Senior Medical Director - Spectrum Health Services, Inc

Job Summary:

The Senior Clinical Director under the direction of the Chief Medical Officer and in collaboration with the Chief Operating Officer is responsible for directing the operations, programs, and activities in the clinical area, and is also responsible for planning, and coordinating patient care activities to maintain standards of patient care and advise medical staff in matters related to clinical services.

The position also leads the care delivery team in providing integrated care utilizing a multidisciplinary approach to care for existing patients, transition of care patients, high risk patients, and patients that are out of care. This requires working closely with the Director of Integrated Services, Case Managers, Clinicians, and other members of the complex care team.

The role supports the provision of the day-to-day supervision of clinical staff. Defines and maintains facility standards in nursing care and practice in accordance with all regulatory requirements and accreditation standards. The Senior Clinical Director is responsible for building and maintaining a clinic culture focused on the mission and vision of SHS including the Patient Centered Medical Home (PCMH) care delivery model, like the facilitation of daily team huddles and bi-weekly team meetings.

The Senior Clinical Director also acts in leadership capacity to coordinate patient flow to assist with meeting the success of SHS strategic objectives and mission as they relate to patient access and satisfaction, providing quality care, and the optimal use of SHS processes, staff, and resources.

The Senior Clinical Director, working closely with the CMO and COO, is responsible for developing and facilitating the quality assurance, risk management, regulatory compliance, and operational performance improvement activities for all clinical services. Specifically, the efficient use of EMR, meaningful use and other clinical outcome measures, PCMH

requirements, and other clinical quality related activities. The position also supports the office of the CMO in leading audits and peer review processes, in addition to providing support in the gathering and interpretation of relevant clinical data.

Maintains effective, collaborative working relationships with the VP, Compliance, Privacy and Information Security.

Keyword: Senior Clinical Director
Required Experience:

Essential Functions:

• Function as a Clinical Provider a minimum of 2 sessions per week and as needed to facilitate access to care.
• Directs the day-to-day operations of clinical services division.
• 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.
• Manages all vendor relations, training, and in-services
• Manages all student externships and internships- with support from Human Resources
• Immediately investigates patient complaints and incident
• Ensures that 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.
• Selects, interviews and hires applicants for open positions related to clinical services and coordinates job-specific training for new hires.
• Performs annual employee evaluations and competency assessments.
• Attends required meetings and participates on committees as directed.
• Other duties as requested by Chief Executive Officer and Chief Medical Office

Supervisory Responsibilities:

• Nurse Practitioners
• Case Managers
• Community Health Worker

Qualifications/Experience

• Board Certified Licensed MD, DO
• Nurse Practitioner
• Three years minimum managerial experience
• FQHC experience preferred

From: Spectrum Health Services, Inc