Primary Care Medical Director - Old Town Clinic (Hiring Bonus up to $25,000 for qualified external applicants!)

Medical Director, Primary Care (Old Town Clinic) | Central City Concern | Portland, OR

What would your leadership look like if the people you served were the ones most health systems struggle to reach?

Central City Concern (CCC) is a Portland-area nonprofit that provides housing, healthcare, recovery, and employment services to people affected by homelessness. Our clinics meet people where they are, and that includes the Old Town Clinic, our Hansen Clinic, and our Mobile Medical teams, which bring care directly into the community.

As Site Medical Director, you’ll guide the clinicians who provide that care.

You’ll partner with the Senior Medical Director of Primary Care to set clinical standards, strengthen quality and safety, and build a culture where open communication and continuous improvement are part of everyday practice. You’ll also stay close to patients, spending part of your week in direct care within a team setting.

In this role, you will:

• Lead and support a multidisciplinary group of primary care providers, including mentoring, coaching, recruitment, and professional development
• Shape clinical quality, from evidence-based guidelines and protocols to safety monitoring and a just culture
• Teach and mentor, including supporting OHSU internal medicine residents who practice at Old Town Clinic
• Help guide the clinic’s direction as part of primary care and agency leadership, including budget and performance planning

This Role Suits

A physician who has worked in community or underserved care, has led teams, and wants to build something that makes care more accessible and humane. Experience with medication management for substance use and mental health conditions is preferred, though willingness to develop those skills is welcome. What matters most is a non-judgmental approach, strong communication, and a commitment to the people we serve.

If you’re ready to lead where your clinical and leadership skills will matter most, we’d love to talk with you.

Schedule: Monday - Friday, 8:00am to 5:00pm

Location: Old Town Clinic (727 W. Burnside St. Portland, OR 97209)

Compensation: $239,000 - $359,000 annually

Final compensation will be determined based on relevant experience, education, credentials, and internal equity.

Hiring Bonus up to $25,000 for qualified external applicants!

Minimum Qualifications

• Board eligibility or certification in Internal Medicine or Family Practice.
• Licensed to practice as a Physician 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) year experience in established leadership capacity within a healthcare setting required.
• Must have full prescriptive powers in Oregon with a DEA number.
• Preferred: experience with primary care-based medication management for substance use and mental health disorders or willingness to develop skills.
• Current BLS certification or must obtain within one month if not current.
• 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, Hansen, 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 callouts.
• Oversees recruitment, evaluation and retention of LMPs.
• In collaboration with the Senior Medical Director of Primary Care 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 OHSU internal medicine residents practicing at OTC.

Description of Other Duties

• Ensures adequate and timely communication with LMPs regarding essential information (ie 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 Conc