Medical Director

Job Summary

The Medical Director provides general medical direction and supervision of the medical aspects of care for participants. The Medical Director is responsible for the delivery and oversight of participant care, clinical outcomes, implementation and oversight of the quality assessment and performance improvement program, development and maintenance of medical policies and procedures/standards and protocols. The Medical Director will provide direction and supervision to primary care physicians, nurse practitioners, nursing staff and allied health services and leadership of the program among staff, colleagues and providers in the community.

Essential Duties and Responsibilities

• Responsible for delivery of care and clinical outcomes.
• Provides medical guidance and supervision of medical services activities.
• Provides leadership and medical expertise in the development of medical policies, procedures and guidelines.
• Responsible for the development of PACE clinical standards and medical practice guidelines and protocols.
• Provides oversight of the QI Plan.
• Reviews all quality of care issues and oversees the development and implementation of quality of care corrective action plans.
• Participates in the oversight, training and education of the interdisciplinary team.
• Captions the performance appraisal of the Primary Care Physician.
• Develops educational and other programs to build the skills of participating providers.
• In conjunction with Contract Manager manages all communication with the provider network.
• Represents PACE to external agencies, professional groups and regulatory agencies and organizations as required.
• Demonstrates necessary skills and knowledge as outlined in position-specific competency requirements.

Requirements

• M.D. or DO with current state of license.
• DEA registration and the ability to obtain and maintain staff privileges at PACE contracted agencies.
• Board certified in Internal Medicine or Family Practice with advanced certification in geriatrics preferred.
• Must have experience working in a managed care environment and working with peers and other health providers to resolve utilization, quality management, performance improvement, pharmacy and therapeutics, peer review, credentialing, and physician leadership issues.
• Minimum 3 years of experience in a lead administrative role.
• 1 year of experience working with a frail or elderly population preferred.
• If this is not present, training on working with a frail or elderly population will be provided upon hiring.
• Must have reliable transportation, a valid driver's license, and the minimum state required liability auto insurance.
• Be medically cleared for communicable diseases and have all immunizations up to date before engaging in direct participant contact.
• Pass a comprehensive criminal background check that may include, but is not limited to, federal and state Medicare/Medicaid exclusion lists, criminal history, education verification, license verification, reference check, and drug screen.

Skills and Abilities

• Excellent verbal, written and public speaking skills.
• Knowledge of physical, mental and social needs of frail older adults.
• Effective skills in physical assessment and chronic disease management for frail older adults.
• Able to work within the interdisciplinary team setting.
• Able to utilize basic computer skills in the workplace.
• Strong organizational skills.
• Demonstrates necessary skills and knowledge as outlined in position-specific competency requirements.
• Dependable, flexible and resourceful.
• Able to work effectively and in a collegial manner will all members of the management and medical staff.
• Able to work sensitively and effectively with individuals of diverse ethnic and cultural backgrounds.