OUTPATIENT MEDICAL DIRECTOR

Position Summary:

The position is located in the Medical Staff Department at Sage Memorial Hospital (SMH). The incumbent is a licensed practitioner and serves as the Medical Director for the Outpatient Department. This incumbent has full responsibility for planning, developing, organizing, integrating, and evaluating the facility's outpatient services, serving more than 15,000 active users. The incumbent will also serve as the supervising provider for the Patient Centered Medical Home (PCMH) program and will provide direct supervision to all medical staff assigned to the Outpatient Department, including both professional and non\-professional personnel. The incumbent is responsible for fulfilling both clinical and administrative duties as required.

This position is anticipated to consist of 50% Clinical and 50% Administrative responsibilities.

This list of duties and responsibilities is illustrative only of the tasks performed by this position and is not all\-inclusive.

Essential Duties \& Responsibilities:

Outpatient Department Administration

• Comply with Medical Staff Bylaws, Rules, and Regulations.
• Evaluates, develops, and implements improvements in the outpatient department for SMH. Reports to the Chief Medical Officer (CMO) as needed, on outpatient department issues such as policy, procedures, equipment, staffing, performance improvement projects as well as coordination of care within the Patient Centered Medical Home (PCMH).
• Provides guidance to and acts as medical liaison to the Outpatient Nursing Supervisor as well as other departments within SMH as needed.
• Participates fully in medical staff program review, peer review, quality assurance, performance improvement, and committee meetings.
• Organizes, consults on, evaluates, and/or plans outpatient department programs and reports to the CMO on a monthly basis.
• Directly supervises primary care physicians, nurse practitioners, physician assistants, medical assistants, and students who are assigned to the Outpatient Department.
• The incumbent is responsible and accountable for the Outpatient Department medical programs within the SMH, which require:

+ Accountability\- assures that high\-quality and effective preventative, acute, chronic, and specialty care are developed and maintained to ensure that quality and standards of care are upheld within the organization. Reliability to ensure that projects are completed in a timely manner and within budget. Monitors and evaluates plans; focuses on results and measuring attainment of outcomes.

+ Compliance\- Utilizes understanding of standards of practices, standards of care, and process improvement to ensure compliance with regulatory and accrediting organizations.

+ Customer Service\- Balancing interests of a variety of clients; readily readjusts priorities to respond to pressing and changing client demands. Anticipates and meets the needs of clients; achieves quality end products; is committed to continuous improvement of services.

+ Decisiveness\- Exercises good judgment by making sound, effective, timely, and well\-informed decisions; perceives the impact and implications of decisions even when data is limited, or solutions produce unpleasant consequences, keeping patient care as the central focus; is proactive and goal\-oriented.

+ Problem Solving\- Identifies and analyzes problems; distinguishes between relevant and irrelevant information to make logical decisions; provides solutions to individual and organizational problems.

+ Technical Credibility\- Understands and appropriately applies procedures, requirements, regulations, and policies related to specialized expertise and inpatient service matters.

+ Ability to make sound resource recommendations and address training and development needs.

+ Understands mission needs of the organization.

Organizational Requirements

The incumbent is responsible for organizing and prioritizing his/her work assignments, coordinating with other departments/groups, and completing the delivery of services.

• Health Care funding\- Understands and communicates how decisions are made regarding health care funding, i.e., prioritization of services, eligibility, and the impact of limited funding on the delivery of health care.
• Budget Processes\- Demonstrates working knowledge of the budget and legislative processes that affect the tribal governments, including but not limited to the federal budget processes and internal tribal governmental accounting and budget processes.
• Labor Relations\- Demonstrates knowledge of state and/or tribal labor laws and regulations. Understands organizational structures, policies, and procedures.
• Marketing\- Develops and uses a variety of marketing strategies for the purpose of selling SMH services and/or products to other healthcare entities.
• Medical\-Legal\- Understands and applies concepts related to risk management and standards of practice as seen from a legal perspective.
• Public Health\- Understands the basic elements involved in public health, including knowledge of the basic programmatic and business functions and how these functions interrelate in order to meet the health and wellness needs of the population it serves.
• Statistics\- Demonstrates knowledge of statistical principles, techniques, and terminology; uses this knowledge to gather and analyze health service, vital events, and demographic data and to provide statistical results.
• Technology Management\- uses efficient and cost\-effective approaches to integrate technology into the workplace and improve program effectiveness. Develops strategies using new technology to enhance decision\-making. Understands the impact of technological changes on the organization.

Performing Personnel\-Related Activities:

Directs, oversees and evaluates the Outpatient Department services at Sage Memorial Hospital in accordance with (a) Objectives of SMH; (b) Administrative policies of SMH; (c) The Joint Commission and other accrediting agencies; and (d) accepted national standards. This may include directing professional, nonprofessional staff, and supportive personnel directly or through other departmental supervisors.

• Coaching/Mentoring – Provides advice, counseling, and support to junior staff to enhance their knowledge and skills to the benefit of both the individual and the organization. Develops leadership in others through coaching, mentoring, rewarding, and guiding employees.
• Conflict Management – Identifies and takes steps to prevent potential situations that could result in unpleasant confrontations. Manages and resolves conflicts and disagreements in a positive, constructive manner to minimize their negative impact.
• Cultural Awareness – Initiates and manages cultural change within the organizational effectiveness. Values, cultural diversity, and other individual differences in the workforce. Assists the organization in building on these differences and ensures employees are treated in a fair and equitable manner.
• Team Building – Inspires, motivates, and guides others toward goal accomplishments. Consistently develops and sustains cooperative working relationships. Encourages and facilitates cooperation within the organization and with customer groups, fosters commitment, team spirit, pride, and trust.
• May perform other duties as assigned.

Direct Patient Care

The incumbent provides comprehensive medical care within the limits of his/her delineated clinical privileges and specialty. Evaluates patients for medical conditions, establishes, and implements an appropriate care plan. Patient care duties may include inpatient, outpatient, urgent, emergency and obstetrical care. Patient care at our remote outpatient clinic, Greasewood Health Center, may also be required. Requires complete and timely documentation in the medical record. Incumbent also provides consultations to other providers as needed. Instructs and counsels patients and family members as required.

• The incumbent serves as a practitioner in a clinical setting. Within their specialty area, assumes responsibility for the diagnosis, prevention, therapy, maintenance and rehabilitation of family members in the capacity of a senior specialist or expert.
• Interviews and examines patients, reviews past medical history, requests or performs diagnostic tests and examinations deemed necessary to obtain all possible information related to each case. Makes preliminary diagnosis, directs, prescribes or provides treatment or arranges for specialized care or patient referral as required. Bases decisions upon information obtained, professional medical knowledge and skills and prescribes policies and procedures. Makes note of observations to be incorporated into clinical records. Provides emergency care as required. Provides definitive management in all medical categories for cases that do not require referral. Gives total patient care including prevention, health maintenance, early diagnosis, treatment and follow up services to patients under care.
• Conducts outpatient evaluations making observations appropriate to the patient's underlying disease and treatment plan, including current symptoms. Reviews the patient's medication, diet, therapy course, adherence to management plan and patient observations. Modifies regimen as indicated. Instructs and counsels patients and family members as required.
• Serves as consultant to other clinical and public health departments within Sage Memorial Hospital and community, as well as to referring providers from outlying hospitals and clinics.
• Refers patients to appropriate specialty hospitals or physicians for services not available at SMH. Provides necessary documentation and information in the coordination of the patient referral or transfer.
• Prepares an appropriate and legible medical record for all patients seen to assure the accumulation and organization of all pertinent clinical data needed to provide comprehensive medical care. Documents admissions history and physicals, discharge summaries, and any other pertinent records within the guidelines established by the medical staff bylaws.
• Works closely with allied health professionals (i.e., dentists, nurse practitioners, physician assistants, clinical nurses, social workers, Physical Therapy, Optometry, health educators, etc.) to utilize and coordinate the services of other health care professionals in the management of the patient’s medical, psychological, and social problems.

Knowledge, Abilities, Skills, and Certifications:

• Professional knowledge of, and skill in applying and developing new theories, principles, concepts, and practices of medicine to advance patient care services.
• Expert knowledge in medical evaluations, diagnosis, treatment, and follow\-up of patients with suspected illnesses and/or rare conditions in the specialty.
• Knowledge of quality and performance improvement to develop internal review systems to assure program activities are in compliance with established standards of accrediting and regulatory agencies.
• Expert knowledge and ability to apply new scientific and/or technological procedures in the evaluation of complex patient diagnosis.
• Comprehensive knowledge to serve as a recognized administrative authority for the Inpatient Department.
• Knowledge of state, federal and SMH regulatory, licensing, and TJC accrediting agency requirements, and statutes governing clinical or medical facility operations.
• Knowledge of instructional methods to provide professional training, medical consultative services, and guidelines for interns, residents, and other hospital staff to follow when carrying out patient care services.
• Ability to assess program effectiveness for the delivery of patient care services.
• Provides recommendations concerning policy and procedures; initiation of new therapies or equipment; staffing, performance improvement projects, as well as inpatient performance measures and supply requirements.

Physical Demands:

This role requires the ability to work for long or considerable periods of standing, with recurring crouching, bending, stooping, stretching, or walking while tending to patient assessment and treatment. Work also includes frequent lifting of moderately heavy items weighing less than 50 pounds, such as equipment, or assisting in self\-care transfer activities.

Work Environment:

The work is performed in a hospital, urgent care, or clinical setting where exposure to infections and communicable diseases is common. Requires the wearing of specialized personal protective equipment to prevent exposure to blood and bodily fluids. Exposure to outdoor conditions may include inclement weather when traveling to clinic assignments at remote sites up to 30 miles from the base assignment site. Work may be performed throughout a 24\-hour period due to presenting health care programs held in the evening and on weekends. Incumbent may also provide emergency room \& urgent care services in the evening, night, and weekend tours of duty.

Minimum Qualifications:

• M.D. or D.O. degree from an accredited school. Residency in Family Medicine, Internal Medicine, or Pediatrics.
• Must have an Arizona Medical License or obtain within 90 days of hire.
• Current DEA Licensure.
• Current BLS, ACLS, and PALS Certification.
• Board Certification/Board Eligibility in Internal Medicine/Pediatrics or Family Medicine.
• Valid Driver’s License.
• SMH Credentialed and Board Approved to Practice as a provider within the approved scope of medicine.
• Expertise in health administration, office management, and strong familiarity with the patient\-centered medical home (PCMH) model of care, with a strong understanding of basic concepts in population health management.
• Must possess at least three (3\) years of supervisory experience as a Medical Supervisor in an Outpatient Clinic setting as an M.D./D.O.
• Must be able to successfully pass the Employee Health Program requirements and background investigation.