Medical Services Director - Corrections Department

Salary Negotiable Open Until Filled

The Medical Director will assume direct responsibility for the medical performance of all Medical Staff of the Escambia County Corrections Department. The Medical Services Director is responsible for providing pre-hospital care to Escambia County residents and individuals who are incarcerated in the Escambia County Jail. The Medical Director performs all duties which include advising, consulting, training, counseling, providing direct medical care and overseeing clinical providers and medical services, and appropriate quality assurance, including administrative and managerial functions. The Medical Services Director performs duties in diagnostic and treatment procedures. This position ensures that the Escambia County Corrections Department responds to all healthcare needs of the incarcerated individuals.

This is a "mandatory-testing" position that requires Drug Testing.

EXAMPLES OF DUTIES

The Medical Director shall meet all State guidelines as a physician and act as the responsible health authority, ensuring the organization and delivery of all Health Care in the facility. A responsible physician is a designated MD or DO who has the final authority at the facility regarding clinical issues. Health Care is the sum of all actions, preventive and therapeutic, taken for the physical and mental well-being of a population. Health Care includes medical, dental, mental health, nutrition and other ancillary services, as well as maintaining clean and safe environmental conditions.

The Medical Director shall perform all future duties when received in writing from the State of Florida or from the Corrections Department through the Escambia County Board of County Commissioners (BOCC).

The Medical Director shall approve, revise, and develop policies, procedures, and protocols, which affect patient care within Escambia County Corrections Department. The Medical Director shall conduct an annual review of all policies, procedures and protocols. The Medical Director shall take into consideration the results of the medical audits, to include current medical literature, accreditation standards and Corrections personnel and other interested persons.

The Medical Director shall be available 24 hours a day, 7 days a week, personally or by using standard protocols or through established procedures. The Medical Director must be available to advise, resolve problems, clarify system conflicts, and provide guidance to the Corrections Department. The Medical Director will be provided a monthly on call schedule prior to the prospective month depicting their on-call status over the next 30 days. Changes to the schedule shall be provided with as much notice as possible.

The Medical Director will attend the required MAC/CQI meeting on a quarterly basis. The Medical Director will conduct routine audits to review Jail Medicals performance. This shall include, but not be limited to, chart audits, direct observations, system protocols, and procedures review.

The Medical Director shall register with the U.S. Department of Justice, Drug Enforcement Administration, as the Escambia County Corrections Medical Services Director. This registration will enable the Countys Corrections Department to obtain the medications, fluids, and controlled substances necessary for its treatment protocols at the start of this Agreement.

The Medical Director shall ensure and certify that all controlled substances, medications, and fluids are properly secured in compliance with Chapters 499 and 893 of the Florida Statutes (www.leg.state.fl.us/statutes/) and 64J-1.021 of the Florida Administrative Code (FAC). The Medical Director is also responsible for enforcing adherence to all policies, procedures, and directives related to the security and handling of these substances.

The Medical Director may participate in the recruitment, selection and orientation of medical staff.

The Medical Director will act as a liaison between outside care providers, specialists, and hospitals.

The Medical Director shall complete any continuing education as required to maintain medical licensing.

Performs routine medical exams on patients.

Provides medical treatment and orders studies, tests, and ancillary services to effectively diagnose and treat inmates health condition and provide quality health care services.

Conducts chronic care clinics and establishes individualized treatment plans for inmates requiring ongoing medical and/or pharmaceutical therapy.

Conducts rounds of infirmary patients as required.

Performs History and Physical (H&P) examinations and assist with the patient sick call sessions.

Review and sign off prescribed labs, x-rays, and other diagnostic testing and ensures appropriate follow-up has been made, as indicated.

Refers to outside services as necessary.

The Medical Director shall perform all assigned duties as Medical Director for Escambia County Corrections Department by abiding by all rules, regulations, ordinances, policies and procedures as required by the Escambia County Board of County Commissioners or any authorized Personnel System.

The Medical Director will work in conjunction with the Health Services Administrator and Chief of Corrections related to any disciplinary action against an employee on patient care issues.

Evaluates all existing medical programs and assesses the health care needs of the inmate population, making recommendations regarding medical programs or services.

Directs, coordinates and supervises clinical services; reviews and approves treatment protocols, clinical policies and procedures; provides training for the clinical staff.

Upholds the Escambia County Board of County Commissioners policies and procedures, addressing staff concerns accordingly for resolution.

Monitors compliance with state and Department of Health regulations and with the National Commission on Correctional Health Care (NCCHC) nursing and medical practices, policies, procedures and guidelines with the goal of deficiency-free surveys.

Assists with the hiring, training, coaching, timely performance evaluations, scheduling and administration of discipline, including termination.

Serves as a resource to clinical staff for clinical and job-related questions and concerns.

Responds to Jail Health emergencies as required and provides guidance to participating corrections and health staff.

Assures compliance with HIPAA and maintains employee and inmate confidentiality.

Assures compliance with the Florida Model Jail Standards (FMJS) and the National Commission on Correctional Health Care (NCCHC), including maintaining certification as a Certified Correctional Health Professional (CCHP).

Performs other duties of as assigned or required.

TYPICAL QUALIFICATIONS

Minimum Qualification Requirements:

Training and Experience:

• Medical degree required and a minimum of three (3) year experience in an institutional healthcare setting.
• Experience in a correctional health care setting and/or mental health is preferred.
• Doctor of Medicine or Osteopathic Medicine Degree.
• Board-certified in family practice or internal medicine.
• Unrestricted current medical license, certification or registration in state of Florida - must maintain all certifications, educational requirements, licensing, etc.
• Current, unrestricted Drug Enforcement Administration (DEA) registration.

Licensing Requirements:

• Current Florida Medical license (Shall be from a broad-based medical specialty with demonstrated experience in pre-hospital care. The Medical Director shall remain board certified and eligible in one of the following specialties: Emergency Medicine by the American Board of Emergency Medicine, Internal Medicine by the American Board of Internal Medicine, Family Practice by the American Board of Family Practice, or Surgery by the American Board of Surgery and be licensed to practice medicine in the State of Florida.)
• Valid drivers license as issued by state of residency.
• Current CPR certification required.
• Current ACLS instructor certification.
• Certified Correctional Health Professional (CCHP) certification is desired.
• Certified Drug Enforcement Administration (DEA) certification is desired.
• Pass a required Criminal Records Background Check upon hire.
• Obtain security clearance through Corrections Department upon hire.

Knowledge, Skills, and Abilities, and Other Characteristics (KSAOS):

• Computer literate with proficiency in MS Office Suite, especially Word, Outlook and Excel.
• Excellent verbal and written communication skills; professional and effective interpersonal communication skills.
• Legislation, regulation, and mandated policies and procedures related to Jail Health.
• National Commission on Correctional Health Care (NCCHC) nursing and medical practices, policies, procedures, as well as legal regulations and guidelines.
• Florida Model Jail Standards (FMJS).
• Plan, organize, prioritize, and coordinate work assignments and projects.
• Supervise, direct, motivate, and train others.
• Model a positive and empowered problem-solving approach.
• Promote a climate of respect, open communication, and trust among health and corrections staff.
• Work independently, with good judgment and a minimum of supervision.
• Think conceptually about overall program goals and objectives, collaborating to develop strategies for problem-solving and innovation, including the ability to develop program policies and procedures for new service approaches and/or new areas of responsibility.
• Formulate solutions to problems in a timely manner, prioritizing overlapping deadlines.
• Make clear and concise recommendations based upon independent research and analysis.
• Work with efficiency under frequent pressure of deadlines, while maintaining a professional demeanor.
• Work well with people with a range of working styles.
• Understand and be sensitive to the needs and values that are present in working with diverse groups of people.
• Clinical operations and administration in a correctional facility.

SUPPLEMENTAL INFORMATION

County-wide Employee Responsibilities:

• All Escambia County BCC employees must serve the public and fellow employees with honesty and integrity in full accord with the letter and spirit of Escambia County BCCs Employee Code of Ethics, gift, and conflict of interest policies.
• All Escambia County BCC employees must establish and maintain effective working relationships with the general public, co-workers, elected and appointed officials and members of diverse cultural and linguistic backgrounds, regardless of race, color, religion, sex, national origin, age, disability, marital status, political affiliation, familial status, sexual orientation, pregnancy, or gender identity and expression.

Emergency Management Responsibilities:

• During emergency conditions, the incumbent of this position will automatically be considered an emergency service worker. This employee is subject to being called to work in the event of a disaster, such as a hurricane, or other emergency situations and is expected to perform emergency service duties as assigned.

Physical Requirements:

• Work is performed in an office as well as in a jail clinic environment. Employee must be able to work within confined, locked areas.
• Physical requirements include the ability to sit for up to three (3) hours continuously; frequent stand/walking, bending, squatting and reaching while on concrete floors.
• Positions in this class typically require balancing, reaching, standing, walking, fingering, grasping, talking, hearing, seeing and repetitive motions.
• Light Work: Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or negligible amount of force constantly to move objects. If the use of arm and/or leg controls requires exertion of forces greater than that for Sedentary Work and the worker sits most of the time, the job is rated for Light Work.
• Potential hazards include working with emotionally unstable, non-compliant or aggressive inmates, exposure to contagious diseases, and exposure to repetitive stresses due to prolonged use of computers.

Benefits/Compensation Package:

• Medical / Dental / Vision plans
• Prescription coverage
• Employee health clinic
• Employee fitness centers
• Employer-sponsored retirement plan or an investment plan
• Deferred Compensation Plan
• Flexible Spending Account(s)
• Employee Assistance Program
• Annual/Sick Leave or Paid Time Off (PTO)
• Group Life Insurance