Senior Medical Director

Spectrum Health Services Inc

  • Philadelphia, PA
  • 30+ days ago

    Highlights

    Takes a leadership role in developing and implementing a continuous quality assurance program that focuses on high quality clinical care through the Patient Centered Medical Home (PCMH) care delivery model, patient satisfaction, risk management, compliance, and patient safety. Develops a positive relationship with area medical providers, and other medical or behavioral health service organizations to ensure access to care for Center patients and an effective referral and consulting process.

    Numbers & Facts

    LocationPhiladelphia, PA

    Description

    Essential Functions:

    • Function as a Clinical Provider with a minimum of 6 sessions per week and as needed to facilitate access to care.
    • Shares back-up on-call responsibilities with the CMO.
    • Supervises the Clinical Care Coordinator who provides daily care coordination, consultation and intervention to patients with one or more chronic diseases. Responsible for identifying said population via provider/external health facility referral, utilization management referral, disease registry reporting mechanisms and patient self- referral.
    • Takes a leadership role in developing and implementing a continuous quality assurance program that focuses on high quality clinical care through the Patient Centered Medical Home (PCMH) care delivery model, patient satisfaction, risk management, compliance, and patient safety.
    • Reviews Center performance and effects changes as necessary to improve services, optimize resources, reduce risk, and assure compliance with regulatory requirements.
    • Develops a positive relationship with area medical providers, and other medical or behavioral health service organizations to ensure access to care for Center patients and an effective referral and consulting process.
    • Fosters a culture oriented to achieve the Center's mission to serve the underserved in a primary care setting while maximizing the use of limited resources.
    • Assists with vendor relations, training, and in-services
    • Manages student externships and internships, in collaboration with Human Resources
    • Immediately investigate patient complaints and incidents
    • Reviews and approves provider sick time and paid time off requests
    • Ensures that the policies and procedures of the Center are followed and that the Center is prepared for surveys/inspections.
    • Oversees and ensures clinical policies are appropriate and current. Assist with the oversight of Risk and Compliance related policies and procedures as directed.
    • Develops staff to achieve high quality services with a high level of patient satisfaction and efficiency.
    • Maintains and submits required data for reports, such as for the Unified Data Submission to HRSA and provider productivity report.
    • Participates in the selection, interviewing and onboarding of applicants for open positions related to clinical services and coordinates job-specific training for new hires.
    • Performs quarterly one-on-one meetings with providers and participates in annual evaluations and competency assessments for direct reports.
    • Attends required meetings and participates in committees, as directed by the CMO.
    • Other duties as assigned.

    Supervisory Functions:

    • All Physician Staff (Family Medicine, Internal Medicine and Pediatricians)
    • Indirectly supervises all non-physician provider staff, in coordination with the Clinical Director and Director of Integrated Care

    Qualifications:

    • Family Medicine Board Certified Licensed MD, DO
    • Three years' minimum managerial experience
    • FQHC experience preferred

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