Medical Director of Primary Care

The Site Medical Director of Primary Care Old Town Clinic (OTC) collaborates with the Chief Medical Officer in all aspects of providing superior clinical care, establishing and promoting the professional, clinical, and ethical values and standards to which all clinical staff are expected to adhere.

The Medical Director’s purview includes Old Town Clinic, as well as, Central City Concern’s Hanson Clinic and Mobile Medical providers.

In these settings, the Medical Director promotes the quality and safety of care, establishing and maintaining the program’s standards of clinical care, as well as, fostering a culture of open communication and continuous improvement.

Central City Concern is looking for the next Medical Director to oversee our Old Town Clinic!

MINIMUM QUALIFICATIONS :

• License to practice medicine as a medical doctor, osteopathic physician, nurse practitioner, or physician associate in Oregon.
• Minimum four (4) years experience in providing care as a medical provider for underserved individuals in a community clinic setting.
• Minimum two (2) years experience in established leadership capacity within a healthcare setting required.
• Preferred : experience with primary care based Hepatitis C treatment or willingness to develop skills.
• Current BLS certification or must obtain within one month if not current.
• Must have experience with prescribing buprenorphine or be willing to receive training in buprenorphine management with onboarding.
• Must have full prescriptive powers in Oregon with a DEA number.
• Must meet CCC privileging requirements as required by FTCA.
• Ability to adhere to Central City Concern’s drug-free workplace which encourages a safe, healthy and productive work environment and strictly complies with the Drug-Free Workplace Ace of 1988.

An employee shall not, in the workplace, unlawfully manufacture, distribute, dispense, possess or use a controlled substance or alcohol.

• Physical ability to bend, stoop, kneel, squat, twist, reach, pull, and lift heavy objects.
• Able to climb stairs several times a day.
• Must pass a pre-employment drug screen, TB test, and background check. This includes clearance by the DHS Background Check Unit.
• Must adhere to agency’s non-discrimination policies.
• Ability to effectively interact with co-workers and clients with diverse ethnic backgrounds, religious views, cultural backgrounds, lifestyles, and sexual orientations, and treat each individual with respect and dignity.

ESSENTIAL DUTIES AND RESPONSIBILITIES :

Clinical Activity and Leadership :

• Provides 0.4 - 0.6 of direct patient care per week in a team setting.
• Serves as clinical leader for Licensed Medical Providers (LMPs) and other clinical staff at Old Town Clinic and in the Community Care practice settings, including availability for brief clinical consultation, provision of clinical teaching, and modeling of exemplary clinical practice.

Management and Supervision of Primary Care Providers at OTC, Hanson, and Mobile Medical :

Manages and supervises the OTC, Hanson, and Mobile Medical in all professional and clinical domains, excluding providers on the behavioral health team.

Partners with program operational managers in this work.

Provides medical direction and clinical supervision to primary care providers in accordance with state regulations and standards of practice.

Ensures all providers receive appropriate staff development, in-service training and performance review.

• Leads the development and teaching of standard work related to medical practice based on best practice, continuous learning and improvement, and compliance with rules and standards of practice.
• Assures, through an interdisciplinary process, the appropriate credentialing and privileging of all providers.
• Engages in regular meetings with LMPs to observe, mentor and coach these front line teams in a manner that creates a culture of accountability, fosters continual improvement and staff wellness.
• Ensures availability of adequate primary care staffing working closely with the Clinic Managers and provider schedulers.

This includes but is not limited to establishing / enforcing guidelines for minimum clinical staffing, on-call / after-hours coverage, approval of PTO / CME, approving timesheets, and fielding call-outs.

• Oversees recruitment, evaluation and retention of LMPs.
• In collaboration with the Chief Medical Officer develops job descriptions for LMPs that are comprehensive, and permit involvement in therapeutic and program development activities, as well as application of specific medical expertise.

Assurance of Superior Quality of Medical Care

• Responsible for the development of medical practice guidelines, policies and protocols.
• Assures that all patients receive appropriate evaluation, diagnosis, and treatment, and that all medical care is appropriately documented in the medical record.
• Identifies, selects and oversees implementation of clinical evidence-based practices and best practice clinical standards for our practice.
• In collaboration with other primary care leadership, monitors, evaluates, and supports improvement of clinic site and LMPs’ clinical performance, utilization, and financial metrics.
• In collaboration with other primary care leadership, responsible for clinical safety monitoring and review and promotion of just culture.
• Responsible for the timely and adequate response to patient grievances as they relate to the provision of medical care at the programs they supervise
• Provides clinical leadership as a member of the OTC Controlled Substance Review Committee.
• Adhere to all state and federal privacy regulations, including HIPAA and 42 CFR Part 2, and to CCC policies and agreements regarding confidentiality, privacy, and security.

Support compliance with all privacy and security requirements pursuant to community partners’ and outside providers’ patient confidentiality agreements, including privacy and security requirements for EMR access.

This includes immediately reporting any breach of protected health information or personal identification information of any person receiving CCC services by CCC or an outside provider to the CCC Compliance Department, as well as to your supervisor or their designee.

Educational Excellence :

• In collaboration with medical leadership, oversees development and implementation of medical education curriculum for providers, including monthly education sessions and other in-services.
• Supports Chief Medical Officer in design and direction for Social Medicine Curriculum with OHSU.

DESCRIPTION OF OTHER DUTIES :

• Ensures adequate and timely communication with LMPs regarding essential information (i.e. weekly newsletter).
• Participates in budget development and financial performance monitoring for programs they supervise.
• Attends weekly OTC Clinic Leadership meeting, as well as weekly Primary Care Leadership Team Meeting.
• Attends monthly CCC Operational Leadership Team meeting.
• Provides linkage to professional and academic communities pertaining to role of MD’s, DO’s, PA’s, NP’s and ND’s in primary care and community health practice.
• Provides linkage to accrediting and monitoring bodies and agencies pertaining to primary care medical practice.
• Attend all mandatory CCC trainings in a timely manner.
• Approves OTC LMP timecards
• Other duties as assigned.

SKILLS AND ABILITIES :

• Knowledge, education, training, skills, and experience in a multi-disciplinary approach to physical and mental health and substance use disorders in primary care.
• Knowledge, training, skills and experience in providing and supervising services in a highly diverse work environment to a highly diverse and mostly homeless population.
• Demonstrated leadership ability to create effective teams, provide and communicate vision, and effectively manage change
• Demonstrated ability and accomplishment in continuous quality improvement and practice innovation.
• Excellent communication skills with patients and staff, including diplomacy, tact, and effective bedside manner.
• Demonstrated ability to effectively supervise health providers.
• Ability to manage time and meet deadlines.
• Ability to keep accurate and appropriate records / documentation.
• Ability to display non-judgmental attitude.
• Sufficient manual dexterity and physical ability to perform assigned tasks.
• Excellent problem-solving and conflict resolution skills.
• Knowledge of de-escalation methods or willing to be trained in these methods.

Benefits at Central City Concern :

Central City Concern offers incredible benefits to our employees. We offer an extensive total rewards package to include base wages, medical, dental, vision, and voluntary plans.

Central City Concern also takes employees’ financial wellness into consideration and provides a rich retirement match.

• Generous paid time off plan beginning at 4 weeks of PTO accrual per year! Accrual amount / rate increases with longevity.
• Amazing 403(b) Retirement Savings plan with an employer match of 4.25% in your 1st year, 6% in the 2nd year, and 8% in your 3rd year!
• 11 paid Holidays + 2 Personal Holidays to be used at the employee’s discretion.
• Comprehensive Medical, Vision, and Dental insurance coverage.
• Employer Paid Life, Short-Term Disability, AND Long-Term Disability Insurance!
• Sabbatical Program offering extended time off at years 7, 14, and 21.

Central City Concern is an innovative nonprofit agency providing comprehensive services to single adults and families in the Portland metro area who are impacted by homelessness, poverty, and addictions.

We hire people who are skilled and passionate to meet our mission through innovative outcome-based strategies that support personal and community transformation.

This description is intended to provide a snapshot of the work performed and is not designed to contain a comprehensive inventory of all duties, responsibilities, and qualifications required for the position.

As an agency deeply rooted in recovery, part of our policy and commitment to a drug and alcohol-free workplace includes post-offer, and pre-employment drug screens.

Please note we follow Federal Guidelines regarding prohibited substances, even for those legal at the state level.

CCC values and celebrates diversity in race, heritage, ethnicity, gender identity and expression, sexual orientation, religion, age, and disability.