REGIONAL MEDICAL DIRECTOR

JOB PURPOSE:

Under the direction of the Chief Medical Officer, the Regional Medical Director is responsible for the professional, organizational, and administrative aspects of providing quality medical care to CLHC/Day Treatment Center patients.

JOB RESPONSIBILITIES:

Medical Practice Oversight:

• Serve as the Regional Medical Director for the assigned Diagnostic and Treatment Centers (DTC).

• Direct the medical care and treatment patients and have primary medical responsibility in overseeing and supporting the care rendered by other members of the interdisciplinary care team.

• Develops and supervises the provision of ambulatory medical services.

• Be available for the interdisciplinary team and site directors when needs arise.

• Participates in multidisciplinary team activities, which may include case conferences, hospitalization reports, family and team meetings.

• Provide oversight on the medical practice by promoting a balanced approach between evidence-based medicine and the participant baseline conditions and values.

Provider Operations:

• Be process driven and focus on standardization and scalability.

• Ensure appropriate staffing and providers coverage for all sites needs. 

• Share insight and participate in annual performance appraisal activities.

• Lead educational and professional development activities.

• Support the process of recruiting, hiring and onboarding new providers.

• Supervise the call schedule development and ensure adequate providers staffing across all sites.

• Annually reviews policies and procedures.

• Develops policies and procedures governing patient care in accordance with generally accepted standards of professional practice.

• Serve on committees as deemed necessary by the CMO.

Outcomes Management:

• Have a good understanding of population health and managed care principles.

• Identifies opportunities and develops programs to improve quality of care.

• Supervises the sites Quality Assurance Performance Improvement (QAPI) program.

• Provides oversight on providers performance as it relates to quality, cost and utilization.

• Be patient centric and ensure sensitivity to the consumer/ participant needs and experience in any product development or program roll out.

Clinical Coverage and Collaboration:

• Provide episodic care and care planning clinical coverage when needs arise. 

• Participate in multidisciplinary team activities, which may include case conferences, hospitalization reports and family and team meetings when needed.

• Build positive alliances with the interdisciplinary team members and leadership.

• Serve as liaison with other medical organizations and community practices as necessary.

• Help identify opportunities and develop programs and projects as directed by CMO to improve care.

• Only act within the scope of the individual’s authority to practice.

• Meet a standardized set of competencies for the specific position description established by the PACE organization before working independently.

Managed Care and Clinical Design:

• Understand utilization management and support the organization’s clinical review activities.

• Support the needs for the appeals and grievances process.

• Conduct charts review as necessary and peer to peer with clients to validate medical necessity.

• Be data driven and savvy with data analytics including population segmentation and developing targeted interventions.

• Participate in developing the different elements of the clinical model particularly for the high risk/high need members.

• Be the leader for interdisciplinary implementation.

• Able to apply the principles of quality improvement including PDSA and change management.

• Participate in registries management and conduct peer review activities to uphold the best standards for quality, safety and cost and use reduction.

Schedule: 8:00AM – 5:00PM

Weekly Hours: 40

QUALIFICATIONS:

Education:

• Graduate of an accredited school of medicine

• Board Certification in Internal Medicine or Family Practice.

• Board Certification or experience in Geriatric Medicine preferred.

• Residency in Internal Medicine, Family Practice, or fellowship or experience in Geriatrics.

Experience:

• Minimum of (3) years of s