Medical Director

COOK INLET TRIBAL COUNCIL, INC.

JOB DESCRIPTION

Job Title: Medical Director

Department: Recovery and Reentry Services

Reports To: Department Director

Supervises: Assigned Staff

FLSA Status: Exempt

Pay Grade: E8 (Nurse Practitioner, NP), E9 (Physician, M.D.)

Job Type: Regular, Full-Time

AKBCU: Yes ICPA: No

General Functions:

The Medical Director supports the provision of patient-centered, trauma-informed, culturally responsive, and recovery-oriented treatment at CITC. The Director utilized a whole-person approach to care, and understands the importance of family, support systems, and culture in recovery. The position is responsible for coordinating activities related to quality improvement and clinical improvement within the division, in collaboration with the Division leadership team. This position is responsible for risk management, accreditation processes, and provides leadership to all quality assurance processes within the division. The Medical Director is available to review admission decisions as needed, provide consultation to the treatment team, and provide direct psychiatric care (including MAT) to participants engaged in outpatient and residential programs within the CITC continuum of care.

Specific Job Functions/Responsibilities:

• Serve as a member of the recovery department leadership team, providing direction and leadership to department programs.
• Work in collaborative partnership with Department Director, Administrators, clinical leaders, and others to establish and promote advances toward mission, goals and values.
• Utilize expertise to enhance service delivery, program development, and ensure accreditation, best practice, and regulation requirements are met.
• Promote best care delivery practices.

• Establish and maintain positive relationships and collaboration with multidisciplinary staff across the department, other CITC partners and community partners.
• Develop and support in the implementation of new policies and procedures and maintain relevance of standing policies and procedures.
• Provide direct participant services within residential and outpatient programs to diagnosis and treat various substance use disorders, co-morbid psychiatric illnesses, and other related medical conditions.
• When needed, evaluate, screen, and assess participants to determine whether an admission into the programs is appropriate; supports treatment team to refer participants to lower or higher levels of care as needed.
• Tailor treatment plans to the participant’s unique needs, facilitating medication-assisted treatment, psychiatric evaluation, management, and other evidence-based treatment modalities to meet needs.
• Collaborate with the clinic's medical, clinical, and administrative support staff, offering case consultations and other resources as needed; participates in treatment planning meetings and peer review activities.
• Work effectively with multidisciplinary members of the treatment team to ensure optimal treatment delivery; plays role in coordinating participant care services extending across the continuum of care, as applicable.
• Document, in the EHR, the medical services rendered in an accurate, thorough, and timely manner in accordance with established organizational policies.
• Perform treatments quickly and efficiently while keeping the participant informed and being sensitive to the participant’s comfort during the treatment.
• Sets the expectation with the participant by listening to their concerns, addressing those that can be addressed and informing the customer of the course of action to follow for other health concerns.
• Provides direct and/or collaborative supervision for medical students, residents, and other trainees when applicable.
• Adheres to the applicable licensure, accreditation, confidentiality, and treatment standards as outlined in the state and federal regulations; complies with program specific policies and procedures.
• Assumes on-call responsibilities for dosage changes and other medication administration concerns; provides telephone consultation on an as-needed basis.
• Is physically present throughout week, at each of CITC recovery program locations.
• Assists staff with urgent clinical situations and provides supervisory crisis coverage.
• Intervenes and diffuses situations involving agitated, confused, or emotional customers and/or family members.
• Designs and implements education and training programs for providers and staff on the approved clinical pathways and improvement initiatives; conducts workshops and trainings to share ideas and to educate staff on how to continue to improve the system and develop best practices.
• Represents CITC at meetings with community partners.
• Other duties as assigned.

Job Responsibilities Related to Patient Privacy:

• The incumbent is expected to protect the privacy of all patient information following CITC's privacy policies, procedures, and practices, as required by federal and state law, and following general principles of professionalism as a health care provider.
• The incumbent may access protected health information and other patient information only to the extent that is necessary to complete all assigned job duties. The incumbent may only share such information in their possession with those who need to know specific patient information to meet their job responsibilities related to treatment, payment, or other CITC operations.
• The incumbent is expected to report, without the threat of retaliation, any concerns regarding CITC's policies and procedures on patient privacy and any observed practices in violation of the policy to the designated Privacy Officer.
• The incumbent is expected to participate in CITC privacy training actively and is required to communicate privacy policy information to coworkers, students, patients, and others following CITC policy.

Job Specifications:

• Hold an advanced understanding of the ASAM Criteria that includes LOC placement tools, dimensional admission criteria, risk ratings, medical capabilities at each level of care.
• Advanced understanding of the core medical knowledge about addiction, SUD, and related conditions, including epidemiology and etiology of addiction; neurobiology and genetics of addiction; pharmacodynamics of commonly used substances; pathophysiology and neuropsychological effects of chronic conditions associated with SUDs and common comorbid medical and co-occurring psychiatric conditions associated with SUDs.
• Proficient in working collaboratively as a member of a multidisciplinary team comprised of medical, non-medical (clinical, operational, allied staff) team members.
• Demonstrated competency in assessment and diagnosis, including but not limited to: conducting an accurate participant history, perform appropriate physical examination and detect signs of chronic use; screen for and diagnose SUDs, intoxication, withdrawal, and common comorbidities/co-occurring issues; formulate reasonable differential diagnoses; explain diagnoses and rationale to treatment team, participant, and participant’s supports when applicable; order appropriate diagnostic tests (lab tests, drug tests, toxicology, etc.).
• Demonstrated competency in providing medical management for low to medium level complexity psychiatric conditions using appropriate assessment instruments to guide decision making.
• Strong knowledge of the Medicaid billing process.
• Collaborative and team oriented.
• Demonstrates strong problem-solving, communication, and leadership skills.
• Excellent organizational skills, ability to manage multiple tasks and meticulous attention to detail.
• Computer literacy required (MS word, MS excel, MS PowerPoint and MS Project).
• HIPAA law and regulations including privacy rules and standards; Alaska public records law and processes.
• Demonstrated knowledge and understanding of the social, health, education, training and cultural needs of the Alaska Native and American Indian community.

Minimum Core Competencies: CITC Values, Respectful Leadership, Professionalism, Emotional Intelligence, Problem Solving/Critical Thinking, Communication Skills.

Minimum Qualifications:

Physician

• M.D. or D.O degree required.
• Licensed as a Physician in the State of Alaska, at time of employment.
• Current American Board of Psychiatry and Neurology certification, in specialty appropriate for the service.
• Nurse Practitioner
• Master’s Degree from an accredited Nurse Practitioner program; Doctorate preferred.
• Licensed as a NP at time of employment, in the State of Alaska.
• Active license as a Registered Nurse (RN), in the state of Alaska.
• Must have National Certification from the National Board for Nursing (NANP) prior to employment.

Minimum Qualifications for all Job Levels:

• Five (5) years of experience in psychiatric prescribing and the provision of mental health services.
• Two (2) years of documented experience providing specialty addiction treatment.
• Three (3) years of administrative management and/or clinical supervisory experience in behavioral health and/or residential and outpatient substance use treatment setting, including duties related to program planning and evaluation.
• Must have current CPR certification and proof of active CPR certification prior to employment, or within 30 days of starting employment.
• Obtain Qualified Addiction Professional (QAP) approval within three (3) years of the Provisional Provider Application approval date with the State of Alaska.

Preferred for all Job Levels:

• Board certified in addiction medicine or addiction psychiatry.

Physical Requirements:

• Primarily works in an office setting, with extended periods of time at a desk and on a computer.

Disclaimer

The information provided in this description has been designed to indicate the general nature and level of work performed by incumbents within this job. It is not designed to be interpreted as a comprehensive inventory of all duties, responsibilities, qualifications and working conditions required of employees assigned to this job. Management has sole discretion to add or modify duties of the job and to designate other functions as essential at any time. This job description is not an employment agreement or contract.