Medical Director

TCA Health, Inc. NFP

Job Description

Job Title: Medical Director

Department: Clinical/Administration

Reports To: Chief Executive Officer

FLSA Status: Full Time Exempt

Salary: $235,000-$255,000

About TCA
TCA Health, a Federally Qualified Health Center located on Chicago's far south side has been a provider of innovative, accessible, and quality primary care, dental, behavioral health services and more to Chicagoland's underserved communities for over 50 years The culture at TCA Health is one of service and commitment. Our team of dedicated professionals is the reason why TCA Health continues to be one of Chicago's leading Federally Qualified Healthcare Centers.

TCA VALUES
TCA C.A.R.E.S.

• Compassion: We are kind, considerate, and caring.
• Accountability: We take ownership for each person's experiences.
• Respect: We treat each person with dignity.
• Excellence: We seek the highest level of performance in all we do.
• Stewardship: We strive for racial and health equity, diversity, and inclusion by delivering quality health care and access for all

TCA Benefits: 401K Retirement Savings Plan and up to a 4% match; Medical Insurance- employer pays 85% of single HMO rate. Dental and Vision Insurance- employer pays 100% of single HMO rate. Employer-Paid Life and Accidental Death & Dismemberment (AD&D) Insurance. Employer- Paid Long Term Disability. Nine (9) paid holidays per year. Twenty-six (26) days of paid time off.

POSITION SUMMARY

The Medical Director has primary responsibility for the coordination and oversight of all medical care and quality of services provided by TCA Health, Inc., NFP. This position serves as a member of the Administrative Management team, as well as the Clinical department and oversees all clinical policies and procedures; supervises all Providers (physicians, mid-level providers, dentists, LCSWs, Registered Dieticians); management of all clinical supervisory staff, including the Director of Clinical Services/Clinical Coordinator and Director of Dental Services (if any); supervision of the 340B Pharmacy and Laboratory programs; ensures that TCA Health patients receive the highest quality of health care while managing the cost effective utilization of clinic resources; and leadership of the organization's Continuous Quality Improvement programs. As a Family Practice physician, the Medical Director also provides primary care to patients of all ages by performing physical assessments, developing health care plans, implementing treatment, and evaluating patient outcomes.

ESSENTIAL DUTIES AND RESPONSIBILITIES (Included but not limited to the following):

Strategic Management
• Works with the CEO, the Organizational Leadership team, and Staff to develop and communicate the health center's vision/plans for improving the health of the people living in TCA Health's service area.
• Assures consistency of organizational mission with demonstrated needs/expectations of the medically underserved community by identifying the health care needs of the community and communicating those needs to the staff, such that program initiatives are created that are designed to meet the needs of the community.
• Collaborates in ensuring the viability of the organization through the oversight of provider productivity, development of the annual budget, participation as a member of the administrative management team and participation in the processes of grant writing and funding opportunities.
• Works closely with the CEO to ensure that all services at TCA Health are provided at the standard of care expected within the various professions of clinical practice provided at the health center.
• Provides leadership in communicating with the CEO and the Board of Directors, as requested by the CEO, to ensure that each receives adequate information, reports, and materials to help them fulfill their respective duties.
• Prepares the annual Clinical Performance Plan and provides leadership to ensure that TCA Health accomplishes its objectives as identified in the plan.
• Participates as a senior level leader in the development of the health center operating plans and for providing leadership as appropriate toward meeting plans and objectives.
• Ensures the health center engages in activities designed to effectively improve the quality of its services.
• Serves as agency liaison to the area medical community-at- large, including medical schools, community physicians and medical societies; establishes positive relationships with that community and attends local medical society functions.
• Provides support for and contributes to the development of grant applications and other funding requirements.
• Assists with practice acquisition and new site development.

Staff Management
• Assists and actively participates in the development of clinical staff structure and recruitment processes.
• Hires Provider staff for the health center and ensuring that each Provider is working to meet the Health Center's mission as described by the Board of Directors. Works closely with Human Resources to ensure that all Provider staff are appropriately credentialed and have been granted appropriate privileges.
• Provides oversight of the delivery of medical care by clinical staff through direct supervision and audits; serves as a mentor and manages the resolution of practices related problems of providers and staff.
• Provides professional oversight and supervision for advanced practice nurses, midwives, and/or physician assistants through collaborative practice agreements.
• Serves as a resource for consultation and referral for all physicians, mid-level providers and nursing staff.
• Provides formal orientation to new providers and conducts annual performance evaluations for all physicians, mid level providers, dietician, behavioral health professionals and the Clinical Coordinator.
• Works with the Providers and Clinical leadership at the Health Center to ensure that performance expectations are understood, and resources are available to achieve the results. This includes the development of analytical tools designed to improve TCA Health's clinical performance in outpatient care and in managed care.
• Consults and, when possible, participates in training and educating the staff.
• Facilitates medical students/ resident training opportunities.
• Provides guidance and participates in the after-hours on-call system.

Operations Management
• Assists in the achievement of productivity standards as set by the Bureau of Primary Healthcare.
• Provides oversight of utilization and risk management activities including monitoring of service utilization, adherence to corporate compliance plan, attainment of productivity targets, etc.
• Provides leadership for the development of policies and procedures designed to guide TCA Health's clinical activities, ensuring that the health center operates in a consistent and high quality manner.
• Collaborates in the development, and periodic review of written clinical policies, guidelines, and protocols for the functioning of the clinic and responsibilities of the clinicians.
• Ensures compliance with standards, laws, and regulations as promulgated by regulatory and accrediting organizations such as: BPHC, JCAHO, CLIA, OSHA, State and Federal Governments, etc.
• Actively leads/participates in the clinics CQI and Strategic planning teams.
• Utilizes the CQI program to effect changes in policies and procedures to assure quality care is provided to patients.
• Assures utilization of patients' bill of rights, patient right to self-determination, privacy and confidentiality are consistently applied in the clinic.
• Assures clinical services meet the program requirements to maintain FQHC status and assists in education for staff to assure understanding of FQHC compliance requirements.
• Participates in all staff, management, and Board of Directors meetings as requested or necessary.
• Promotes provider support for adherence with Federal and State compliance requirements for FQHC status, attainment of productivity targets and claim preparation for third party reimbursement.
• Establishes linkage with pharmacy, dental care, and community referral entities, social support resources to improve and expand the scope of serves available through community referrals. Works with agency businesses, dental, pharmacy, and lab managers to address mutual concerns.

Delivery of Medical Care/Physician Services
• Provides direct patient care to clinic patients as an active member of the medical team.
• Interviews patients to obtain history, performing physical examination, ordering lab and other tests, prescribing medications and treatments.
• Performs a physical exam of each referred patient in accordance within Clinic guidelines.
• Prescribes an appropriate treatment plan for each client in accordance with choices made by the client, unless medically contraindicated.
• Provides information requested by the clinic for its medical records to allow appropriate follow-up of each client through the use of electronic medical records systems.
• Ensures that all medical complications are followed according to satisfactory referral processes.
• Serves in rotation for after hour call coverage, performing medical procedures according to privileges issued.
• Provides continuity in managed care for patients with pre-existing long term problems, through inpatient admission processes if necessary.
• Makes referrals for secondary and tertiary care.
• Providing health maintenance visits, evaluating for immunizations, and providing anticipatory guidance and referrals; performing contract and special physical examinations as EPSDT, HeadStart, employment, etc.; performing STD (sexually transmitted disease) and family planning screening and education.
• Documenting all patient contact accurately via the Health Center's Electronic Medical Records system.

Meeting Commitments Required

Typical meetings will normally include:

• Organizational Leadership Team meetings (weekly as needed)
• TCA Health Board (as requested by the CEO, meetings held monthly)
• TCA Health CQI Committee (monthly)
• Provider meetings (monthly)

EDUCATION AND EXPERIENCE
• Medical degree from an accredited institution
• Current Illinois Medical License
• Current DEA License and CPR Certification
• Board Certification in Family or Internal Medicine
• Valid Driver's License
• Must have or be able to obtain admitting privileges to a local hospital.
• Must meet all credentialing requirements for Medicaid, Medicare, and insurances.
• Five + years practice in medicine in an outpatient primary care environment.
• Two+ years of managerial experience in an in- or out-patient environment.
• Experience in a Federally Qualified Health Center strongly preferred.

REQUIRED SKILLS AND ABILITIES
• Comprehensive understanding of the medical and administrative issues involved in providing leadership of the operations of an ambulatory health care organization.
• Ability to strongly embrace and personify the mission of TCA Health, Inc.
• Ability to organize, direct, prioritizes, and delegate work appropriately.
• Excellent analytical skills necessary for developing medical reports, analyzing legal issues, and performing administrative tasks.
• Ability to interact effectively and collaborate professionally with persons from diverse cultural, socioeconomic, education, racial, ethnic, and professional backgrounds.
• Ability to work effectively with managers, co-workers, members of the public and professional groups. Manage and coordinate activities and projects.
• Ability to communicate effectively, clearly, concisely with others (internal and external customers, both verbally and in writing) and consistently demonstrate positive/proactive customer service attitude.
• Ability to consistently maintain ethical behaviors exemplary of quality public service and fair standards, inclusively, among all employees, patients, and members of the public.
• Knowledge of adult learning principles and community resources.
• Ability to organize and prioritize workload. And meeting deadlines.
• Excellent written and verbal communication skills.
• Ability to function independently, exercise sound judgment and initiative; be flexible to shift priorities; maintain confidentiality; and establish and maintain effective interpersonal work relationships,.
• Ability to receive constructive feedback including evaluation of productivity and practice attributes.

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• While performing the duties of this job, the employee will be required to walk and or stand most of the day.
• Required to be able to type proficiently, write legibly and to read printed or handwritten materials.
• Needs to be able to communicate and respond effectively.
• Occasionally you may need to crouch, kneel, stoop or bend.
• May need to assist with moving or lifting >30 pounds
• Requires visual acuity to perform tasks requiring close vision and ability to adjust focus.
• Required to be able to travel to meetings outside the organization's facility, including some out of town trip.
• Required to be able to work evenings and weekends if needed.

WORKING CONDITIONS
• Clinical Setting.
• Exposure to communicable diseases, blood, and other bodily fluids.
• May attend meetings, seminars and speaking engagements locally and out of state.

DISCLAIMER The above duties and responsibilities are essential job functions, subject to reasonable accommodations. All job requirements listed indicate the minimum level of knowledge, skills and/or abilities deemed necessary to perform the job proficiently. This job description is not intended to be construed as an exhaustive statement of duties, responsibilities, or requirements. Employees may be required to perform any other job-related instructions, as requested by their supervisor, subject to reasonable accommodation.

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