Four Seasons Veterinary Specialists LLC·Loveland, Colorado
Diagnose and treat complex medical conditions in small animal patients focusing on gastrointestinal, renal, endocrine, and respiratory systems. Coordinate with other veterinary specialties and referring veterinarians to provide comprehensive, evidence-based care and client education.
The Internal Medicine Specialist is responsible for diagnosing and treating complex medical conditions in small animal patients, with a focus on disorders involving the gastrointestinal, renal, endocrine, hematologic, immune, and respiratory systems. This role requires deep clinical expertise, advanced diagnostic acumen, and the ability to develop comprehensive, individualized treatment plans. The Internal Medicine Specialist works closely with other veterinary specialties (e.g. surgery, radiology, oncology, cardiology, and emergency/critical care), support staff, and referring veterinarians to offer high quality care with Spectrum of Care options as determined necessary through conversation with pet owners. The Internal Medicine Specialist fosters a culture that is in tune with Four Seasons’ mission, vision and values.
Internal Medicine Specialists work under the primary instruction of the Hospital Director and the Medical Director. This is an overview of the position and specific duties are not limited to those listed.
Duties: and Responsibilities:
A cornerstone of this role is the ability to execute thorough, methodical workups for patients with complex presentations. This includes:
Obtaining a complete history in conjunction with technicians.
Prioritizing diagnostic approaches based on clinical suspicion and patient stability.
Integrating history, imaging, lab data, and prior treatment outcomes into a cohesive diagnostic process.
Balancing cost-effective care with comprehensive case management, guided by best practices and evidence-based medicine.
Reassessing and adjusting plans as new data emerges, ensuring the patient remains at the center of clinical decision-making.
Recommending all appropriate diagnostics, while being able to formulate new plans if gold standard is not an option for the client.
Client Communication and Education
Convey physical examination findings, differential diagnoses, and recommendations for diagnostic evaluation and appropriate therapy (in-patient or outpatient).
Propose alternative diagnostic and therapeutic plans considering owner capabilities (financial or otherwise).
Educate clients on relevant disease processes (e.g., immune-mediated hemolytic anemia, diabetes), potential complications of therapy or procedures, and prognosis.
Provide timely updates to owners regarding the status and financial aspects of hospitalized patients.
Respond promptly to client phone calls.
Ascertain if clients have further questions or requirements prior to their departure from the examination room, concluding phone conversations, or patient discharge.
Referring Veterinarian Communication
Complete patient records and send them to referring veterinarians within 24 hours of the patient being seen.
Send detailed SOAP daily if a shared patient is hospitalized.
Respond to/answer referring veterinarian phone calls whenever possible, and return calls in a timely manner.
Treat referring veterinarians as a team member of the hospital and ensure that they feel valued as such.
The Internal Medicine Specialist must demonstrate a high level of proficiency in selecting, performing, and interpreting advanced diagnostic procedures. These skills are essential for accurate case assessment, comprehensive workups, and evidence-based treatment planning. This is not an exclusive list.
Monitoring & in-Patient management
1. Blood pressure measurement (Doppler and oscillometric)
2. Central line placement and fluid therapy planning
3. Serial glucose and electrolyte monitoring
4. Telemetry and ECG interpretation
5. Critical care diagnostics in collaboration with emergency/ICU
6. Esophagostomy tube placement and maintenance
Medical Record Responsibilities
Follow AAHA guidelines for comprehensive medical records.
Write exemplary medical records including presenting complaints, history, physical examination findings, case assessment, plan of action, recommendations declined by clients, prognosis and working diagnosis (if able).
Complete medical records and send to the referring veterinarian within 24-hours (outpatients).
Complete daily SOAP for any hospitalized pets and send to the referring veterinarian at the end of the day shift.
Pharmacy Duties
Prescribe appropriate medication for patient conditions with appropriate dosing.
Approve prescriptions, review labels for accuracy.
Help in maintaining the security of controlled substances.
Promotes a Positive Work Environment, Teamwork & Staff Efficiency/Education
Offer encouragement and praise.
Foster a positive working environment throughout the practice.
Deliver constructive feedback as necessary.
Serve as a secure avenue for inquiries or reporting medical discrepancies.
Demonstrate willingness to assist staff with their responsibilities when required.
Effectively communicate pertinent patient/client information to colleagues during case transfer rounds.
Clearly communicate instructions to staff in a respectful manner.
Financial Responsibilities
Correctly communicate the desired plan for a pet to the technical staff to ensure appropriate cost estimates can be generated.
Clearly communicate costs to clients.
Provide current invoice amounts to clients when a pet is hospitalized, or ensure it is provided. Ensure new cost estimates are provided in a timely manner for continued care.
Follow hospital guidelines for client deposit/payment policies.
Does not waste clinic resources.
Marketing and Outreach
Contribute to marketing and outreach by visiting family veterinarians and providing phone consultations.
Creating educational content by presenting continuing education programs at regional and local events.
Attendance is encouraged at other marketing and community events which Four Seasons is a part of, such as Humane Society 5K races, the W.O.L.F. Sanctuary Gala, etc.
Daily shift rounds, on-site at the hospital.
Annual all staff meeting
All doctor meetings (quarterly)
Leadership development sessions (quarterly)
Grand Rounds attendance is strongly encouraged. Some Grand Rounds are mandatory. Recordings may be available if you are not able to attend in real-time.
Attendance at Four Seasons’ twice yearly Continuing Education/Dinner events is strongly encouraged.
***Other duties may be assigned as the need arises***
Follows OSHA and USP guidelines concerning safety and handling of hazardous materials.
Follows established hospital safety guidelines regarding animal handling, controlled drugs, radiation protection, bite wounds and the handling/care of equipment.
Familiar with federal and state animal health laws, including OSHA and DEA regulations.
The physical demands described below are representative of those that must be met to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Must be able to stand, walk, and sit for extended periods.
Use hands to handle, control, or feel objects, tools, or controls.
Reach with hands and arms in various directions.
Frequently stoop, kneel, crouch, or crawl.
Communicate effectively through speech and hearing.
Occasionally required to climb or balance.
Occasionally required to detect and identify smells or tastes.
Must be able to frequently lift and/or move up to 50 pounds.
Occasionally required to lift and/or move more than 100 pounds with assistance.
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Frequently exposed to the risk of radiation while performing diagnostic imaging procedures.
Occasionally exposed to moving mechanical parts, fumes or airborne particles, and toxic or caustic chemicals.
Noise level is typically moderate.
May be exposed to animals and environments where zoonotic diseases are present, posing a risk of disease transmission.
Strict adherence to safety protocols and the use of personal protective equipment is required at all times to minimize exposure risk.
Will involve scheduled on-call, overnight or weekend coverage depending on hospital needs.
Adhere to all hospital protocols and standards.
Shows respect and sensitivity for cultural differences.
Promotes a harassment-free environment.
Serve as a representative of the hospital, displaying tact, consideration, courtesy, compassion, professionalism, and a positive attitude in all interactions with patients, clients and all members of the hospital staff.
Demonstrate teamwork and initiative by assisting other employees and proactively search for additional work during periods of down time.
The above is intended to describe the general content of and requirements for the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities or physical requirements. Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Requires a DVM degree and completion of an ACVIM or ECVIM residency, with board certification strongly preferred. Must be licensed or eligible to practice veterinary medicine in Colorado and possess expertise in advanced diagnostics.
Market context
In Colorado, allied health employers commonly look for radiation therapists who are licensed, ARRT-certified, and trained through an accredited program, with entry-level to early-career experience often accepted. These roles can be competitive because facilities want candidates who can start safely in a high-precision setting and work closely with oncology teams. Review the AI-summarized requirements and benefits on this page to save research time, then confirm your license status and ARRT credentials before applying.
