Job Description
Job Description
Job Purpose
The Site Medical Director-PACE has overall responsibility for the clinical patient care at PACE site(s) he/she is delegated to oversee. He/she addresses clinical, programmatic, medical, and administrative issues at the site in collaboration with the Clinic Administrator and Nurse Administrator. The Site Medical Director-PACE or designed actively participates in the Interdisciplinary Team and directs the medical care decisions.
Duties and Responsibilities
- Perform comprehensive assessments for participants and coordinate with the IDT to develop a comprehensive care plan for each participant.
- Recruit, train and manage PACE Physicians, Nurse Practitioners, Community-based Physicians and other contracted medical staff.
- Monitor and lead clinic operations to assure integration of medical services with other participant care services.
- Supervise all medical services offered by PACE and provides primary care at the PACE site.
- Assists in managing and monitoring the cost of hospitalization, specialties and ancillary services and identifies, implements and measures areas for improvement.
- Collaborate with PACE pharmacists to oversee and monitor clinic medications, dispensary mediations, and individual patient prescribed and stored medication onsite.
- Review all PACE site Incident Reports to monitor for quality care issues, process improvement opportunities and site training needs.
- Lead UM/QM committees to monitor quality of care, patient experience and appropriate resource use to indicators and assists in the identification and implementation of appropriate interventions.
- Ensure all committees are effectively accomplished goals established in the QM/UM Program, and all activities are clearly documented with minutes and/or reports.
- Collaborate with Quality and Process Improvement to ensure CSC PACE is strictly adhere to DHCS and CMS guidelines.
- Develop, implement, and monitor clinical guidelines that are appropriate for the assigned population.
- Review outcome and utilization data, including adverse events, hospitalizations, and use of specialist, in collaboration with the IDT to identify opportunities for improve care and operations.
- Participate in rotating night and weekend calls.
- Assist in development and implementation of the Corrective Action Plans for annual reviews.
- Performs related duties as assigned.
Qualifications
Education:
- Valid M.D. or D.O. license, in good standing, to practice medicine in the state of California.
- Graduate of an accredited School of Medicine
- Must be currently enrolled or eligible for enrollment to provide services to Medicare and Medi-Cal participants.
- Board Certified Geriatrician strongly preferred.
- Knowledge of geriatric medicine and special needs of complex geriatric patients
Experience:
- Prior experience in a leadership or management role is strongly preferred.
- Prior experience with Electronic Medical Record (EMR)
- Experience and expertise in the prevention, diagnosis, and treatment of the illnesses and social problems of the assigned population.
- Experience and leadership skills in managing medical resources, monitoring the cost-effectiveness and quality of services for participants
- Experience and leadership in enhancing the patient experience.
- Well versed in industry and professional standards of healthcare, utilization management, quality improvement and other medical management functions
Skills and Knowledge:
- Knowledge of physical, mental and social needs of frail older adults.
- The ability to work as a team member and participate in the assessment and evaluation process of potential and existing participants
- The ability to multitask and deal with patient care issues in a fast-paced environment.
- Effective skills in physical assessment and chronic disease management for frail older adults.
- Effective listening and oral and written communication skills.
- Demonstrated ability to work effectively within the interdisciplinary team setting.
- Computer proficiency.
- Able to manage changing priorities per participant needs.
- Strong organizational skills.
- Demonstrates necessary skills and knowledge as outlined in the position-specific Competency Assessment Profile.
Other:
- Must be able to work required schedule.
- Requires physical strength to perform essential functions of the job.
- Occasional travel between sites, nursing/group homes and to members’ homes required.
- Requires use of personal vehicle.
- Requires valid driver’s license.
- May require use of personal cell phone for business purposes (may be eligible for stipend)
Physical Demands
- Must be able to remain in a stationary position 50% of the time.
- Ability to occasionally move about inside the office to access file cabinets, office machinery, etc.
- Able to operate a computer and other office productivity machinery, such as a calculator, copy machine, and computer printer.
- Able to constantly position yourself to maintain files in file cabinets such as reaching with hands and arms, kneeling, crouching, etc.
The ability to communicate, detect, converse with, discern, convey, express oneself, and exchange information is crucial for this role.