JOB DESCRIPTION FOR JOB TITLE:



|Program Manager – Orthopedics Physician Extender |

|Job Code: 903002 |FLSA Status: Exempt |Mgt. Approval: K. Schick |Date: November 2020 |

|Department: 1749 Sports Med Research Park |HR Approval: J. Theisen |Date: November 2020 |

|JOB SUMMARY |

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|The Program Manager of Physician Extender Services oversees and coordinates the day-to-day function and operations of allied health professionals operating in the |

|role of a physician extender within the UW Health Department of Orthopedics and Rehabilitation. The incumbent also oversees the evolution and growth of the physician|

|extender program. For the purposes of this position, physician extenders are defined as allied health providers that support physicians, physician assistants, and |

|nurse practitioners in clinic and do not include oversight and/or coordination of advance practice providers (i.e. physician assistants and nurse practitioners). |

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|Under the supervision of the Director of Orthopedics, the Program Manager is involved in coordinating the utilization of physician extender staff, coordination of |

|daily schedules across multiple clinics in orthopedics, coordination of priority appointment scheduling, and overall support of independent physician and advanced |

|practice providers in the clinic. The incumbent also identifies and develops necessary ongoing clinical and operational initiatives for the physician extender staff.|

|A particular emphasis is placed upon maximizing the efficiency and effectiveness of the Health Link EMR and overall clinic operations (i.e. clinic flow, patient |

|throughput, customer service, etc.) while ensuring on-going regulatory compliance. The Program Manager also works actively in project management by coordinating and |

|participating on key initiatives and priorities. The Program Manager also performs all general supervisory duties (hiring, termination, and performance appraisals) |

|for physician extenders and also oversees students from the UW-Madison Athletic Training Program. |

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|The Program Manager has responsibility for the Athletic Training Residency Program although this program has its own Director with the title of Coordinator of the |

|Athletic Training Residency Program (which reports to the Program Manager) for day to day intern supervision; curriculum coordination; and accreditation. The |

|Coordinator of the Athletic Training Residency Program reports to the Program Manager of Physician Extender Services. |

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|The Program Manager encounters work of a moderate level of difficulty that requires the incumbent to exercise independent judgment and decision-making. In addition, |

|the incumbent is privy to information that may be highly confidential and sensitive in nature and is expected to maintain professionalism, integrity and honesty in |

|maintaining confidentiality at all times. |

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|A wide variety of internal and external contact relationships are involved in performance of the duties of this position. Internal contacts include, but are not |

|limited to, clinic managers and rehabilitation managers across Orthopedics and Rehabilitation, other members of the athletic training and physical therapy staff |

|(clinic, outreach, rehabilitation, orthotics, etc.), physicians, nursing personnel, sports performance staff, fitness center staff, exercise physiology staff, |

|preventive cardiology staff, radiology staff, clerical staff, Marketing and Public Affairs staff; Information Services staff; Health Information Management staff, |

|Quality, Safety, and Innovation Staff; and E-Health Staff. External contacts include physicians, athletic trainers, and physical therapists from other institutions,|

|as well as patient and/or athlete family members, coaches, athletic directors, equipment/medical supply vendors. |

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|Organizational skill is essential to successful performance. The position requires the ability to independently evaluate, plan, and modify operational processes as |

|indicated. A consultative role to other UW Health Sports Medicine Center staff is necessary. |

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|The Program Manager is a member of the sports medicine manager workgroup, clinical operations workgroup across Orthopedics and Rehabilitation, and sports medicine |

|clinic operations workgroup. |

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|The incumbent has access to and knowledge of the confidential medical history of patients treated. Access to this information is crucial in the evaluation and |

|treatment of patients and athletes. |

|MAJOR RESPONSIBILITIES |

|Coordinator of Physician Extender Services Across Orthopedics and Rehabilitation |

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|A. Oversees the development and evolution of the athletic trainer, physical therapist, and other allied health providers functioning in the role of a sports |

|medicine and/or orthopedic physician extender across UWHC. |

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|B. Coordinates the daily scheduling of physician extender staff members in clinics across Orthopedics, including Sports Medicine Clinic at Research Park, |

|Orthopedics and Sports Medicine Clinic at East Clinic, Orthopedics Clinic at the CSC, and Pediatric Orthopedics at AFCH. |

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|C. Ensures that the services performed by physician extenders optimize clinic effectiveness and efficiency while meeting standards for patient and family centered |

|care. |

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|D. Assists in the implementation of new clinic services/initiatives as well as revised workflows in conjunction with physician, administrative, and management |

|staff. |

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|E. Monitors and educates physician extender services to ensure that accreditation standards are adhered to by physician extender staff. |

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|Serves as a primary liaison to physicians regarding operational impact of clinic work in the areas of HealthLink/EMR optimization, referrals/consults/orders to |

|radiology, rehabilitation, and other services |

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|Provides “Physician Build” services to physicians and other providers as a component of HealthLink/EMR optimization. |

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|Conducts all employment searches for physician extenders working in a clinic setting in the Department of Orthopedics and Rehabilitation. Performs all annual |

|performance appraisals and administers any employment related disciplinary procedures for performance-related issues for anyone working as a physician extender. |

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|Performs specific goal setting and long range planning for individuals functioning as a physician extender. |

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|Works closely with the Manager of the UW Health Spine and Sports Medicine Clinic and the UW Health Orthopedics Clinic to address issues specific to operational |

|efficiency and customer service as well as to develop and oversee the budgets for these areas. |

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|Functions in the role of a Health Link Super-user to maximize the efficiency and effectiveness of the UW Health Health Link EMR. |

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|Works five half days weekly as a physician extender. Comprehensive physician extender services will be delivered and provided in this role. |

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|M. Directs new employee clinical orientation, peer mentorship program, and the development or modification of policies and procedures within the Department of |

|Orthopedics and Rehabilitation specific to physician extenders. |

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|N. Coordinates and assists with the development of patient education materials utilized in areas of responsibility. |

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|O. Coordinates and assists patients, families, and referring providers with priority appointments across areas of responsibility. Works closely with the leadership |

|and staff from several areas, including: Sports Medicine Clinic, Spine Clinic, Orthopedics Clinics, Radiology, Orthotics, Sports Rehabilitation, and other sports |

|medicine/orthopedics programs and ancillary services as needed. |

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|Clinical Work as a Physician Extender |

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|A. The performance of an appropriate medical history on each patient seen that must include but is not limited to: |

|1. A thorough history of injury or condition |

|2. A primary complaint |

|3. A pain level assessment |

|4. Past medical history |

|5. Quality of life and how it is affected |

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|B. The performance of an appropriate physical examination on each patient seen. This includes but is not limited to: |

|Range of motion testing |

|Strength and/or Manual Muscle testing |

|Sensation testing |

|Palpation |

|Functional testing |

|Ligamentous testing |

|Special tests as needed |

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|C. The ordering of diagnostic studies or other referrals under the direction of the attending physician to include but is not limited to: |

|Radiographs |

|MRIs |

|EMG Studies |

|CT Scans |

|Ultrasounds |

|Rehabilitation referrals |

|Physician referrals |

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|D. The performance of educational responsibilities in specific to the needs of each individual patient. This includes but is not limited to: |

|Exercise instruction. |

|Answering patient questions in regards to the treatment plan, surgery, rehabilitation and future care. |

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|E. Providing initial rehabilitation exercises and the instruction, demonstration, and feedback on patient performance of the exercises as directed by the attending|

|physician. |

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|F. Fitting the patient with splints, crutches, braces, wraps, and other various equipment as directed by the attending physician. The incumbent will also educate |

|the patient on the appropriate use of the equipment provided to the patient. |

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|G. Removal of sutures and providing dressing changes to post-surgical patients as directed by the attending physician. |

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|H. Aiding the physician in preparing patients for injections that will be performed by the attending physician. Preparations include cleaning and disinfecting the |

|area to be injected and preparing materials to be utilized both prior to and after the injection. |

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|I. Dictation and documentation of each patient visit following guidelines following all outlined guidelines in the dictation template. To include: |

|History (including pain rating and problem list updates) |

|Physical examination |

|Diagnostic test results |

|Impression |

|Plan |

|Patient Learning |

|Copy of dictated note to appropriate healthcare providers. |

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|ALL DUTIES AND REQUIREMENTS MUST BE PERFORMED CONSISTENT WITH THE UW HEALTH PERFORMANCE STANDARDS. |

|JOB REQUIREMENTS |

|Education |Minimum |Bachelor’s Degree in Athletic Training or Physical Therapy |

| |Preferred |Master’s Degree in healthcare, education, business, or marketing |

|Work Experience |Minimum |Two (2) years supervisory experience |

| | |Five (5) years experience as an athletic trainer or physical therapist as a physician extender; and work |

| | |experience with an integrated electronic medical record (EMR). |

| |Preferred |Experience in the areas of education and research |

|Licenses & Certifications |Minimum |Licensure (or eligible) as an Athletic Trainer or Physical Therapist in the State of Wisconsin |

| |Preferred | |

|Required Skills, Knowledge, and Abilities |Excellent knowledge of the clinical skills required of allied health professionals working within an |

| |orthopedic clinic environment. |

| |Experience with and an excellent working knowledge of electronic medical record systems. |

| |Knowledge of mechanism, evaluation, and treatment of medical and orthopedic and sports conditions. |

| |Knowledge of common orthopedic and sports medicine surgical procedures and appropriate post-operative |

| |rehabilitation programs. |

| |Excellent verbal and written communication skills. |

| |Excellent organizational skills and a detail oriented approach to job responsibilities |

| |Ability to work in a team environment and to collaborate with a wide variety of medical professionals. |

| |Working knowledge of current technological and audiovisual interactions. |

| |Ability to maintain confidentiality |

| |Ability to perform multiple tasks simultaneously |

| |Ability to work independently and as part of a team |

|AGE SPECIFIC COMPETENCY (Clinical jobs only) |

|Identify age-specific competencies for direct and indirect patient care providers who regularly assess, manage and treat patients. |

|Instructions: Indicate the age groups of patients served either by direct or indirect patient care by checking the appropriate boxes below. Next, |

| |Infants (Birth – 11 months) |X |Adolescent (13 – 19 years) |

| |Toddlers (1 – 3 years) |X |Young Adult (20 – 40 years) |

| |Preschool (4 – 5 years) |X |Middle Adult (41 – 65 years) |

|X |School Age (6 – 12 years) |X |Older Adult (Over 65 years) |

|JOB FUNCTIONS |

|Review the employee’s job description and identify each essential function that is performed differently based on the age group of the patient. |

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|PHYSICAL REQUIREMENTS |

|Indicate the appropriate physical requirements of this job in the course of a shift. Note: reasonable accommodations may be made available for individuals with |

|disabilities to perform the essential functions of this position. |

|Physical Demand Level |Occasional |Frequent |Constant |

| |Up to 33% of the time |34%-66% of the time |67%-100% of the time |

| |Sedentary: Ability to lift up to 10 pounds maximum and occasionally |Up to 10# |Negligible |Negligible |

| |lifting and/or carrying such articles as dockets, ledgers and small | | | |

| |tools. Although a sedentary job is defined as one, which involves | | | |

| |sitting, a certain amount of walking and standing is often necessary | | | |

| |in carrying out job duties. Jobs are sedentary if walking and | | | |

| |standing are required only occasionally and other sedentary criteria | | | |

| |are met. | | | |

|X |Light: Ability to lift up to 20 pounds maximum with frequent lifting |Up to 20# |Up to 10# or requires |Negligible or constant |

| |and/or carrying of objects weighing up to 10 pounds.  Even though the | |significant walking or |push/pull of items of |

| |weight lifted may only be a negligible amount, a job is in this | |standing, or requires |negligible weight |

| |category when it requires walking or standing to a significant degree.| |pushing/pulling of arm/leg | |

| | | |controls | |

| |Medium: Ability to lift up to 50 pounds maximum with frequent |20-50# |10-25# |Negligible-10# |

| |lifting/and or carrying objects weighing up to 25 pounds. | | | |

| |Heavy: Ability to lift up to 100 pounds maximum with frequent lifting |50-100# |25-50# |10-20# |

| |and/or carrying objects weighing up to 50 pounds. | | | |

| |Very Heavy: Ability to lift over 100 pounds with frequent lifting |Over 100# |Over 50# |Over 20# |

| |and/or carrying objects weighing over 50 pounds. | | | |

|Other - list any other physical requirements or bona fide occupational | |

|qualifications not indicated above: | |

Note: The purpose of this document is to describe the general nature and level of work performed by personnel so classified; it is not intended to serve as an inclusive list of all responsibilities associated with this position.

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