• Graduate from an accredited medical school in the United States or Canada. This degree must have
been accredited by the Council on Medical Education of the American Medical Association;
Association of American Medical Colleges; Liaison Committee on Medical Education; Commission on
Osteopathic College Accreditation of the American Osteopathic Association, or an accrediting body
recognized by the U.S.
• Doctor of Medicine (M.D.) or Doctor of Osteopathy (D.O.).
• 3 years’ experience within the last (5) years of adult critical care in a high acuity setting or at least 3
years, experience within the past (5) years of adult Tele-Critical Care experience.
TYPE OF WORK The duties include but are not limited to the following:
• Provide virtual comprehensive nursing care monitoring and consultation to on-site medical staff caring for
acute and/or chronically ill adults to geriatric patient populations with complex and critical medical-surgical conditions while meeting established standards of care and delivering care within the principles of
the Nursing Process
• This position will support the enterprise-level Tele-Critical Care (TCC) program that provides on-demand
critical care support to patients in both garrison and austere operational environments around the globe.
NMC San Diego is the primary hub site for the enterprise-level TCC program. Care will be provided
largely from the Joint Medical Operations Center (JMOC), and will require the use of both traditional
virtual health (VH) tools and technologies (remote electronic health record access, far-end controllable
patient-side camera systems, remote bio-physiologic monitoring systems), as well as next generation VH
modalities (such as holographic-enabled procedural tele-mentorship, tele-robotics, AI-guided evaluation
and care, and new tools, technologies, and processes which have yet to be identified and/or invented). In
order to support TCC, the incumbent must have practice and privileges in Critical Care Medicine,
(Pulmonary Medicine not needed but preferred) this is a predominantly Critical Care position
• As a board-certified specialist in Critical Care Medicine, the incumbent provides examination, diagnosis,
and treatment services for patient that have medical problems characteristic of this specialty – including
complex cases where the symptoms are difficult to identify, treatment regiments involving the use of
prolonged or complicated procedures or new techniques, and/or where patient’s condition is critical or fails
to respond to previously-tried treatments. Serves as a consultant for medical officers in this discipline, and
other specialties. Services include, but are not limited to, patient examination, determination of the need for
laboratory and radiology evaluations, interpretations of complex tests and examination findings, sequential
and skillful interpretation of diagnostic findings and application of that information towards multistep
treatment plans, consideration of the necessity for additional referrals and consultations.
• Follows progress of case and modify course of treatment as necessary to achieve desired outcome. Prepares
appropriate documentation for all cases. Serves as a specialist in Critical Care Medicine, and Tele-Critical
• Performs medical and surgical procedures compatible with the medical facility’s operating capacity and
equipment. The physician shall not introduce new medical procedures or services without prior
coordination with the approval of the Director of Tele-Care Critical Unit.
• Reviews Summary of Care List within patient’s record for relevance to current patient
situations, make recommendations to primary provider and other subspecialists (as indicated). Provide input
to set expectations, develop plans, and manage processes to assess, improve, and maintain the quality of the
organization’s governance, management, clinical, and support activities.
• Participate in a collaborative approach that incorporates external and internal customers that systematically
plans, designs, measures, and assesses all processes to improve the performance of health care providers
and the TCCU. Facilitates patient access to medical care by initiating appropriate referrals to other health care providers.