of 60 hours per month (40% of overall employee time) as outlined in the USACS Regional Job Description.
  • Physician will be subject to Group’s shift equity plan in the development and deployment of the clinical schedule, on par with other clinical physicians.
  • Clinical and Administrative hours will be defined by contract with organization. Clinical hours required will be performed in the Observation unit as defined by contract.

Administrative responsibilities

  • Monthly leadership meetings with the Nurse Manager of the Observation unit and the Provider Personnel of the Observation Unit
  • Lead monthly staff meetings for the Observation Unit
  • Lead quarterly Operations meetings for the Observation unit
  • On-Call - responsible for Physician Supervision and call into the unit daily.
  • Coverage for vacation and unanticipated absences will be provided by the Regional Director of Observation Services.
  • Monthly on-site communication with the Department Head reporting to and provide unit updates.
  • Communicate monthly with Hospital Administration.
  • Meets Monthly with Regional Director of Observation Services
  • Member of USACS Observation-Sub-Committee meets monthly
  • Member of USACS coding/billing Meeting meets monthly 

Quality Assurance

  • Provides quarterly quality assurance report to the Regional Director of Observation Services.
  • Maintains improvement plans for any area not meeting expected benchmarks
  • Investigates any quality referrals from the hospital quality committee



  • 275-bed acute care hospital is part of the Adventist HealthCare System
  • Medical staff of over 1,000 physicians

Emergency Department

  • Pediatric Emergency Department treating approximately 21,000 children each year
  • The Pediatric ED is supported by pediatric medical and surgical specialist including surgeons, radiologists and anesthesiologists

Observation Unit

  • Cerner EMR System
  • 18-bed Observation Unit exclusively for emergency medicine patients
  • Approximately 4,000 obs patients/year
  • Average patient length of stay <20 hours
  • National observation program support and oversight


Located just 22 miles north of Washington, D.C., Rockville’s wealth of restaurants, parks, galleries, museums, theaters and historic sites make it a very popular location for families, businesses and young professionals alike. Montgomery County is consistently rated highly among the nation’s public-school systems. Rockville residents enjoy the lifestyle of a close-knit community lifestyle with easy access to the amenities of Washington, D.C.


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