Career Opportunities: Housecall Providers Medical Director of Home-Based Primary Care, Physician (25065)

Housecall Providers https://www.housecallproviders.org/

Housecall Providers is a Portland area nonprofit organization and one of the largest providers of medical care exclusively in the home in the Western United States. We are proving every day that in home medical services for homebound and chronically ill patients can improve health outcomes, increase patient comfort, reduce health care costs and increase provider satisfaction. We are a proud part of the CareOregon family of health organizations.

Our Mission
Improving lives by bringing health care home.

Our Vision
To sustainably transform home-based medicine so all homebound adults and those living with serious illness have access to care that improves their quality of life.

Our Values
Compassion and respect, authentic relationships, collaboration, courage, social justice.

Diversity Statement

We embrace the diversity of our employees, patients, and those who care for them. Through awareness and advocacy, we are working to create health equity by recognizing and reducing barriers that affect non-dominant groups within Housecall Providers and our communities at large.

The quadruple aim is real at Housecall Providers
In home medical care for homebound patients is proven to increase patient comfort, improve health outcomes, reduce health care costs and increase provider/care team satisfaction. Housecall Providers has saved Medicare millions of dollars, while providing better care to our patients, ensuring greater patient comfort, improved health outcomes and care team satisfaction. With the population aging, more people are suffering from multiple chronic conditions and degenerative diseases. This trend will continue as roughly 10,000 baby boomers a day enter the Medicare system.

If you receive an offer of employment for this position, it is contingent on the satisfactory completion of a pre-employment background check, immunization review, and drug screen (including THC/Marijuana). CareOregon is a federal contractor and must comply with all federal laws.

Job Summary

The Primary Care Medical Director is responsible for providing clinical leadership and expertise to the primary care team to improve care delivery and implement the mission of the organization, ensuring overall quality and continuity of patient care. This position works closely with the Primary Care Director to lead the execution of primary care clinical strategies for Housecall Providers. Together the Primary Care Director and Medical Director are responsible for administrative and clinical operations and continuous improvement to ensure the highest level of compliance and quality care is provided to primary care patients. This position provides supervision to all primary care providers in collaboration with the primary care clinical supervisor. The Primary Care Medical Director is responsible for facilitating a culture of collaboration within the primary care team and implementing effective care management and other clinical practice improvement initiatives as assigned. In addition, this position provides direct patient care sufficient to maintain clinical skills.

Essential Responsibilities

Clinical Leadership

• Plans, organizes, manages, and administers assigned areas of medical practice; develops and implements programs supporting the strategic plan; implements and assists in the development of policies, procedures, and best clinical practices; evaluates goals, objectives, priorities, and activities to improve performance and outcomes; recommends and establishes administrative controls and improvements; develops procedures to implement new and/or changing regulatory requirements.
• Directs the development and implementation of clinical best practices in assigned areas of practice, including setting standards for clinical care, researching, reviewing and revising clinical guidelines. Provides monitoring and input regarding performance of other health care professionals, and develops, directs provider in-service training.
• Actively participates in quality improvement projects and tasks in assigned areas of practice, including setting strategic priorities for quality improvement in consultation with the director of population health, quality and compliance.
• Researches and analyzes adverse events and cultivates open discussion within the practice to assess systemic barriers and make recommendations to support patient safety and effective clinical practice. 
• Provides guidance to the Primary Care team and Ethics Committee in the resolution of complex care needs, conflict and ethical issues.
• Provides clinical chart review, supervision and supporting documentation of nurse practitioner and physician associate work as required by state licensing, legal and federal requirements for patient care.
• Develops, administers, and monitors budgets for their assigned department; develops justifications for budgetary recommendations and/or adjustments. 
• Assists with the broader budgeting process to ensure clinical perspective is represented.  Adheres to organization budget as approved by Board.
• Participates in and may lead activities related to strategic and annual planning.
• Reviews and implements, in collaboration with the Primary Care Director, federal, state, and local laws, regulations, policies, and procedures related to medical practice in order to ensure compliance.
• Plans and implements in-service education; may delegate some or all of these to other staff members or experts in the field.
• In collaboration with the Primary Care Manager, advises and recommends best practices related to all clinical support services and clinical operations.
• Assists in maintaining credentialing and privileging of all providers.
• Participates on internal committees and taskforces; leads or sponsors as appropriate.
• Determines the staffing schedule which ensures after hours medical coverage and physician/leader back up is available at all times.
• Works with Senior Medical Director to ensure physician availability and oversight at all times for state and federally mandated work and clinical consultation.

Community Relations and Advocacy

• Assists with public relations and/or other external activities, to represent clinical perspective.
• Attends meetings of Board of Directors and committees as requested.
• Develops relationships in larger community, especially the medical community.
• Cultivates connections with local and national organizations whose interests align with Housecall Providers’ mission.
• Advocates for the needs of the organization’s patient population at a policy level.

Clinical Service

• Examines, treats, and advises patients on clinical problems; delivers preventative health services and palliative services; coordinates specialty care, and case management.
• Educates patients and families on goal-based, appropriate preventative care, medical issues, and use of prescribed medications and treatment.

Employee Supervision

• Directs team(s) and establishes team direction and goals in alignment with the organizational mission, vision, and values.
• Identifies work and staffing models; recruits, hires, and oversees a team to meet work needs, using an equity, diversity, and inclusion lens.
• Identifies department priorities; ensures employees have information and resources to meet job expectations.
• Leads the development, communication, and oversight of team and individual goals; ensures goals, expectations, and standards are clearly understood by staff.
• Manages, coaches, motivates, and guides employees; promotes employee development.
• Incorporates guidance from CareOregon equity tools into people leadership, planning, operations, evaluation, budgeting, resource allocation, and decision making.
• Ensures team adheres to department and organizational standards, policies, and procedures.
• Evaluates employee performance and provides regular feedback to support success; recognizes strong performance and addresses performance gaps and accountability (corrective action).
• Performs supervisory tasks in collaboration with Human Resources as needed.

Organizational Responsibilities

• Perform work in alignment with the organization’s mission, vision and values.
• Support the organization’s commitment to equity, diversity and inclusion by fostering a culture of open mindedness, cultural awareness, compassion and respect for all individuals.
• Strive to meet annual business goals in support of the organization’s strategic goals.
• Adhere to the organization’s policies, procedures and other relevant compliance needs.
• Perform other duties as needed.

Experience and/or Education

Required

• Completion of medical degree, internship and residency in Internal Medicine or Family Medicine
• Licensed physician (MD or DO) in the State of Oregon
• Certification by the American Board of Medical Specialties
• Drug Enforcement Administration (DEA) license
• CPR certification at hire or within 6 months in position
• Minimum 5 years’ clinical experience in geriatrics, chronic disease management and/or hospice and palliative medicine
• Valid driver’s license, acceptable driving record and automobile liability coverage or access to an insured vehicle

Preferred

• Minimum 5 years’ experience in a supervisory position
• Geriatric, behavioral health and/or palliative care certified
• Experience in medical home visits

Knowledge, Skills and Abilities Required

Knowledge

• Knowledge of the principles and practice of medicine
• Proficient in the practice of geriatrics and palliative care
• Knowledge of the state and federal laws and regulations governing the practices of physicians, nurse practitioners and physician’s assistants
• Knowledge of the ethical and medico-legal aspects of medical practice
• Knowledge of the principles and practices of public health, including familiarity with epidemiology, health services delivery and financing systems, and environmental health
• Knowledge of the population served in adult health, including culture, demographics, patterns of disease, barriers to care and other unique features or special needs
• Knowledge of the principles and practices of clinical quality improvement
• Knowledge of trauma informed care
• Knowledge of behavioral health in a primary care setting
• Familiarity with clinical staffing models
• Familiarity with principles and practices of organization’s budgeting process
• Familiarity with principles and practices of strategic planning

Skills and Abilities

• Open leadership style; actively seeks out and supports collaborative thinking, cooperation, teamwork, and problem solving with others inside and outside the organization
• Excellent communication and facilitation skills
• Compassion, commitment, and integrity
• Cultural competence in working with diverse social and economic situations without imposing own values; respect for appropriate professional boundaries and ability to communicate effectively
• Ability to contribute to a positive atmosphere with internal and external partners
• Strong project management skills
• Proficiency in data collection, analytical capability, and ability to design and implement constructive change to improve program and patient outcomes
• Ability to take initiative and utilize innovative techniques and ingenuity
• Ability to work under pressure to meet deadlines
• Ability to work in a continuously improving environment and support others to embrace change
• Ability to build productive professional relationships, hold staff accountable and resolve conflicts successfully
• Ability to adhere to organizational standards, policies and procedures
• Ability to apply use of safety judgment on a case-by-case basis, as well as proper body mechanics and safe working techniques; reports unsafe environments/practices to supervisor in a timely manner

• Ability to work effectively with diverse individuals and groups

• Ability to learn, focus, understand, and evaluate information and determine appropriate actions
• Ability to accept direction and feedback, as well as tolerate and manage stress
• Ability to see, read, hear, speak clearly, sit, and perform repetitive finger and wrist movement for at least 6 hours/day
• Ability to for lift, carry, push, pull, stand, climb stairs, bend, and/or pinch small objects for at least 3-6 hours/day

• Ability to walk, crouch, crawl, and reach and for at least 3 hours/day
• Ability to operate a motor vehicle

Working Conditions

Work Environment(s):        ☒ Indoor/Office    ☒ Community      ☐ Facilities/Security     ☐ Outdoor Exposure

Member/Patient Facing:    ☐ No                          ☐ Telephonic        ☒ In Person

Hazards: May include, but not limited to, physical, ergonomic, and biological hazards.

Equipment: General office equipment and/or mobile technology

Travel: Requires travel outside of the workplace at least weekly; the employee’s personal vehicle may be used. Driving infractions will be monitored in accordance with organizational policy.

Work Location: Hybrid-Community 2 days/week, member facing

Candidates of color are strongly encouraged to apply. CareOregon is committed to building a linguistically and culturally diverse and inclusive work environment.

Veterans are strongly encouraged to apply.

We are an equal opportunity employer. CareOregon considers all candidates regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, or veteran status.

Visa sponsorship is not available at this time.