Medical Director

Medical Director Job Description

Title: Medical Director

Department: Administration

Reports To: CEO

FLSA Status: Non-Exempt, hourly up to 40 hours per week

Work Hours: variable, based on clinic needs

Summary:

The Medical Director at ROH is responsible for medical operations of the treatment program. The Medical Director assumes responsibility for administering all medical services performed by the Opioid Treatment Program. In addition, the medical director shall be responsible for ensuring that the OTP follows all applicable Federal, State and local laws and regulations. He/ She evaluates and ensures patients served meet admission criteria, receive required physicals, and laboratory testing. In addition, the Medical Director is responsible for prescribing Methadone/Buprenorphine with consideration to client input and reviewing/signing treatment plans. The Medical Director works collaboratively with all members of ROH, and directly with the Medical Team to ensure medical components of the organization are appropriately coordinated. He/she assumes the responsibility of providing clinical and administrative leadership.

Company Wide Knowledge, Skills, and Abilities:

The following knowledge, skills and attitudes are required for satisfactory job performance at ROH. This list may not encompass all necessary requirements for the performance of the position of Medical Director.

Knowledge: The employee must have proficient knowledge in the following areas:
causes and effects of drugs and alcohol use
ASAM criteria
abuse and addiction on individuals, families, and communities
family dynamics and the impact of trauma
crisis management and the ability to deal with life threatening situations including the prevention of suicide
case management and confidential record keeping practices
generally accepted individual, group and crisis counselling methods
requirements of treatment programs available to area residents
ROH policies and procedures, state, and federal guidelines for the operation of Medication Assisted Treatment programs

Skills: The employee must demonstrate the following skills:
effective written communications skills (including the ability to prepare reports, write treatment plans, comprehensive clinical assessments, and discharge plans)
ability to manage own case files on an independent basis
time management and stress management skills
strategic planning skills
analytical, problem solving, mediation and negotiation skills
conflict resolution skills
good decision making in dealing with safety issues and aggressive and/or impaired or intoxicated patients
emergency response skills

Essential Duties, Functions and Responsibilities:

Medical Director Duties

Responsible for assessment of patients in acute care/detox/Methadone maintenance/Buprenorphine maintenance. Assesses patient's physical and mental status using vital signs, lab tests, COWS and / or any other medical assessment technique deemed necessary and appropriate by the Medical or Clinical Staff at ROH.

Oversees medical compliance with federal and state guidelines, and DEA protocols. Ensures and provides quality of care and best practices as set forth by the Substance Abuse and Mental Health Services Administration (SAMHSA)'s Center for Substance Abuse Treatment (CSAT)'s Treatment Improvement Protocol (TIPS) titled Medication Assisted Treatment for Opioid Addiction in Opioid Treatment Programs.

Responsible for and is the ultimate authority for prescribing, dispensing, administration, alteration, and tapering of Methadone, Buprenorphine, and Opioid Treatment in accordance with all applicable federal and state laws and regulations.

Responsible for and is the ultimate authority for prescribing, dispensing, administration, alteration, and tapering of Methadone, Buprenorphine, and Opioid Treatment in accordance with all applicable federal and state laws and regulations

Responsible, either directly, or through a supervisory relationship with RN for ensuring all information obtained during physical examinations, laboratory results, and other diagnostic evaluations are duly recorded in all patient records. Ensuring all physical examinations assess and certify each applicant's eligibility for Medication Assisted Treatment.

Responsible for assigned patient care including but not limited to medical assessments, medical reports, coordinating care with outside physicians, and timely documentation in patient medical record. Collaborates with counseling and medical team regarding patient care.

Performs medical review for patient. Provides patients with knowledge regarding Medication Assisted Treatment, medications provided by ROH, and affords patients the opportunity to have questions answered regarding medical aspects of treatment.

Attends clinical and staff meetings regarding patient admission, care, and progress. Participates in required training to maintain unrestricted licensure and registration.

Supervisory Duties:

(Scope of the person's authority, including a list of jobs that report to this job). Supervises and oversees RN, LPN, and all medical staff. Coordinates daily tasks with nursing staff as deemed necessary and appropriate.

Provides overall leadership and management for patient care. Evaluates all medical staff and provides feedback to the Program Director regarding medical staff. Accounts for planning, coordinating, and evaluating patient care delivered by the medical team ensuring compliance with regulatory and accreditation agencies.

Responsible for day-to-day orders regarding patient care; including but not limited to standing orders, dose changes, physician orders (EKG, referrals, labs, etc.), phase/level changes, guest dosing orders, and verbal orders.

Supervises the delivery of medical care and services, including new admissions, annual physical examinations, medical follow-up and methadone/buprenorphine related medical activities.

Communicates and collaborates with other departments to improve interdepartmental relationships.

Essential Qualifications:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed are representative of the competencies (minimum knowledge, skill, and ability) required.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Essential Qualifications:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed are representative of the competencies (minimum knowledge, skill, and ability) required.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education: Doctorate

Licensure/ Certification/Registration: Unrestricted license to practice medicine in North Carolina.

Unrestricted DEA, state, and federal controlled substance licenses and registration. Board certified or board eligible, authorization to practice psychiatry preferred.

Experience: 3-5 years' experience providing medical/ psychiatric clinical services including assessing and diagnosing mental illness, substance abuse, and prescribing medication.

Preferred 3-5 years' experience as a Medication Assisted Treatment Medical Director/ Program Physician.

Skills: Knowledge of the principles and practices of professional counseling, of health promotion and disease prevention is required. Knowledge of addiction, chemical dependency and withdrawal symptoms is required. Understanding of opiate addictions, the stages of detox and the FDA approved treatment medications is required. The ability to perform objective and accurate assessments of intoxication, withdrawal, detox, and overdose is required.

Must be computer-literate and become competent in computerized programs in use at ROH. Additionally, staff in this position must become competent in the use of EMR, computerized word-processing, database, spreadsheet, and presentation programs.

ROH Expectations of all Employees:

Adheres to all ROH Policies and Procedures including Pre-Employment and Random Urine Drug Screens, as well as extensive Pre-Employment Background Checks

Conducts self in a manner that represents ROH's Values. Follows all ROH policies, as well as all Federal and State laws regarding controlled substances and confidentiality of patients. Maintains patient confidence and protects operations by keeping information confidential.

Protects patients and employees by adhering to infection-control policies and protocols, medication administration and storage procedures, and controlled substance regulations.

Assures quality of care by adhering to therapeutic standards, measuring health outcomes against patient care goals, making or recommending necessary adjustments and communicating regularly with supervisor about Departmental and ROH strengths and areas for improvement.

Identifies patient care requirements by establishing personal rapport with potential and actual patients (and other persons deemed necessary and / or appropriate to assist in the understanding of care requirements, with written consent of the patient).

Establishes a compassionate environment by providing emotional, psychological, and spiritual support to patients. Maintains a safe and clean working environment by complying with procedures, rules, and regulations. Resolves patient problems and needs by utilizing multidisciplinary team strategies.
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