Medical Director-PACE

1 week ago

Alhambra, California, United States Chinatown Service Center Full time
Job Summary

The Site Medical Director-PACE is responsible for overseeing the clinical patient care at PACE sites, addressing clinical, programmatic, medical, and administrative issues in collaboration with the Clinic Administrator and Nurse Administrator.

Key Responsibilities

  • Perform comprehensive assessments for participants and coordinate with the IDT to develop a comprehensive care plan.
  • Recruit, train, and manage PACE Physicians, Nurse Practitioners, Community-based Physicians, and other contracted medical staff.
  • Monitor and lead clinic operations to assure integration of medical services with other participant care services.
  • Supervise all medical services offered by PACE and provides primary care at the PACE site.
  • Assist in managing and monitoring the cost of hospitalization, specialties, and ancillary services.
  • Collaborate with PACE pharmacists to oversee and monitor clinic medications, dispensary medications, and individual patient prescribed and stored medication onsite.
  • Review all PACE site Incident Reports to monitor for quality care issues, process improvement opportunities, and site training needs.
  • Lead UM/QM committees to monitor quality of care, patient experience, and appropriate resource use to indicators and assist in the identification and implementation of appropriate interventions.
  • Ensure all committees are effectively accomplished goals established in the QM/UM Program, and all activities are clearly documented with minutes and/or reports.
  • Collaborate with Quality and Process Improvement to ensure CSC PACE is strictly adhere to DHCS and CMS guidelines.
  • Develop, implement, and monitor clinical guidelines that are appropriate for the assigned population.
  • Review outcome and utilization data, including adverse events, hospitalizations, and use of specialist, in collaboration with the IDT to identify opportunities for improve care and operations.
  • Participate in rotating night and weekend calls.
  • Assist in development and implementation of the Corrective Action Plans for annual reviews.
  • Perform related duties as assigned.

Requirements

  • Doctorate Degree
  • Active unrestrictive CA license to practice medicine by the Medical Board of California and DEA License required.
  • Must be currently enrolled or eligible for enrollment to provide services to Medicare and Medi-Cal participants.
  • Prior experience in a leadership or management role is strongly preferred.
  • Prior experience with Electronic Medical Record (EMR)
  • Experience and expertise in the prevention, diagnosis, and treatment of the illnesses and social problems of the assigned population.
  • Experience and leadership skills in managing medical resources, monitoring the cost-effectiveness and quality of services for participants
  • Experience and leadership in enhancing the patient experience.

Skills and Knowledge

  • Knowledge of physical, mental, and social needs of frail older adults.
  • The ability to work as a team member and participate in the assessment and evaluation process of potential and existing participants
  • The ability to multitask and deal with patient care issues in a fast-paced environment.
  • Effective skills in physical assessment and chronic disease management for frail older adults.
  • Effective listening and oral and written communication skills.
  • Demonstrated ability to work effectively within the interdisciplinary team setting.
  • Computer proficiency.
  • Able to manage changing priorities per participant needs.
  • Strong organizational skills.
  • Demonstrates necessary skills and knowledge as outlined in the position-specific Competency Assessment Profile.

Other

  • Must be able to work required schedule.
  • Requires physical strength to perform essential functions of the job.
  • Occasional travel between sites, nursing/group homes, and to members' homes required.
  • Requires use of personal vehicle.
  • Requires valid driver's license.
  • Requires proof of automobile insurance coverage at the following minimum amounts in order to be reimbursed for mileage: $100,000/$300,000 personal liability and $100,000 property damage.
  • May require use of personal cell phone for business purposes (may be eligible for stipend)

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