PACE Medical Director

CarePartners PACE- Mission Health
Asheville
North Carolina US
Job Category: 
Medical Director
Type: 
Employee
Setting: 
Other
Status: 
Full Time
Location: 
Asheville , NC
Salary: 
Competitive
Posting Date: 
September 11, 2017
Expiration Date: 
October 11, 2017
Description: 

Role Summary: The Medical Director provides general medical direction and supervision of the medical aspects of care for CarePartners PACE. The Medical Director is responsible for the delivery and oversight of participant care, clinical outcomes, implementation and oversight of the quality assessment and performance improvement program, development and maintenance of medical policies and procedures/standards and protocols. The Medical Director will provide direction and supervision to primary care physicians, nurse practitioners, nursing staff and allied health services and leadership of the program among staff, colleagues and providers in the community.

Skills, Knowledge, Abilities: Required Education: • Doctorate’s Degree: MD or DO • Successfully completed a residency program accredited by the Accreditation Council for Graduate Medical Education Required License: • Successfully completed a residency program accredited by the Accreditation Council for Graduate Medical Education • MD or DO designation • Board Certification – Internal Medicine or Family Practice • Current NC physician license • Current BCLS • DEA Registration • Current driver’s license and proof of auto insurance Preferred License: • Board Certification – Geriatrics preferred Required Experience: • Minimum of 2 years’ experience working with a frail or elderly population. Preferred Experience: • Current knowledge of chronic care/geriatric issues and best practices. • Ability to build strong working relationships with other physicians and other health care managers and providers. • Good judgment, problem solving and cognitive skills • Ability to process information accurately and timely • Effective oral communication skills • Strong organizational skills. • Demonstrated leadership abilities • Ability to lead and work within an interdisciplinary setting. • Enthusiasm for geriatric medicine and taking care of the chronically ill • Ability to anticipate and manage changing priorities. • Legible handwriting • Skill and knowledge of how to work effectively in a managed care environment. • Working knowledge of PACE regulations

Essential Accountabilities:

  • Assume overall accountability and responsibility for the medical care of the participants. Oversee the medical service team to promote quality and outcome goals. Directs delivery of participant medical care.
  • Overall responsibility for the implementation and oversight of the QAPI activities, and QAPI plan. Will study data, review procedures, identify problems and make necessary corrections to ensure the QAPI plan is viable and data has integrity.
  • Member of the Quality Assurance Committee.
  • Provide medical oversight in the development of standards and uniform treatment policies and procedures to assure they are inclusive of the knowledge and values which guide CarePartners PACE.
  • Develop and maintain written objectives, policies and procedures, an organizational plan, and a quality assurance program for the medical service. All medical policies shall be reviewed at least annually.
  • Coordinate and integrate medical services with other participant care services to provide a continuum of care for the participants
  • Develop, implement, and monitor outcome measurements to assure appropriate and efficient utilization of all health care services including:
    • Hospital inpatient and ER utilization
    • Pharmaceuticals
    • Specialist referrals
    • Medication management
    • Nursing facility utilization
  • When utilization problems are identified, research best practices and work with clinical staff and interdisciplinary team to make appropriate procedural and or operational changes to bring utilization into alignment with established PACE best practices.
  • Supervise CarePartners PACE primary care practitioners: physicians and nurse practitioners.
  • Provide back-up and consultative support to NP on call.
  • Conduct NP Competencies.
  • Semi Annual Review of a sample of medical records to evaluate primary care physician and nurse practitioner’s practice is consistent with established protocols and practices.
  • Recruit and train primary care physicians and geriatric nurse practitioners
  • Assist in developing and maintaining written job descriptions for the medical staff. Participate in the review of credentials and delineation of privileges of medical staff members, and assign duties based upon education, training, competencies and job descriptions.
  • Participate in annual performance evaluations of Primary Care Physicians and Nurse Practitioners.
  • Consult with primary care staff to discuss clinical and case management issues
  • Monitor clinic operations to assure integration of primary care and nursing services
  • Oversee and ensure appropriate diagnostic coding practices of Primary Care Physicians.
  • Participate in primary care, hospital and nursing home rounds, and the 24-hour on-call system to assure continuity of care for PACE participants.
  • Ensure that medical staffing patterns are implemented
  • Act as community liaison with physician groups, specialists, and hospitals to represent CarePartners PACE and assure good provider relationships.
  • In conjunction with the Executive Director, participate in contract negotiations and monitoring with medical and health related providers.
  • Provide leadership with medical staff, promoting the goals and needs of CarePartners PACE and those it serves.
  • Participate with the executive management group in internal operations, program development and resource utilization.
  • Participate in staff orientation and staff education activities.
  • Participate in continuing education and training of all CarePartners PACE staff.
  • Participate in the National PACE Association physician network to assure representation and recognition.
  • Identify opportunities for clinical and health care delivery research which will enhance the geriatric leadership role of CarePartners PACE in clinical expertise and innovation.
  • When acting as Primary Care Physician, maintain daily attendance at and participate in interdisciplinary team meetings, communicating participant changes, collaborating on care planning decisions and coordination of 24 hour care delivery.
  • When acting as Primary Care Physician, evaluate and treat participants during acute illness. Oversee and manage participants’ use of medical specialist and inpatient care. Admit participant to the hospital, provide primary care or coordination of care with hospitalists, remain responsible for medical management, and provide updates to interdisciplinary team. In conjunction with the interdisciplinary team, plan and coordinate discharge.
  • Participate in planning and budgeting for the Medical Services
  • Act only within the scope of practice.

MERIT Standards of Performance

A. Workplace Expectations

  1. Professional Appearance: Our appearance represents Mission Health System / CarePartners. Therefore, our grooming and dress will reflect our respect for our customers. While on duty, we will first consider our customers’ expectations in how we present ourselves. Our manner and expression will convey our concern for and willingness to serve our customers.
  2. Safety Awareness: Safety must be the responsibility of all Mission Health System / CarePartners employees to ensure an accident-free environment. Accidents are the result of actions and attitudes that you can help to change.
  3. Corporate Compliance: Integrity is doing the right thing by being honest in our dealings with one another, our patients and our business contacts. Integrity is doing the right thing by maintaining the security and confidentiality of patient information.

B. Behavioral Standards

  1. Etiquette in the Workplace: Workplace etiquette can create a favorable impression on our patients, visitors, and co-workers. Good manners contribute to patient satisfaction.
  2. Communication: The goal of communication is understanding. We must be committed to listening attentively to our customers in order to fully understand their needs. Close attention should be given to both verbal and non-verbal messages. Our messages to customers should be delivered with courtesy, respect, clarity, and care. We must avoid confusing our customers and speak in terms they can easily understand.
  3. Customer Relations: At Mission Health System / CarePartners we believe that we are here to serve our customers – our customers are patients, family, co-workers, physicians, and vendors. Our customer’s most basic expectation is to be treated with courtesy and respect. We are committed to providing the highest quality of service and meeting customers’ needs with utmost care and courtesy.
  4. Working Relationships: As Mission Health System / CarePartners employees, we are linked to one another by a common purpose: serving our patients and our community. Our co-workers, therefore, are our teammates. They deserve our respect. Without their contributions, none of us could perform our jobs. Just as we rely on our fellow employees, they rely upon us. Each of us has obligations to our co-workers.
  5. Sense of Ownership: Every Mission Health System / CarePartners employee should feel a sense of ownership toward his or her job. By this we mean taking pride in what we do, feeling responsible for the outcomes of our efforts, and recognizing our work as a reflection of ourselves. Take pride in this organization as if you owned it.

Skills, Knowledge, Abilities:

Required Education:

  • Doctorate’s Degree: MD or DO
  • Successfully completed a residency program accredited by the Accreditation Council for Graduate Medical Education

Required License: 

  • Successfully completed a residency program accredited by the Accreditation Council for Graduate Medical Education
  • MD or DO designation
  • Board Certification – Internal Medicine or Family Practice
  • Current NC physician license
  • Current BCLS
  • DEA Registration
  • Current driver’s license and proof of auto insurance

Preferred License:

  • Board Certification – Geriatrics preferred

Required Experience:

  • Minimum of 2 years’ experience working with a frail or elderly population.

Preferred Experience:

  • Current knowledge of chronic care/geriatric issues and best practices.
  • Ability to build strong working relationships with other physicians and other health care managers and providers.
  • Good judgment, problem solving and cognitive skills
  • Ability to process information accurately and timely
  • Effective oral communication skills
  • Strong organizational skills.
  • Demonstrated leadership abilities
  • Ability to lead and work within an interdisciplinary setting.
  • Enthusiasm for geriatric medicine and taking care of the chronically ill
  • Ability to anticipate and manage changing priorities
  • Legible handwriting 
  • Skill and knowledge of how to work effectively in a managed care environment.
  • Working knowledge of PACE regulations
Application Submission: 

Please send inquiries and CV's to Joshua Spriggs, Physician Recruiter : Joshua.spriggs@msj.org