Director of Adult Medicine Services

Summary

Assist the Chief Care Officer to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit. Provides direct high quality patient care in their respective specialty to patients. Collaborates and works effectively with other providers and staff to provide effective team based medical care. 

ChapCare’s Expectations of all Employees:

• Adheres to all ChapCare’s Policies and Procedures.
• Conducts self in a manner that represents ChapCare’s core values at all times.
• Maintains a positive and respectful attitude with all work-related contacts.
• Communicates regularly with her/his immediate supervisor about Departmental and ChapCare concerns.
• Consistently reports to work prepared to perform the duties of the position.
• Meets productivity standards and performs duties as workload necessitates.

Essential Duties and Responsibilities: 

• Demonstrates behaviors that are important to the success of the organization and that support and uphold ChapCare’s Mission, Vision and core values. 
• Uses effective communication skills with patients and staff. Follows proper organizational communication lines to address matters pertaining to job functions including proper reporting relationships.  
• Provides medical leadership of business unit for utilization management, cost containment, and medical quality improvement activities, via supervision of the adult medicine physicians and mid-level providers. Performs medical review activities pertaining to utilization review, quality assurance, medical review of complex patients, and medical services. Supports effective implementation of performance improvement initiatives. 
• Assists Chief Care Officer in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for members. Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, accreditation requirements and scope of practice. 
• Assists the Chief Care Officer in the functioning of the physician committees including committee structure, processes, and membership. Oversees the activities of physicians and mid-levels assigned to business unit. Utilizes the services of medical, pharmacy, behavior health, patient education & wellness programs, consultants for reviewing complex cases and medical necessity appeals. Participates in provider network development and new market expansion as appropriate. 
• Assists in the development and implementation of physician education with respect to clinical issues and policies. Collaborates with the Chief Care Officer and administrative staff to develop and implement medical protocols, policies and procedures, and quality initiatives within the practice
• Provides direct medical care and is able to work effectively to provide cost efficient and timely quality medical care to patients. 

Qualifications:

• Active California medical license and good standing with the Medical Quality Control Board of the State of California. 
• Board certification in Adult Medicine or Family Medicine.
• Demonstrable leadership role and achievement in a complex healthcare delivery system.
• Knowledge and experience of quality infrastructure is preferred, including how to develop and implement decision tools, clinical protocols and guidelines, care management programs, and outcome measurement assessments. 
• Physician management experience is preferred

Knowledge/Abilities:  

• Fulfillment of education requirement satisfies this requirement. 
• Effective verbal and written communication skills.  
• English language fluency. Spanish language capability preferred. 

Attributes Sought: 

• A philosophy of collaboration and teamwork. 
• A demonstrable track record in forging physician/management relations. 
• Clinical credibility with physician constituencies. 
• A mission-driven individual who can embrace and commit to Mission and Core Values; articulate about stewardship. 
• A self-starter, results-oriented personality. 
• High tolerance for complex, ambiguous, and ever-shifting environments.
• Excellent interpersonal and communication skills, with the ability to build consensus given a high premium; noticeable skills in engaging physicians and finding synergies; an interactive style which is pleasant. 
• Comfortable working in groups, forming teams of physicians and management, with an ease in working with other diverse groupings. 
• Understanding of how to create change through influence and not through direct authority.
• Evidence of showing firmness of resolve with both Administration and the providers.
• Strong persuasive abilities. 
• The ability to hear, to understand, to reflect, and to mediate on issues. 
• An appreciation of the importance of the clinical team, and what nursing, patient care departments and operations brings to the patient care endeavor, and the strength of that clinical partnership. 
• The ability to generate optimism in fellow team members. 

 Amount of travel and any other special conditions or requirements

• Must have valid California driver’s license and access to insured vehicle in working order.

Hours per day or week: 

A minimum of 40 hours per week is required.