Regional Medical Director - New Braunfels, Texas

PAK Medical Group, PLLC

Job Summary

The Regional Medical Director has primary responsibility for clinical oversight and medical management of the medical directors and physicians assigned to the designated clinics their regions cover.

The RMD ensures that the care delivered by participating physicians and providers meets the standard for quality, timeliness, appropriateness, and variances in all the initiatives defined by ICP.

This includes but is not limited to documentation review, HEDIS gaps, medical cost initiatives, provider productivity, member satisfaction, and recruitment. The RMD would also participate in any dispute resolution with the staff, providers, and patients.

50% of the time will be spent on clinical duties providing patient facing care and the other 50% will be administrative in nature.

Responsibilities

Oversees and mentors assigned physicians in medical initiatives, care protocols, referral management and care coordination with care teams.

Works directly with other clinic medical directors, care managers and utilization management staff to ensure appropriate patient access to care, that care meets consistent standards for quality, and that there is cost effective resource utilization.

Assists clinic administrators in the management of provider scheduling, optimization of clinic operations and utilization of reports to identify opportunities to improve care, service and cost-effectiveness for all providers he/she manages.

• Actively leads the clinicians and clinical staff to gain UM/QI improvements in their clinic.
• Helps prepare for and participate in the site clinic KPI meetings.
• Attends all assigned regional, medical director meetings and other provider meetings as specified.
• Participates in any assigned interviews for staff positions and new providers.
• Partners with clinic and regional administrators to reduce medical costs and improve care outcomes.

Works with administrators to define and clarify business goals for each clinic and leads in the engagement of physician leaders to accomplish them. Participate in development and implementation of any new initiative.

• Act as the liaison for any pertinent communication to their medical directors and PCPs.
• Provide mentorship to providers and help develop future physician leaders through education of the business as managed care.
• Work cooperatively with and actively supports the ICP Compliance Program and initiatives.
• Other duties and responsibilities as assigned including attending huddles and clinic meetings.

Support all P&P and represent genuine citizenship in the clinics. In other words, be the example for all his/her clinicians.

• Participates in the recruitment and selection process for medical providers.
• Performs clinical supervision of medical staff, including regular performance appraisals and provides feedback.
• Provides supervision of clinical scheduling, call and leave for medical staff.
• Provides supervision of continuing professional education, in-service training and orientation of new medical staff.
• Ensures integration of medical services into ICP’s overall comprehensive services.
• Advises on purchase of medical equipment.
• Provides counseling to the clinical staff.

Facilitates medical staff/provider interdisciplinary team meetings reviewing up to ten high risk patients on a weekly basis for quality-of-care gaps and potential interventions.

Assists staff with treatment modalities such as pain injection initiative and other pertinent to ICP patient populations.

• Performs clinical referral reviews for medical appropriateness
• Reviews input from medical staff on their ideas and concerns with the associate CMO.
• Oversee and maintain performance improvement processes for ICP as established by the health center, JCAHO, the federal government, and any other entities.
• Reviews patient complaints.
• Actively participates and supports all collaborative efforts throughout the office.
• Provides advocacy and steerage for specialty PPN partners
• Development of standards and qualifications for medical personnel.
• Provides ongoing clinical guidance and reports on clinical activities at the
• Medical Director’s meetings.
• Performs periodic review of practice management functions.
• Serves as a liaison between medical staff and administration.

Required Qualifications

Doctor of Medicine (M.D.) or Doctor of Osteopathic Medicine (D.O.) degree from a U.S. accredited institution or equivalent licensing required to comply to practice medicine in the U.S. in the instance of foreign graduate training.

• Board Certified or Board Eligible in Internal Medicine, Family Medicine and/or Geriatric Medicine
• Valid, unrestricted license in the state which employment is located (or able to obtain)
• Active/Unrestricted DEA license
• Active BLS
• Active ACLS

Preferred Qualifications

• Two years' experience in out-patient setting
• Active/Unrestricted Medicare and Medicaid numbers
• Commercial and Medicare Advantage patient management (Value-Based Care)
• Knowledge of Medicare coverage and guidelines
• Strong verbal and written communication
• Excellent attention to detail
• Knowledge of diagnostic equipment and procedures
• Good interpersonal skills
• Critical-thinking and problem-solving skills
• Ability to move and manipulate patients

Ability to Multitask in a Fast-paced Environment

Computer/Technology Savvy – Microsoft Programs (Email, Word, Excel, PowerPoint, Teams), Athena EMR, etc.

Knowledge, Skills, and Abilities

• Knowledge of professional medical practices related to treatment.
• Knowledge of organizational and medical policies, regulations, and procedures.
• Knowledge of medical equipment and instruments.
• Knowledge of common safety hazards and precautions to establish a safe medical environment.
• Skill in developing and maintaining records, writing reports, and responding to correspondence.
• Skill in developing and maintaining medical quality assurance and quality control standards.
• Skill in establishing and maintaining effective working relationships with patients, employees, medical staff, and the general public.
• Ability to react calmly, objectively, and effectively in emergency situations.
• Ability to communicate clearly with patients, staff, and clients.
• Good telephone manners and etiquette.
• Strong organizational skills; orientation to detail.

Excellent interpersonal skills. Ability to motivate and work effectively with others.

• Physical & Mental Requirements: (check all that apply)
• Ability to lift upwards of 50 pounds.
• Ability to push or pull heavy objects using up to 100 pounds of force.
• Ability to stand or sit for extended periods of time.
• Ability to use fine motor skills to operate equipment and/or machinery.
• Ability to properly drive and operate a company vehicle.
• Ability to receive and comprehend instructions verbally and/or in writing.
• Ability to use logical reasoning for simple and complex problem solving.
• Occasionally requires exposure to communicable diseases or bodily fluids.
• Ability to discriminate shades of color when reading a dipstick.

The information listed above is not comprehensive of all duties/responsibilities performed. This job description is not an employment agreement or contract. Management has the exclusive right to alter this job description at any time without notice.

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