Job Title: Medical Director
Department:Patient Services
Supervisor: Chief Health Officer
Location:On-site in Washington, DC (District of Columbia), and Hyattsville, MD
Classification:Exempt
Synopsis:
Reporting to the Chief Health Officer (CHO) and serving as a member of the Leadership Team, the Medical Director is responsible for overseeing the medical providers of La Clinica’s clinical practice sites, including effective and efficient care teams and the resulting patient, and staff experience. This role is responsible for implementing and overseeing clinical standards of care for medical doctors, nurse practitioners, and coordinating care teams’ collaboration with nurses, care coordinators, health educators, health navigators and integrated behavioral health; provide direct patient care; and be the clinical director for laboratory and pharmacy services.
In collaboration with patient, clinical and community services department directors, the Medical Director will actively participate in and lead, as appropriate, clinical quality improvement for patient services, assist with clinical risk management plans and audits, implementation of grants and programs, and provide oversight and direction for medical services. Working with the leadership team, the position also contributes to the development and implementation of organizational strategies, policies, and practices.
The Medical Director is responsible for overseeing policies and procedures, staff members, resources, and activities that support LCDP’s goals around clinical practice guidelines, access to care and patient experience for patient services. These goals will be implemented through the lens of the Institution for Healthcare Improvement’s Quadruple Aim: Patient Experience, Staff Experience, Cost, and Quality of Care.
QUALIFICATIONS
Required Education and Experience:
- Graduate of an accredited medical school (MD or DO)
- Licensed to practice medicine in the District of Columbia and the state of Maryland.
- Valid Controlled Substances and DEA licenses; Board certification in area of specialty
- Bilingual in English and Spanish
- Three years of experience and demonstrated skills in quality medical care, quality assurance, planning and evaluation.
- Minimum of 5 years prior supervisory/management experience
- Financial and budget management experience
- Experience working with Latino/underserved communities.
- Practice Management/EMR Software experience
- Experience working with external partners, vendors, and agencies with a record of accomplishment for success.
Preferred Education and Experience:
- Family Physician or Pediatric, Adolescent and Adult Medicine experience
- Ambulatory care experience
- Familiarity with data collection and statistical analysis
- Master’s degree in public health, health administration, or related field
- Experience working in an FQHC practice environment.
- Experience using eClinicalWorks medical record software, including knowledge of workflows, data extraction and reporting.
- Experience working with patients and staff from diverse socio-economic, ethnic, and cultural backgrounds
Required Skills/Abilities/Certifications/Licenses:
- Excellent written, oral, interpersonal, and presentation skills and the ability to effectively interface with staff, board of directors, and community partners
- Leadership skills and commitment to quality patient care and service excellence
- Demonstrated skills in leading, coaching, and developing staff
- Ability to work collaboratively and cooperatively with a diverse interdisciplinary team at all levels
- Commitment to the mission and values of La Clinica del Pueblo
- Strong planning and project management skills
- Ability to complete some work outside of traditional business hours; ability to travel to off-site venues for meetings and events.
- Proficiency in MS Office including Word, Excel, and PowerPoint
Preferred Skills/Abilities/Certifications/Licenses:
- Knowledge of Federally Qualified Health Center (FQHC) compliance and Patient-Center Medical Home (PCMH) accreditation
- Knowledge of Federal and local grant programs, such as FQHC, UDS (Uniform Data System) reporting, Title V, Title X, HRSA (Health Resources and Services Administration), and Ryan White programs
- Knowledge of government contract management, grants management, and regulatory compliance requirements
- Knowledge and experience in providing care and leading others to provide trauma-informed care, gender-inclusive and affirming care, and culturally and linguistically appropriate care through an equity lens.
DUTIES AND RESPONSIBILITES:
Supervision and Management of Licensed Professional Staff
- Responsible for all human resources functions for the medical provider team including recruitment, hiring, performance evaluations, corrective action, professional development, training, and termination.
- Participate actively in the recruitment, selection, and credentialing of licensed professional staff.
- Review, verify, and make decisions (i.e., approve, deny, modify) around the professional credentials, references, claims history, fitness, professional review organization findings, and license status of the health center’s physicians and other licensed or certified health care practitioners.
- Chair the Medical Staff Committee who has the responsible for recommending licensed practitioners’ credentialing files to the Board for review and approval.
- Supervises all licensed medical provider staff members (medical doctors and nurse practitioners) in patient care and clinical performance.
- Conduct annual evaluations of each licensed medical provider’s performance; analyzes and recommends any needed areas of improvement/development. Set goals and monitor and document progress toward those goals.
- Oversee or delegate clinical assignments, rotations, call and leave.
- Set provider panels and key performance indicators, regularly works with providers and care teams to meet goals, reviews data for indicators, communicates and shares feedback to providers on panels and key performance indicators.
- Holds providers accountable to goals and key performance indicators and takes appropriate action when needed.
- Ensure that all provider personnel have adequate opportunities to participate in continuing professional education programs.
- Lead licensed professional staff meetings monthly or as needed.
- Act as the senior clinical authority and resource and provide medical direction for laboratory, pharmacy, and other ancillary services and staff.
Medical Services Oversight and Leadership
- Oversees medical services at all clinical and community sites as dictated, or services provided in the community.
- Acts at Laboratory Director and Pharmacy Director to meet federal, state, and local requirements. Works in close collaboration with the Director of Clinical Services, Chief Operating Officer, and Chief Health Officer to ensure laboratory and pharmacy services are operating in compliance with applicable requirements.
- Ensures laboratory and pharmacy policies, protocols and procedures are accurate for reference and training to all clinical staff
- Works collaboratively with the Chief Health Officer to oversee all contracts that support La Clinica’s medical services including specialty arrangements, external partnerships with partner agencies and with schools for residents and students.
- Develops and monitors the operational budgets for the Medical Services program area.
- Assists in the development of grant-specific budgets, as assigned, and develops and manages spending plans, accordingly.
- Develops and implements clinical standards of care for all medical services including adult, pediatric, prenatal and post-partum, chronic disease management, immunizations, voluntary family planning, HIV treatment and care, and psychiatry.
- Oversees and approves the medical provider schedules of La Clinica’s clinical sites, including the on-call schedule for 24/7 primary care coverage.
- Establishes, implements, and improves policies, protocols and procedures that support high-quality, effective and efficient primary care including provider capacity for patient access, schedule utilization and continuity of care in accordance with PCMH standards, HRSA regulations, federal, state and local grants guidelines, and in alignment with La Clinica’s model of care.
- Oversees the management of patient complaints regarding providers including tracking data, preventing recurrences, and conflict resolution.
- Oversees the collection, tracking, and analyzing of data related to provider led care teams productivity and quality metrics.
- In close collaboration with the Director of Clinical Services, Director of Nursing, Quality and Population Health, Director of Mental Health and Substance Use, and Director of Community Health Action, develops and oversees the implementation of standard operating procedures for clinical workflows, including clinical practice guidelines, referral and diagnostic imaging management, patient walk-ins and phone calls, continuity of care, integration of behavioral health, and psychiatry.
- Works closely with the CHO and Director of Clinical Services, or designee, to establish primary care provider panel size based on practice supply and demand, and establishes guidelines and protocols for ongoing panel management.
- Collaborates with CFO and Compliance Officer to maintain LCDP’s participation in the 340b program and conduct administrative functions related to enrollment and reconciliation
Patient Care
- Provide direct patient care services at a minimum of 4 to 8 hours per week in order to maintain clinical skills and contact with the clinical services Department staff and programs.
- Provides primary medical care for a dedicated panel of patients, including diagnosis and treatment of acute and chronic illness according to evidence-based standards.
- Obtains clinical histories, conducts appropriate physical examinations and assessments, orders diagnostic testing and formulates treatment plans.
- Conducts routine health examinations and evaluations and makes recommendations for preventive health maintenance and screening tests as appropriate.
- Documents appropriate clinical information in the electronic health record in a timely manner, completing documentation and billing for clinical encounters within 48 hours.
- Reviews documents including outside records and consultant reports and summarizes information in the medical record.
- Determines need for additional services including but not limited nursing, social services, health education, and referral for specialty care.
- Participates in regular multidisciplinary clinical team meetings and assists in the coordination of care in a team-based setting.
- Orders and is responsible for the dispensing and administration of certain medications on-site.
- Delivers emergency care during clinic hours and is available to La Clínica del Pueblo patients for urgent clinical advice after hours, on a rotating basis.
- Refers patients to hospitals for emergency care and admission when needed, and communicates with hospital staff as appropriate.
- Serve as Super User of EMR.
Training
- Acts a senior clinical resource to all providers
- Provides oversight to provider training including:
- Determination of provider annual training plan
- Approval of provider training curriculum
- Work with precepting providers for appropriate schedule for new providers
- Approve precepting provider training plans for onboarding and ongoing training.
- Act as a resource to clinical training for nursing and patient care coordinator curriculum
- Ensures laboratory and pharmacy policies, protocols and procedures are accurate for reference and training to all clinical staff
- Work with the Chief Health Officer to determine and set standards for schedule changes due to training needs.
- Inform, and work collaboratively with, the Director of Clinical Services on the impact to the provider schedule due to training (absences due to CEUs, ramp up schedule for new providers, reduced schedule for precepting providers)
- Participates in continuing education and in-service programs including conferences relating to patient care and bring best practices to the medical services at La Clinica.
Clinical Risk Management/Quality Assurance/Quality Improvement
- Actively collaborates with the CHO to determine the annual clinical risk management plan. Holds medical providers accountable for annual trainings.
- Responsible for yearly internal audits and chart review to assess competency and fitness for duty of all providers including oversight of the peer review process.
- Informs the annual quality plan through review of quality metrics and key performance indicators.
- In collaboration with the Quality Team, participates in, and serves as a lead as appropriate, for quality improvement program and activities to enhance patient and staff experience, cost, and quality of care
- Ensures active participation of all providers in meeting quality assurance and quality improvement metrics.
- Acts as a resource and champion for quality assurance and quality improvement.
- Assists with the development of plans and policies for organization-wide emergency preparedness and disaster recovery as it relates to clinical practice.
Employee Health
- Review employee health files for accuracy and compliance with policy and standards. Assist human resources by providing medical orders, and interpreting results, for requisite employee health needs to ensure LCDP compliance with OSHA and similar guidelines.
Environment of Care
- Brings environment of care issues to the health center manager for resolution
- Assists with efforts to design and re-design clinical spaces within the sites to support patient flow, support provider teams, and improve efficiency of clinical operations.
Information Systems
- Participates in the governance of the use and configuration of the EHR (Electronic Health Records) and related platforms, making recommendations for modifications to improve overall functionality and efficiency
- Serves as the subject matter expert, or assigns a designated provider as SME, for the Electronic Health Record system for provider templates, documentation and data gathering.
- Actively utilizes, and leads the provider team in utilizing the population health platform to support provider care team productivity and team collaboration for patient care
Leadership and Communication
- Leads site and department-wide communications about services and activities
- Works with community partners and government officials in collaboration with other LCDP leadership team members to ensure growth and success.
- Contributes to short and long-term organizational planning and strategy as a member of the leadership team
- Represents LCDP in communications with vendors, partners organizations, and other groups by attending conferences or meetings
- Performs other duties as assigned
Physical Requirements:
- Prolonged periods of standing and working on a computer
- Must be able to lift 45 pounds at times
Benefits:
- 403B
- Health insurance
- Dental Insurance
- Vision Insurance
- Life Insurance
- Transportation Benefits
- Tuition Reimbursement
- Paid Vacation Time
- Employee Assistance Program
- FSA and DCFSA
- Participate in NHS/National Health Service Corps loan forgiveness program
Equal Opportunity Employer. We affirm all identities at La Clínica and expect all employees to welcome and work with colleagues and clients, regardless of sexual orientation, gender identity, race/ ethnicity, country of origin, language, other ability, age, religion, or other identity.
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