Are you looking for a position that gives you a real work/life balance? Are you passionate about making a difference in your community? If this sounds like you, we invite you to apply as our new Medical Director for our Substance Use Treatment Services program. This is a Regular, Part-Time (0.30 FTE (12 hours weekly) - FTE may be negotiable) position.

Reporting to the Health Officer, this position serves as medical director for opioid use disorder treatment at the agency's clinic. Work includes supervision of nurse practitioners who provide direct clinical services, process improvement and quality improvement for the clinic, and the administrative responsibilities required for the provision of methadone.

**1st application review September 8, 2024**

Some of what you'll do:

Leads the day-to-day activities of direct reports: prioritizes work, plans, manages, coordinates, and reviews the work of assigned staff and consulting contracts, assigns work activities, and coordinates schedules, projects, and programs.
Supervises and manages staff, including hiring, training, timecard/time off approvals, performance management, investigations, and resolution of disciplinary matters.
Effectively develops their direct reports.
Ensures employees comply with Department policies and procedures, including policies around hours worked, ethics, time off, and harassment, among others.
Provide in-person and telephone clinical consultation for nurse practitioners and other clinic staff.
Provide training on clinical topics to clinic staff.
Monitor patient charts for quality of medical services provided, and work with other administrators to develop or revise medical and other treatment intervention policies and procedures.
Oversee all medical care provided within the clinic. Work closely with clinic staff to ensure the delivery of coordinated services to patients.
Develop and review clinic policies, procedures, and operational approaches to ensure the provision of high-quality care, improve efficiency, and improve staff experience.
Ensure the safety, security and accountability of methadone and other scheduled medications in the clinic.
Interact with the local medical provider community on issues of continuity of care and education about substance use treatment.
Provide oversight to ensure the clinic adheres to state and federal laws and policies for the provision of methadone.
This work might require you to participate in the Title XIX Medicaid Claiming Program.
Performs other duties as assigned.

Emergencies:

When public health responds to an emergency you may be assigned duties and responsibilities that are outside your regular job description. This may involve responding at any time and reporting to a location other than the department with different working conditions and physical requirements. You are expected to participate in emergency preparedness activities including our emergency notification system, WA SECURES. Drills and real-world events may take place at any time.

Knowledge and skills:

Intermediate knowledge of the following software: standard Microsoft Office programs, Electronic Medical Records software.
Knowledge of principles, laws, regulations, policies, practices, and guidelines applicable to the body of work, including those governing the prescribing of opioid replacement medications and the provision of substance use care.
Knowledge of the patient population.
Knowledge of supervisory principles and best practices.
Familiarity with community, professional, and educational resources for referral services.
Knowledge of medication administration, drug interactions, dosages, and effects, specifically regarding opioid replacement medications.
Understanding of ethical principles and how they apply to public health work.
Diagnostic reasoning and clinical decision-making skills.
Exhibits dynamic leadership and mentorship skills for fostering a strong team environment.
Crisis intervention skills.
Excellent planning and analytical skills.

Competencies:

Staff Management: Manages staff in ways that improve their ability to succeed on the job. Enables staff to grow and succeed by providing guidance, feedback, instructions, and support. Provides productive performance management. Inspires and fosters team commitment, spirit, pride, and trust.
Cultural Competency: Demonstrates knowledge of the implications for public health of increasingly diverse communities (including racial, ethnic, linguistic, religious, gender diversity and more). Understands the impact of decisions on our diverse workforce and community. Adapts public health education practices to the needs of diverse populations.
Accountability: Takes personal responsibility for the quality and timeliness of work. Ensures that work is complete and accurate. Independently follows up with others to ensure that agreements and commitments have been fulfilled. Manages own time, priorities, and resources to achieve goals. Accepts responsibility for mistakes. Complies with established control systems and rules.
Adaptability & Flexibility: Adapts behavior or work methods in response to new information, changing circumstances, changing workload demands, or unexpected obstacles. Adapts to a variety of situations, individuals, and groups. Is open to change and new information. Effectively deals with uncertainty.
Communication: Able to communicate effectively and clearly both verbally and in writing to varied audiences, including communicating information of a technical nature. Listens to others, understands and learns from what others say, and asks questions that enhance the clarity, quality, and/or reliability of the information. Grasp the meaning of written information and instructions. Chooses the appropriate method of communication for the given situation.
Customer Focus: Provides courteous service to internal and external customers. Works with customers to assess their needs, provide information or assistance, and resolve their problems, including complex or sensitive issues. Seeks to improve the quality of services. Knowledgeable about available products, resources, and services.
Ethics & Integrity: Displays high standards of conduct and understands the impact of violating these standards on the organization, self, and others. Is considered trustworthy by peers and managers. Contributes to maintaining the integrity of the organization.
Interpersonal Relationship: Develops and maintains constructive working relationships characterized by a high level of acceptance, cooperation, and mutual respect. Gets along and interacts positively with co-workers and others. Shows understanding, friendliness, courtesy, tact, empathy, concern, and politeness to others.
Conflict Management: Diplomatically handles challenging or tense interpersonal situations. Maintains composure in highly stressful or adverse situations and works to de-escalate them. Is sensitive to cultural diversity, race, gender, disabilities, and other individual differences.
Problem Solving & Decision Making: Recognizes and defines problems. Identifies and evaluates alternative solutions before deciding on or proposing a solution. Makes educated, effective, and timely decisions, at times with limited information in a fast-paced environment. Able to utilize technical information to make effective and timely decisions.
Confidentiality: Maintains sensitive and confidential data. Demonstrates discretion when sharing information.
Safety Focus & Emergency Preparedness: Adheres to all workplace and trade safety laws, regulations, standards, and practices. Understands and properly follows established procedures in preventing and responding to unsafe or emergency situations. Identifies and reports potentially unsafe practices or conditions. Operates equipment, tools, machinery, and vehicles safely and understands processes for reporting an accident or injury. Understands and applies knowledge and skills necessary to successfully perform assigned emergency response role during an emergency.

Minimum Qualifications:

MD or DO degree.
Completion of residency training in psychiatry, family medicine, internal medicine, emergency medicine, obstetrics and gynecology, or preventive medicine.
Experience with substance use care. This experience can be through a dedicated substance use care clinic or as part of primary care or other clinical practice.
Addiction medicine fellowship training preferred.

We will consider any equivalent combination of education and experience that provides the necessary qualifications to successfully perform the duties of the position.

Professional certifications and licensure:

Active physician license in the state of Washington.
Active Drug Enforcement Administration (DEA) license.

Work environment:

Work is performed almost exclusively indoors in a clinical office environment. Exposure to hazards is limited to those commonly found in medical office environments.
Environmental conditions may entail a stressful work climate due to the nature of the job, i.e., work with patients who have experienced sexual abuse and other traumatic events.
Clinic hours may start earlier than regular business hours.
Work may offer hybrid schedule with one (1) day a week in-person.
The potential for dealing with dissatisfied or angry customers exists, requiring skills in conflict resolution.

Physical demands:

Regularly required to sit or stand continuously.
Regularly communicate clearly in-person, over the phone, and via written communication, including communicating with dissatisfied or angry individuals.
Capable of reading physical and electronic documents and working for prolonged periods on a computer monitor.
Fine motor skills sufficient to grip and manipulate paper and operate a telephone, a computer mouse and keyboard, and use standard medical equipment.
Reaching and gross manipulation capabilities sufficient to pick up and use standard office supplies and medical equipment.
Frequently move throughout the clinic.
This position may require lifting, carrying, pulling, or moving objects up to 10 pounds consistently, 20 pounds frequently, and exerting up to 30 pounds of force occasionally.
Specific vision abilities required by this job include close, color and peripheral vision and the ability to adjust focus.

Tools and equipment:

Duties require the use of standard office furniture and equipment (e.g., desk, filing cabinet, computer, printer, telephone, copy machine, etc.)
Medical and dispensary equipment.

Travel:

Some travel is required, and is typically local or regional, to meet with clients, conduct business, or attend or provide training.

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Tacoma-Pierce County Health Department

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