Job Summary:
Under the supervision of the CEO of PACE, the Chief Medical Officer provides general medical direction and supervision of the medical aspects of care for PACE-RI. In conjunction with the Chief of Clinical Services, provides direction and supervision of related primary care, nursing, and allied health services. The Chief Medical Officer has authority over the quality improvement program within PACE and sets forth a philosophy of care through the development of protocols, education, and best practices.
Job Duties/Responsibilities:
- Assumes overall accountability and responsibility for the medical care of the participants of PACE-RI.
- Provides direct primary care for an appropriate panel size of participants.
- Performs comprehensive history and physical on new enrollees within 30 days of enrollment.
- Performs interval assessments on established participants, semi-annually or as directed.
- Evaluates and treats participants with episodic illnesses and informs IDT as to the chronic and acute care trajectory.
- Judiciously utilizes and oversees the use of specialist consultations as needed.
- Admits participants to hospital, providing primary care attending responsibilities; and/or coordinates and manages care through pro-active collaboration with hospitalist, provides updates to the IDT on a regular basis, and assists with actively coordinating discharge planning with IDT.
- Manages all care of participants in the nursing home, conducts regular visits, and performs telephone consultations with nursing home staff as required.
- Conducts home visits as needed.
- Collaborates with other IDT members and other providers to formulate and achieve care plan goals, meet emergent and acute needs of participants, and assure comprehensive and continuous care.
- Ability to work sensitively and effectively with individuals of diverse and ethnic cultural backgrounds.
- Actively participates in family conferences and manages sensitive conversations related to medical care needs.
- Manages the placement of clients in the hospital, skilled nursing facility and long-term care placement by participating in the approval, review and management of such placements.
- Maintains positive relationship with hospitals and agencies that support community-based long-term care.
- Ensures development and compliance with organizational policies and procedures and all applicable regulatory requirements and standards.
- Develops written policies, protocols, and/or staff education designed to improve the quality of clinical care.
- Serves as an active member of committees that require input regarding medical care or assigns an appropriate designee.
- Provides medical evaluation, direction and guidance to PACE as required by law and consistent with CMS regulations.
- Furnishes medical expertise, leadership and consultation regarding the design, implementation, and evaluation of clinical services within the context of organizational mission, vision and goals.
- Collaborates with senior management to promote quality, efficiency and effectiveness of service. This includes responsibility for use of current clinical services, and the design of new services to reduce institutional utilization.
- Recognizes trends in care provision/utilization and oversees appropriate utilization of medical and institutional services. Identifies negative trends and coordinates appropriate interventions that along with IDT will trigger a plan to manage them in a timely manner; develops quality calendar with Quality Specialist and reports out on results annually to Board of Directors.
- Recruits and provides ongoing supervision, mentorship and training of primary care physicians and nurse practitioners and provides clinical oversight and input into their periodic performance evaluations.
- Creates and encourages the implementation of pathways or tools that assist the team in making sound clinical decisions regarding utilization of services.
- Oversees the training of medical students, fellows, and research projects at or in conjunction with PACE-RI.
- Demonstrates thorough knowledge of current concepts, evidence-based practice, theories, and practices to guide the clinicians and IDT in home and community-based care for the elderly and disabled adults.
- Participates in the contract negotiations for the medical-related providers and evaluates the competence and quality of existing providers on a regular basis.
- Serves as community liaison with physicians, hospitals, and other health care providers.
- Interfaces actively with other PACE-RI physicians and medical directors.
- Together with Senior Management, supports the IDT in reaching decisions via consensus according to PACE-RI policy and procedural guidelines.
- Creates and implements departmental audit system to identify areas of non-compliance and opportunities for quality improvement; uses data to inform decision making and action steps.
- Responsible for leading and managing the strategic and operational aspects of pharmacy services, ensuring compliance with regulatory standards, and driving improvements in medication safety, quality, and efficiency.
- Demonstrates an understanding of the importance of clear, thorough documentation as crucial to good participant care; completes and enters accurate, thorough participant documentation in the electronic health record; enters documentation for assessments, orders, and notes within required timeframes.
- Performs other related duties as required and assigned.
Required Skills & Abilities:
Ability to maintain confidentiality, prioritize tasks, and meet project deadlines. Proficiency with MS Office Suite or similar software. Dependable and punctual with ability to maintain consistent attendance. Ability to read, write and comprehend English. Ability to maintain sound judgement under stress and communicate effectively. Ability to research and analyze data, draw conclusions, and resolve issues. Ability to read, interpret, and apply policies, procedures, laws, and regulations. Ability to proficiently perform clinical/skilled tasks associated within scope of position.
Education Requirement:
Doctorate, Required.
Physical Requirements:
Physical ability to regularly stoop, bend, kneel, lift, stand, walk, stretch and reach for extended periods of time. Must be able to regularly lift objects up to 25 pounds and at times up to 35 pounds. Must be able to assist a 200-250 lb participant, using proper body mechanics. Must have hearing and vision abilities within normal range (corrected) to drive safely and/or to observe and communicate with participants. Must be able to navigate various departments of the organization's physical premises as well as related community care settings. Must be able to tolerate conditions typically associated within a medical office and/or home care setting including potential exposure to bloodborne pathogens and infectious diseases. Must be able to complete assignments in variable weather conditions and ever-changing and sometimes allergenic environments in participant homes, including extreme heat, humidity, dust, smoke, pet contamination, and cleaning supplies.
Experience:
5 years primary care experience with senior population, Required; 3-5 years of Staff management, budgetary and clinical management experience, Required.
Licensure & Certification Requirements:
RI Doctor of medicine or osteopathy; RI Controlled Substance Registration.
Position Requirements:
CPR Certification; NPI Number; DEA Registration Number; Driver's License & access to reliable transportation: community-based travel required.