FlexStaff is seeking a Regional Medical Director for our client, a non-profit healthcare organization providing home and community-based healthcare and services for the elderly.   This position will oversee their Manhattan clinics (2) located on the lower east side and upper east side and will also be responsible for their Queens locations located in Flushing and Ridgewood.   

JOB RESPONSIBILITIES

Under the direction of the Chief Medical Officer, the Regional Medical Director is responsible for the professional, organizational, and administrative aspects of providing quality medical care to Day Treatment Center patients.

Medical Practice Oversight:

Serve as the Regional Medical Director for the assigned Diagnostic and Treatment Centers (DTC). Direct the medical care and treatment patients and have primary medical responsibility in overseeing and supporting the care rendered by other members of the interdisciplinary care team. Develops and supervises the provision of ambulatory medical services. Be available for the interdisciplinary team and site directors when needs arise. Participates in multidisciplinary team activities, which may include case conferences, hospitalization reports, family and team meetings. Provide oversight on the medical practice by promoting a balanced approach between evidence-based medicine and the participant baseline conditions and values.

Provider Operations:

Be process driven and focus on standardization and scalability. Ensure appropriate staffing and providers coverage for all sites needs.  Share insight and participate in annual performance appraisal activities. Lead educational and professional development activities. Support the process of recruiting, hiring and onboarding new providers. Supervise the call schedule development and ensure adequate providers staffing across all sites. Annually reviews policies and procedures. Develops policies and procedures governing patient care in accordance with generally accepted standards of professional practice. Serve on committees as deemed necessary by the CMO.

Outcomes Management:

Have a good understanding of population health and managed care principles. Identifies opportunities and develops programs to improve quality of care. Supervises the sites Quality Assurance Performance Improvement (QAPI) program. Provides oversight on providers performance as it relates to quality, cost and utilization. Be patient centric and ensure sensitivity to the consumer/ participant needs and experience in any product development or program roll out.

Clinical Coverage and Collaboration:

Provide episodic care and care planning clinical coverage when needs arise.  Participate in multidisciplinary team activities, which may include case conferences, hospitalization reports and family and team meetings when needed. Build positive alliances with the interdisciplinary team members and leadership. Serve as liaison with other medical organizations and community practices as necessary. Help identify opportunities and develop programs and projects as directed by CMO to improve care. Only act within the scope of the individual’s authority to practice. Meet a standardized set of competencies for the specific position description established by the PACE organization before working independently.

Managed Care and Clinical Design:

Understand utilization management and support the organization’s clinical review activities. Support the needs for the appeals and grievances process. Conduct charts review as necessary and peer to peer with clients to validate medical necessity. Be data driven and savvy with data analytics including population segmentation and developing targeted interventions. Participate in developing the different elements of the clinical model particularly for the high risk/high need members. Be the leader for interdisciplinary implementation. Able to apply the principles of quality improvement including PDSA and change management. Participate in registries management and conduct peer review activities to uphold the best standards for quality, safety and cost and use reduction.

QUALIFICATIONS

Education: 

Graduate of an accredited school of medicine Board Certification in Internal Medicine or Family Practice. Board Certification or experience in Geriatric Medicine preferred. Residency in Internal Medicine, Family Practice, or fellowship or experience in Geriatrics.

Experience:

Minimum of (3) years of staff supervision experience preferred. Three (3) years of experience in value-based organizations, advanced primary care, startups or managed care. Experience managing providers groups. Minimum of one (1) year of experience working with a frail or elderly population or, if the individual has less than one (1) year of experience but meets all other requirements, must receive appropriate training from the PACE organization on working with a frail or elderly population upon hiring.

License: Current active and unrestricted license to practice medicine in New York State.

Additional Requirements

Be medically cleared for communicable diseases and have all immunizations up-to-date before engaging in direct participant contact. Must have a Medicaid Provider ID and a Medicare Provider ID in good standing.