Clinic Medical Director (MD/DO/NP)

POSITION SUMMARY:

This position provides direct patient care and on-site clinical leadership.

CORE JOB RESPONSIBILITIES:

Direct Patient Care

• Provides direct patient care at a minimum of 75%, including preventive care, primary diagnosis and treatment in a primary care clinic setting.
• Examines, diagnoses, and treats acute and chronic medical conditions.
• Develops treatment plans and manages patient health issues in accordance with established clinic protocols.
• Advocates for patients in coordinating the use of the entire health care system to benefit the patient, referring to specialty providers when indicated.
• Provides team POD (“provider of the day”), and after-hours call coverage as required by clinic policies (one week per year).
• Works with clinical team to optimize patient care access.

Standards of Practice

• Uses current evidence-based guidelines in creating diagnostic and treatment plans; utilizing tools such as “Up to Date” or “Choosing Wisely.”
• Provides care which reflects health care cost consciousness and addresses social determinants of health.
• Effectively utilizes team based care model, leveraging expertise of all members of multi-disciplinary team.
• Proactively addresses preventative health issues.
• Acts as patient educator, leveraging tools (e.g. EHR, on-line resources, written materials, MY Chart messages, etc...) to effectively communicate information with patients regarding diagnoses, treatment options, disease prevention, safe health behaviors, self-care skills, and health promotion.

Documentation/Indirect patient care

• Maintains accurate electronic health records of patients and completes documentation in timely manner.
• Reflects critical thinking in documentation
• Reviews incoming results/reports (e.g. lab, x-ray, EKG), paperwork, refills, etc., and addresses them in a timely manner.
• Responds to patient telephone calls and MyChart messages in a timely manner.
• Accurately codes patient charts to ensure correct billing.
• Utilizes EHR tools (e.g. problem based charting, etc.) to enable other clinical team members to effectively care for patients.

Administrative

• Mentors, coaches, and serves as advocate for providers (MD, DO, NP, PA, BHC,).
• Oversees clinical work at site level, supporting site providers in meeting and exceeding agreed upon evidenced based standards of care (provides education, etc…).
• Serves as liaison between providers and clinic leadership.
• Co-facilitates Provider meetings with Clinic Manager.
• Serves as clinical expert/resource for clinic staff.
• Participates in case reviews and consults.
• Serves as site resource for clinical incident reporting, patient safety, etc…
• Serves as resource to Clinic Manager regarding patient issues.
• Participates in the implementation and monitoring of quality improvement initiatives and patient care protocols through evidenced-based programs and processes (participates in QI projects, team huddles, etc…).
• Is supported by and partners with Chief Clinical Integration Officer
• Works with Clinic Manager to translate actionable items from strategic plan at site level.
• Oversees provider staff training and development at designated clinic.
• Partners with Clinic Manager to complete annual evaluations and address corrective action if needed for site providers.
• Partners with CCIO for recommendation of merit increases for providers.
• Participates in the recruitment and retention of clinical provider staff, including recommending providers for hire.
• Approves the acceptance of any site clinical preceptor ships.

SUPPORTING JOB RESPONSIBILITIES:

• Adheres to highest standards of medical practice, ethics, and professionalism at all times.
• Attends and participates in meetings and Quality Improvement activities as required by CMO.
• Complies with all policies, procedures, guidelines, and workflows.
• Performs safe work practices to protect the health and safety of employees and patients per OSHA regulation.
• Protects individually identifiable health information per HIPAA regulations.
• Documents accurately within EMR in a timely fashion per system standards.
• Completes all required compliance training within the established timeline.
• Utilizes the incident reporting system as needed.
• Attends meetings, team huddles and assigned trainings.
• Addresses correspondence in a timely manner, which includes but is not limited to Outlook, EHR encounters, in-basket, etc.
• Utilizes resources to remain informed of organizational communication (i.e. Mosaic Share, organization newsletter, etc.)

COMPETENCIES:

Accountability:  Takes ownership for delivering on commitments; owns mistakes and uses them as opportunities for learning and development; openly discusses his/her actions and their consequences both good and bad; has an ability to identify strengths and developmental opportunities and leverages insight to make adjustments to improve their effectiveness; courage to have the difficult conversation.

Communicating Effectively:  Shares information.  Listens and involves others. Clearly conveys ideas in a manner that engages others and helps them understand and retain the message.

Customer Focus: Builds customer confidence, is committed to increasing customer satisfaction, sets achievable customer expectations, assumes responsibility for solving customer problems, ensures commitments to customers are met, solicits opinions and ideas from customers, responds to internal customers.

Decision Making/Judgment:   Approaches problems and decisions methodically and objectively; involves others as needed; uses sound judgment in making decisions and understanding the impact to themselves, customers, their team, and the organization; conducts the appropriate analysis to identify the symptoms and root cause of issues; makes timely decisions.

Developing Talent:  Values the difference that each employee makes and connects their role to organizational and team success. Provides direction and guidance in team and collaborative settings. Provides timely guidance and feedback to help others strengthen specific knowledge and develop skill areas to accomplish tasks or solve problems.

Leading Change: Challenges the status quo; encourages people to question existing methods, practices, and assumptions; supports people in their efforts to try new things; embraces change; maintains a constant focus on efforts to improve performance, quality and efficiency of work processes.

Managing for Results:  Sets challenging and productive goals for team, keeps team accountable for actions, provides leadership and motivation, provides resources and support, uses checkpoints and data to track progress, sets up systems and processes to measure results.

Results Orientation:  Is focused on outcomes and accomplishments; follows through on commitments; can be counted upon to successfully execute on goals;  motivated by achievement and a need for closure; has an attention to detail and is both efficient and effective in achieving a high level of measureable outcomes;  persists in achieving goals despite obstacles.

Supporting Mosaic Mission:  Actively supports Mosaic’s mission and values; uses individual skills to add value to the mission of improving “improve the health and well-being of the individuals, families and communities”; aligns actions around organizational goals; gives priority to organizational mission and value when making decisions.

QUALIFICATIONS:

Work Experience:  Three years of clinical experience in a primary care setting. Two years in a leadership and/or Medical Director role preferred. Previous administrative experience preferred.

Education, certification and licensure:   Graduate of an accredited medical program, must have completed residency training in primary care specialty. Licensed or eligible for licensure by the Oregon State Board of Medical Examiners. Must be professionally insurable. Possession of or eligibility for DEA certificate. Unrestricted Oregon Driver’s License and comprehensive automobile insurance.

Skills & Knowledge:  Understands and has experience with fiscal accountability and budgeting. Knowledge of quality infrastructure, including how to develop and implement decision tools, clinical protocols and guidelines, care management programs, and outcome measurement assessments. Knowledge of information technology, including statistical analysis, clinical epidemiology, and medical informatics; understanding best practices and how to successfully introduce information technology into clinical practice. Excellent interpersonal and communication skills, with the ability to build consensus with the ability to engage clinicians and staff. Knowledge of medical coding, both ICD-10 and CPT.