Quality Care Starts At Clinicas!

This is an excellent opportunity to work for an organization that truly makes a difference in the community. Clinicas Del Camino Real, Inc. offers a highly competitive salary; excellent benefit package including full medical, dental, vision, life and disability insurance; generous holiday, vacation and sick leave.

POSITION SUMMARY

Under the direct supervision of the Chief Medical Officer (CMO), the Medical Director is responsible for assisting the CMO in promoting the highest quality of care and to enhance the culture of safety within Clinicas Del Camino Real. This role serves as a quality thought leader and influencer of physicians, advanced practice providers and other clinical staff. In collaboration with the CMO, the Medical Director is responsible for the overall supervision of medical providers.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES

• In collaboration with the CMO, manages administrative responsibilities such as effective integration and coordination of the clinical services department; scheduling and conducting or chairing clinical staff meetings as requested by CMO, orienting and mentoring all new Physicians and Advanced Practice providers; ensuring clinical staff is continually trained and supervised and that activities of medical staff are coordinated with other operating units of the organization.
• In collaboration with the CMO, supervises providers which may include completing performance evaluations, conducting peer review process, corrective action counseling, monitoring PAQs, and quality measures. May be responsible of approving all requests for leaves of absence, training, and special requests as directed by the CMO.
• In collaboration with Clinic Operations, provides direction on provider on-call and holiday clinic schedules.
• Conducts medical research and reviews clinical data to improve the quality of patient care. Provides real-time analysis and recommendations for improvement in clinical operations across multiple levels/functions.
• Working in a dyad relationship with the Quality Director, creates strategies and oversees processes to ensure reliable performance around preventive and chronic care outcome measures for all accountable populations and programs.
• Categorizes and works with other leaders to advance appropriateness of care initiatives throughout Clinicas.
• Works collaboratively with key clinical leaders, primary and specialty providers, and operational leadership to prioritize efforts, implement new initiatives and communicate updates and changes relevant to the quality program.
• Develops relationships with key stakeholders both inside and outside of Clinicas.
• Regularly uses data to understand problems and to identify tactics for improvement.
• Evaluates and provides feedback on health plan proposals related to quality metrics and pay for performance incentive programs; continuously evaluates and prioritizes Clinicas’ response to these programs, and works with internal and external teams to drive success.
• Works collaboratively with respective departments providing clinical input to patient complaints and grievances, analyzing trends, and working with operational teams to streamline service recovery and enhance the patient experience.
• Facilitates processes to support provider teams and represent patients when managing difficult interactions.
• Acts as a key leader in ambulatory safety, providing guidance and support to the Quality team in efforts to promote a Culture of Safety, including promoting incident reporting, transparent communication and a no-blame approach to errors. This may involve leading and participating in root cause analysis, working closely with providers and operations to ensure the safety of in-office care, and working with the operations leadership, to establish appropriate policies and procedures to ensure patient and staff/physician safety in clinical environments.
• Acts as a resource for clinical practice.
• Directly supervises clinical provider leads.
• Works closely with the Chief Medical Officer on processes related to Provider recruitment/selection, Credentialing and Peer Review.
• Works within the clinic seeing patients approximately 50% of the time.

EDUCATION, EXPERIENCE AND QUALIFICATIONS

1. Current, valid license to practice medicine in the State of California, including DEA license and CPR, required.
2. Board certification in a major primary care specialty field of practice and clinical proficiency related to area of medical specialty.
3. At least 2 years’ experience managing providers required.
4. Previous experience supervising providers and other clinical staff is essential, with demonstrated record of success. Strongly prefer minimum three to five years’ experience in progressively responsible administrative or management related positions within a primary health care environment, preferably in medically needy and underserved communities and in a community health center setting. Demonstrated ability to provide leadership to staff and build the trust and respect of patients, staff, colleagues and external contacts. Previous experience providing services and exercising leadership in a culturally and linguistically diverse setting, with demonstrated success.
5. Current, relevant, and substantial knowledge of areas related to health center licensing and operations, e.g., legal/regulatory, administrative, policy, protocols, and other clinical issues, especially within a managed care environment, required.
6. Knowledge and understanding of Advanced Practice Providers supervision agreement and regulations.
7. Previous experience working within a managed care environment strongly preferred, especially with experience in administrative/management capacity.
8. Demonstrated ability to work effectively independently and as part of a team, in collaborative settings, required.
9. Excellent written and verbal communication skills required. Understands and is committed to maintaining highest level of confidentiality.
10. Willingness and ability to work some evenings and weekends, as needed.
11. Ability to utilize computer technology preferred, and willingness to develop and adapt to the evolving technological requirements of modern medical health center practices required.
12. Demonstrates flexibility in regards to job duties and assignments.
13. Strong analytic background and works with respective departments (IT, Business Intelligence, etc.) to track and trend performance, create feedback mechanisms to physicians and operational teams, and optimize electronic environments to support quality efforts.