Medical Director - Community Health Net

Medical Department Mission Statement: To improve the quality of life in our region by providing exceptional medical care to Community Health Net patients.

Medical Director Position Mission Statement: To improve the quality of life in our region by being an effective leader of the Community Health Net clinicians to ensure high quality and productive medical care is being provided to Community Health Net patients.

Summary

The Medical Director serves as the senior clinical advisor to Community Health Net management. This position represents the interests of the practicing clinicians to Administration and the Board of Directors. Simultaneously, the Medical Director serves to define and explain corporate goals and directives to the medical staff. The Medical Director must also be involved in efforts to ensure that all clinicians comply with all regulatory and legal requirements. Must also direct efforts at maintaining and improving the quality of care provided to Community Health Net patient populations.

Duties and Responsibilities

Administrative

• Lead responsibility in all clinical medical services.

• Functions as medical advocate for the Chief Executive Officer to ensure smooth operation of the primary care facility.

• Supervises review and auditing of medical records and peer review.

• Monitor provider compliance.

• Plans and holds meetings with Provider and clinical staff, to assume lead responsibility in the generation and institution of operational medical policies and protocols.

• Expands the Community Health Net utilization review capabilities, by working with the quality initiatives of the organization, chart audit committee, fiscal department, and other Community Health Net groups.

• Provides medical oversight of clinical programs, such as the Diabetes Collaborative.

• Works cooperatively with the Finance Department on relevant fiscal issues to ensure and track medical clinic productivity measures.

• Assumes lead role in Provider training on chart documentation and patient visit auditing, to maximize the accuracy of the notes, increase generation of revenue, and meet Quality Improvement and Corporate Compliance standards. This will be accomplished with the support appropriate Community Health Net personnel and Board of Directors directed committees.

• Generates the on-call and rounding schedule for the primary care practice.

• Coordinate Provider template to include vacation, sick and continuing medical education hours. Ensuring proper Provider coverage to meet organizational patient satisfaction and productivity requirements.

Medical Services

• Works to improve productivity of medical providers by developing and implementing policies and protocols that promote a professional and efficient clinical practice.

• Coordinate training and continuing medical education, for medical staff, on a variety of medical specialties.

• Develops, reviews, and updates medical clinical protocols and policies for Community Health Net.

Staff Supervision

• Completes the required performance appraisals for medical providers.

• Communicates all pertinent organizational information to Provider staff.

• Develops staff education and training programs for medical provider staff.

• Leads in the development of structured patient education programs.

Requirements/Qualifications

Graduation from an accredited medical school and a current license to practice medicine in the Commonwealth of Pennsylvania is required. Board certification is required. Minimum five (5) years' experience as practicing physician required. Minimum of 3 years administrative experience in a clinical healthcare related field. Meets and maintains credentialing and privileging criteria as outlined in the credentialing and privileging policy.