What are the responsibilities and job description for the Chief Medical Officer position at Association of Clinicians for the Underserved?

Description

SUMMARY

Reporting directly to the Haymarket Center President & Chief Executive Officer, the Chief Medical Officer (CMO) leads the delivery of integrated primary care and behavioral health care services at Haymarket Center.

Haymarket Center offers a full continuum of integrated substance use treatment, mental health services, and primary care for patients and families. Operating around the clock, 365 days a year, Haymarket Center welcomes all patients regardless of ability to pay. An on-site pharmacy will open this year as part of the Haymarket Center continuum of care.

Haymarket Center is awaiting designation as a Federally Qualified Health Center Look Alike organization. Once granted, the CMO will be responsible for assuring compliance with medical care requirements of an FQHC organization as well as for compliance with all other medical standards required by public health and behavioral health licensing departments and accrediting entities including CARF.

The CMO provides leadership and direction to assure high quality delivery of care for a population with complex conditions caused or exacerbated by social determinants of health. Many have experienced homelessness, social and economic isolation, and criminal justice involvement.

The CMO assures that Haymarket Center operates with standards, protocols, and clinical systems that foster high quality of care for our patients. The CMO implements operating efficiencies aimed at enhancing patient flow and assuring effective, efficient use of resources. This includes assessing and upgrading existing medical care standards, and providing management, leadership and coaching to our medical staff and clinical teams.

KEY CMO RESPONSIBILITIES

Lead the development and implementation of practices and standards for integration of primary care, behavioral health care, and response to social determinants of health.
Recruit, supervise, assure quality, and support the professional development of medical, mental health and pharmacy professionals and their clinical care teams.
Provide guidance on medical issues : promote high quality delivery of an integrated, comprehensive approach to medical care delivery and population health management approached with clinical staff across the organization.
Assume responsibility for the recruiting and training of our physicians, nurse practitioners, and physician assistants, overseeing credentialing and privileging, and ensuring adherence to safety standards and medical care practice standards.
Serve as a strategic leader to assure continuous quality improvement, accreditation, provide credentialing, integrated electronic medical record system operations, and clinical compliance with external funding and regulatory entities.
Advise on insurance contracting and billing approaches across all our clinical service lines.
Contribute as part of the senior team to the planning and implementation of Haymarket's participation in value-based care arrangements with a focus on long term solutions for patients with substance use disorders and mental health conditions.
In collaboration with other senior team leaders, establish liaison with hospitals, insurers and other health sector leaders to forge strategic partnerships to offer high quality, affordable, comprehensive, long term approaches to treatment, innovative delivery of care, and health status improvement.
Collaborate with the senior team to monitor regulatory and legislative issues affecting our services and our ability to improve outcomes for patients with multiple medical, mental health, substance use, and social conditions.
Collaborate with the senior team to develop and implement teaching and research activity.
Assist the senior team to develop successful competitive applications for external funding including large federally funded research and delivery system programs.
Serve as a resource and spokesperson internally and externally on medical issues affecting our patients and populations.
Provide and direct medical care services at Haymarket Center on a predictable schedule.

Serve as the medical director for our community health center

Lead the development and expansion of our program of high quality primary care to address unmet need for integrated primary care and behavioral health interventions in compliance with HRSA requirements for FQHC Look Alike facilities.

Lead the development of standards and protocols for practice management, access, information systems, medical records, credentialing and privileging, insurance contracting, and transfer and emergency policies for the community health center as required for an FQHC Look Alike.

Develop and maintain partnerships as needed to assure a continuum of high quality, affordable, accessible care for health center patients and residents of the service area (as specified in application Form 5A).

Advise on establishing a 340B pharmacy relationship for FQHC patients.

Maintain a high quality medical care plan and to implement strategies to respond to patient and community need for holistic primary care.

Participate in month board meetings to provide updates as requested by the CEO and board chair.

Participate as needed in activities of the Illinois Primary Health Care Association and other professional societies regarding meeting HRSA expectations.

Demonstrate the characteristics of a collaborative forward thinking Haymarket Center Leader

The CMO should be highly organized with extensive experience in both medical and management roles. As a strategically minded team member, the CMO interprets changes in the field, generates ideas and participates in quality assurance initiatives that contribute to our position as a leader in the field of addiction treatment and integrated delivery of care. The CMO position requires a strong understanding of addiction recovery and its application. The CMO must have the ability to think globally, solve problems and have good decision-making skills, including critical thinking. The CMO must adapt to a continually evolving environment, be operations-savvy, and thrive in an autonomous and high-pressure workplace. As a team member the CMO works with colleagues to develop, plan and implement strategies for program continuation and growth to support the overall success of our organization.

ESSENTIAL CMO FUNCTIONS

Examine existing medical care standards, protocols, and practices; develop and improve standards to ensure that patients are receiving quality of care across all medical programs.

Develop and implement an ongoing peer review process.

Implement quality assurance programs; define measures and expectations for monitoring.

Conduct performance reviews of medical staff.

Conduct regular chart reviews and spot-check quality assurance audits.

Regularly review and revise medical care policies and protocols to meet up-to-date professional standards of care and standards directed by licensing, funding, and accrediting organizations.

Ensure the development and maintenance of statistical data related to patient care and patient outcomes, including UDS data required of FQHC Look Alike organizations.

Collect and review clinical data to assure quality and compliance with externally directed standards; organize, direct, and integrate practices to assure continued compliance with applicable State and Federal laws governing medical services.

Regularly review and recommend changes in program services to address unmet client need.

In conjunction with senior team, advise on approaches for fiscal responsibility, consistent with the business plan and annual budget.

Develop referral relationships with external physicians and hospital systems to assure access to a full continuum of care for our patients.

Develop a plan for ongoing clinical training of the medical team.

Recruit medical staff as necessary.

Monitor and respond to medical team employee satisfaction.

Collaborate with senior leaders to develop a strategic short and long term infrastructure strategy for clinical operations, and plan and implement strategies to manage program growth and sustainability of our clinical programs.

Represent Haymarket Center with external organizations as needed.

Clinic Operations

Work with other members of the management team to implement clinic operating processes and systems including the electronic health record, enhance patient flow, improve clinic administration, and facilitate operating excellence.

Collaborate to assure the efficient functioning of the clinic site, and coordination of medical and administrative personnel, schedules, policies, and processes.

Participate in review of patient grievances; recommend and implement follow up measures.

Prepare for and participate in clinical audits from HRSA, various regulatory agencies, accrediting entities, and health plans.

Ensure adherence by medical staff to Haymarket Center policies.

In conjunction with other senior leaders, support the development of new policies or revision of existing policies and procedures as needed for patient care, clinical staff employment, and business development.

Assist in the implementation of all medical policies and procedures as they pertain to patient care and clinical staff employment.

SUPERVISORY RESPONSIBILITIES

Directly supervise physicians, physician assistants and nurse practitioners. Serve as a member of the senior leadership team to direct and advise on all aspects of clinical care at Haymarket Center.

EDUCATION, EXPERIENCE, AND SKILLS REQUIRED

Board Certified Physician, licensed to practice in Illinois, and in good standing.

Minimum of five to ten years experience providing medical direction and supervision of teams.

History of progressively responsible non-profit management experience and staff supervision, including expertise transforming clinical staff into a highly functional team.

Experience working with individuals who have a substance use disorder and with individuals affected by social determinants of health.

Knowledge of a community based clinic environment.

Experience and confidence identifying and implementing evidence-based practices.

Proven experience understanding and demonstrating ability to generate revenues for clinical services.

Experience in working in crisis settings with individuals and families.

Solid program development, evaluation, public speaking, and organizational skills.

Strong written and oral communication skills.

Electronic health record proficiency, and

Ability to work in and adapt to the culture of a multi-cultural, community-based organization.

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