What are the responsibilities and job description for the Medical Director of Respite Programs position at Boston Health Care for the Homeless Program?

Who We Are :

Since 1985, BHCHPs mission has been to ensure unconditionally equitable and dignified access to the highest quality health care for all individuals and families experiencing homelessness in greater Boston. Over 12,000 homeless individuals are cared for by Boston Health Care for the Homeless Program each year. We are committed to ensuring that every one of these individuals has access to comprehensive health care, from preventative dental care to cancer treatment. Our clinicians, case managers, and behavioral health professionals work in more than 30 locations to serve some of our communitys most vulnerableand most resilientcitizens.

From our earliest days as a program, we have always sought to do work that is transformational : recognizing our shared humanity; centering dignity, compassion, mutual respect and supporting the right of every individual to access the highest levels of health care and every staff member to reach their fullest potential. We continue to be committed to building bridges and breaking down barriers, including systemic racism which harms us all. We provide community-based health care services that are compassionate, dignified, and culturally appropriate, incorporating social determinants of health, with the goal of breaking down the physical and systemic barriers that our patients face.

Bilingual, Bicultural, LGBTQIA identifying, Black, Indigenous, and People of Color are encouraged to apply.

To learn more about working at BHCHP, watch our video Please Click Here (https : / / www.bhchp.org / careers) .

Job Summary :

The mission of Boston Health Care for the Homeless Program (BHCHP) is to provide or assure access to the highest quality health care that centers on equity and dignity for all individuals and families with an experience of homelessness in greater Boston. Repeated hospitalizations can take a significant physical and psychological toll on individuals who experience homelessness, who are socioeconomically marginalized and are often living with co-occurring medical or mental health challenges. BHCHPs Medical Respite programwhich today encompasses both the Barbara McInnis House (BMH) and Stacy Kirkpatrick House (SKH)is one of the oldest and largest in the country.

BHCHPs Medical Respite was created to provide short-term medical and recuperative services in a dignified setting for homeless individuals well enough for hospital discharge but too sick to be discharged to the shelter or street. Roughly half of patients enter medical respite directly from the street or shelter to avoid hospitalization. Patients are often medically complex : the most common conditions managed in medical respite include infections (e.g., pneumonia, cellulitis, abscesses, HIV, and most recently COVID-19), acute exacerbations of chronic disease (e.g., COPD, CHF, ESLD), peri-operative and peri-procedural care needs, cancer care, and end of life care. Co-morbid psychiatric illnesses and substance use disorders are prevalent.

The Medical Director of Respite Programs is responsible for the leadership of the multi-disciplinary medical staff of BMH (103 beds) and SKH (20 beds) and establishes and maintains high quality standards of patient care. At BMH, the average length of stay is approximately 14 days, allowing for unique opportunities to develop innovative programming to support patients total health. Medical respite also plays a vital role in providing isolation for people with infectious diseases outside of congregate shelter settingsa critical need in the face of COVID-19 and other communicable illnesses like influenza, tuberculosis, Shigella, and more.

Working in close collaboration with the Executive Director of Medical Respite, Director of Nursing for Medical Respite, and Associate Medical Director of Respite Programs, the Medical Director oversees the daily clinical operation of Medical Respite care at BHCHP. The Medical Director also maintains close working relationships with area hospitals, homeless shelters, and other community partners.

Hours : Full-Time; 40 hours weekly

Responsibilities :

Clinical Care and Management

Serves as clinical leader of the respite medical staff, providing support, guidance, patient care, and critical evaluation, with direct responsibility for overseeing patient care on one assigned clinical team within respite.
Supervises, mentors, and collaborates with nurse practitioners and physician assistants; hires and supervises an Associate Medical Director of Respite Programs, who shares on-call and clinical leadership responsibilities with the Medical Director of Respite Programs; ensures that clinical care teams are properly staffed, equipped, and organized to render high-quality care.
Reviews and revises and, when needed, develops clinical care policies and procedures.
Shares responsibility with BHCHP Associate Medical Director for hiring and evaluating NP / PA clinicians for Medical Respite.
Provides direct patient care at other BHCHP sites as needed or desired, after discussion with BHCHP Medical Director, and functions under job description of BHCHP Physician.
Maintains life support training certification (e.g. CPR, BLS, ACLS) from a course that includes a hands-on, in-person component.
This position may support up to 4 weeks per year of inpatient care at local hospitals.

Administrative Leadership

Working in close collaboration with the Associate Medical Director of Medical Respite, Director of Nursing for Medical Respite and Executive Director of Medical Respite, the Medical Director participates in the overall vision-setting, management, and resource stewardship of the Medical Respite Program, which employs roughly 250 staff, including over 100 nurses; promotes communication between the Medical Respite program and other parts of BHCHP.

Participates in relevant committees, serving as co-chair of the Clinical Care Committee and co-chair of the Pharmacy and Therapeutics Committee.

Participates in other appropriate BHCHP-wide committees including, but not limited to, Senior Management Team, Management Team, Emergency Preparedness and Safety Task Force, and the Quality and Efficiency Committee; participates in other forums and work groups outside of BHCHP at the request of the BHCHP Medical Director and Chief Medical Officer.

Ensures that all regulatory requirements related to clinical care are met.

Prioritizes equity in the work environment and attends relevant equity & inclusion trainings; participation in BHCHPs Equity and Social Justice Committee is strongly encouraged.

Meaningfully engages Medical Respite patients in any new program improvement efforts.

Develops and strengthens partnerships with key stakeholders in / of medical respite at the local, state, and national levels, including hospital / health care partners, shelters, academic institutions, national respite provider networks, treatment programs, harm reduction programs, public agencies, and many others.

Shares 24 hours-a-day, 365 days-a-year medical respite administrative on-call duties with the Associate Medical Director of Medical Respite.

Performs other appropriate duties at the request of the BHCHP Medical Director and Chief Medical Officer.

Teaching, Research, and Quality Improvement

Ensures growth of the clinical knowledge of Medical Respite staff (including NPs and PAs) and trainees from local medical schools / hospitals through educational opportunities and individual mentoring.

Holds regular educational seminars on topics relevant to Medical Respite clinical care, including case conferences and Morbidity & Mortality Reviews of any adverse clinical events.

Acts as the champion of quality improvement initiatives, ensuring active, on-going evaluation of Medical Respite processes and leading QI initiatives as needed.

Monitors key performance metrics, such as hospital readmission rate and length of stay, with an additional focus on health equity.

Qualifications :

MD with primary care specialty (Internal Medicine or Family Medicine).

At least 3 years of clinical experience as an MD caring for underserved populations.

DEA X-waiver required.

Familiarity with hospital medicine, addiction medicine, and / or Health Care for the Homeless program(s) is desired.

Prior managerial / administrative experience is preferred.

Strong understanding of the complex health problems of homeless people, substance use disorder, harm reduction strategies, and the social determinants of health. An understanding of the historical and current effects of racism and xenophobia in the healthcare setting is desired.

Compensation and Benefits :

The compensation starts at $172,000 $223,600 and increases based on years of experience.

BHCHP full time employees are eligible for our competitive time off policy of 4 weeks vacation, health, dental and vision insurance, 403B retirement savings plan and employer retirement contribution, and pre-tax MBTA pass program with 40% discount. In addition, eligible employees will receive yearly increases, additional compensation of seven thousand five hundred added to your base hiring rate for demonstrated bilingual proficiency and the opportunity to work with local hospitals and community health centers.

Does this amazing opportunity interest you? Then we'd love to hear from you.

As an Equal Opportunity Employer, BHCHP pledges not to discriminate against and encourages those from underrepresented and underserved backgrounds to apply, particularly Black, Indigenous, and People of Color (BIPOC), LGBTQIA identifying, first generation college students and adults without a college degree, Bilingual and Bicultural persons; and individuals from low economic backgrounds.

Covid-19 Vaccination : Proof of Covid-19 vaccination(s) is optional for employment. Candidates who are offered employment will be given details about how to demonstrate receipt of vaccination if they choose to.

Please Note : Employment at Boston Health Care for the Homeless is at-will. Boston Health Care for the Homeless does not sponsor work authorization visas.

Salary : $172,000 - $223,600

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