Site Medical Director - Advanced Practice Clinician

At Virginia Garcia Memorial Health Center, we honor all members of our community and acknowledge the dignity of each person we serve. Our purpose is to provide high quality, comprehensive primary health care to the communities of Washington and Yamhill counties with a special emphasis on migrant and seasonal farm workers and a view to removing barriers to health care. We strive to provide an environment that welcomes and values the people we employ and serve.

If you are unsure whether you meet all the required qualifications for this role but are interested and passionate about this potential position, we encourage you to apply.

Job Summary: The Site Medical Director (SMD) provides clinical leadership at their site. The SMD will be responsible for the direct supervision of the provider staff including coaching and performance management of clinicians assigned to their site. The SMD will participate as a member of the site leadership team, assist with recruitment of providers and other medical staff for the site, and assist in leading quality improvement activities. [AH1.1]The SMD provides primary and obstetrical patient care in accordance with their[AH2.1] level of training, experience and licensure. The SMD will function as an informational resource to VGMHC patients, professional colleagues, the Center, students and the community.

Essential Duties and Responsibilities

• Provide direct supervision of providers at the respective site.
• Provide clinical leadership and mentoring of clinicians at the site in the practice of evidence-based, timely, effective, efficient, and equitable medical care and:

o Provide clinical input on care and management of individual patients as may be needed by colleagues and co-workers.

o Review cases for CSOC (Controlled Substances Oversight Committee).

o Review unexpected outcomes, including deaths, as part of peer review and QI.

• Participate as a member of the site Leadership Team to:

o Solve clinic problems (schedules, coverage, etc.).

o Resolve personnel issues.

o Implement improvement and other projects at the clinic level.

o Perform responsibilities delegated by senior leadership.

o Implement plans to meet operational, financial, and patient care quality goals, including monitoring of progress toward quality metrics.

o Attend the local and administrative meetings as needed and determined by the Medical Director and site leadership.

o Provide clinical input to assist in solving patient issues related to quality of care, behavioral issues, etc.

• Attend Administrative/Quality Improvement Meetings.
• Organize the site’s provider meetings, including minutes, and assist with organizing Staff and Team meetings, and manage the follow-up from the meetings.
• Assist in coordination of provider scheduling, including working with other site leaders to approve vacation and other time off requests, and ensure timecards are approved and time management of providers is monitored.
• Act as liaison, in cooperation with Medical Director of Provider Affairs and the Medical Director, between the Center and other groups in the community, regarding clinical issues and access.
• Acts as clinical liaison to other departments or programs within VG, such as Dental, School-Based Health Centers and the Migrant camp program.
• Address day-to-day concerns of providers, support staff and management team that may arise.
• Ensure that procedures are in place to maximize the flow of information through the clinic to increase patient safety and provider continuity.
• Assist in implementation of plans to meet the objectives of the organization as guided by local, state, and federal stakeholders including health plans and funders.
• Ensure that training needs identified are met for provider and support staff.
• Provide performance reviews and feedback to provider staff annually.
• Have regular 1:1 meetings with direct reports, usually quarterly, but more often when needed.
• Work with other site leadership to recruit provider and other medical staff for site as appropriate, scheduling time for interviews with providers, lunches, etc.
• Orient new providers to the site and hold check-ins with them regularly.
• Act as a representative of site’s medical staff with leadership team, assuring good communication and acting as a liaison between other site leadership teams and senior leadership. [AH3.1]
• May be required to temporarily assume responsibilities of the Medical Director of Provider Affairs or the Chief Medical Officer in their absence. [AH4.1]
• Provide direct patient care in accordance with training, experience and licensure. Scope of practice including hospital and OB care will be dependent upon specialty and training of provider and needs of site.
• Provide comprehensive and culturally competent health care of the highest quality.
• Provide case management for patients as needed, e.g. people with diabetes, pregnant people and others with serious health problems, working collaboratively with support staff[AH5.1]
• Meet patient care productivity standards to assure adequate access to clinical services.
• Provide timely (as defined in VG documentation standards) documentation in the medical record of care provided to patient, including education, medications, referrals, diagnostic testing and follow-up.
• Provide supervision and education of students and residents in the health care professions.
• May assist in organizing and participating in special clinics, such as the farmworker outreach program.
• May be required to provide services at VG locations other than primary site.
• Perform other duties as assigned.
• Handle protected health information (PHI) in a manner consistent with the Health Insurance Portability and Accountability Act of 1996 of (HIPAA).

HIPAA Requirements:

The Site Medical Director will have access to PHI in the course of carrying out their duties. The Site Medical Director uses the PHI for treatment purposes and quality assurance operations. Applying the minimum necessary standard of HIPAA, the designated record set to which this employee will have access include: the demographic and scheduling information in the practice management system, and the full medical record.

Knowledge, Skills and Abilities required

• Detail oriented.
• Knowledgeable, or willing to learn, about continuous quality improvement.
• Strong commitment to working with patients and staff from a wide range of ethnic, economic, cultural and social backgrounds.
• Bilingual English/Spanish with ability to pass State proficiency exam to provide medical care in Spanish preferred. Refresher courses may be provided to assist with preparation for the proficiency exam.

Education and Experience Required

• Current active, board certification in Pediatrics, Internal Medicine, or Family Medicine. [AH6.1][LB6.2]
• Licensed to practice medicine in Oregon with current DEA registration.
• At least 3 years prior clinical experience required with 1 year supervision experience in community medicine as a provider preferred.
• Current staff privileges at Hillsboro Medical Center (may be Courtesy) as needed for clinical work depending on scope of practice. (Reproductive Medicine only.)

As a condition of employment for a medical or dental provider at VGMHC, these employees agree to provide services to non-health center patients under the following circumstances:

• Community-Wide special clinics at VGMHC School-based clinics and other school linked clinics
• Health Fairs
• Immunization campaigns
• Migrant camp outreach
• Homeless outreach
• Hospital related activities- for providers with hospital privileges, cross-coverage for patients of the community in the hospital is expected
• Coverage in certain individual emergencies- community members may experience a medical emergency in or around one of our health centers. VGMHC medical providers are expected to respond medically appropriately to these emergencies.

Physical Requirements

Percentage of time spent:

a. Standing: 20%

b. Walking: 25%

c. Sitting: 50%

d. Lifting/Carrying: up to 5% - frequently 5-20 lbs; infrequent 20-50 lbs

e. Physically demanding tasks: May be asked to assist patient onto or off of exam table, etc.

f. Stooping, Bending, Reaching: occasional

Working Environment/Physical Hazards

• Work in well-lighted, ventilated environment.
• Exposure to blood borne pathogens and potentially hazardous chemicals.

Equipment used

• Office equipment
• Computer: Data entry and word processing
• Telephone, fax, copier, scanner, printer
• Medical equipment
• Stethoscope, ophthalmoscope, otoscope, doppler
• Surgical/Procedural instruments
• Routing medical equipment
• Fetal monitor
• EKG
• Pulse oximeter
• Nebulizer
• 02 tank
• LEEP equipment
• Colposcope

Immunization:

Staff members must meet immunization requirements as stated in VGMHC’s immunization policy and state and federal guidelines.

Job descriptions represent a general outline of the essential and major job duties, functions and qualifications required. They cannot be all-inclusive and comprehensive due to the dynamic nature of work performed to accomplish VGMHC’s Mission.

VGMHC is an Equal Opportunity Employer. No person is unlawfully excluded from consideration for employment because of race, color, religious creed, national origin, ancestry, sex, age, veteran status, marital status, or physical challenges. The policy applies not only to recruitment and hiring practices, but also includes fairness in placement, promotion, transfer, rate of pay, and termination.