PACE Medical Director

Job Description Summary

The PACE Medical Director is a progressive physician leadership role responsible for achieving the best clinical outcomes possible for all PACE participants. The Medical Director is responsible for the delivery of participant care, clinical outcomes, and the implementation as well as oversight of the quality assessment and performance improvement program. The PACE Medical Director is a champion of the PACE model of care as well as Age-Friendly healthcare across the continuum. This position requires excellent clinical, communication, and leadership skills spanning all spans of medicine, population health, social determinants, payer models, and compliance.

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PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, national origin, sex, sexual orientation, gender identity or age.

Diversity and Inclusion: PacificSource values the diversity of the people we hire and serve. We are committed to creating a diverse environment and fostering a workplace in which individual differences are appreciated, respected and responded to in ways that fully develop and utilize each person’s talents and strengths.

The PACE Medical Director is a progressive physician leadership role responsible for achieving the best clinical outcomes possible for all PACE participants. The Medical Director is responsible for the delivery of participant care, clinical outcomes, and the implementation as well as oversight of the quality assessment and performance improvement program. The PACE Medical Director is a champion of the PACE model of care as well as Age-Friendly healthcare across the continuum. This position requires excellent clinical, communication, and leadership skills spanning all spans of medicine, population health, social determinants, payer models, and compliance.

Essential Responsibilities:

Administrative: Estimated 50% at end of year 1

• Responsible for delivery of participant care, clinical outcomes, and oversight of quality for PacificSource PACE Organization.
• Act as the site clinical lead, with assistance from an Associate Medical Director, as required, for PACE locations.
• Understand and be accountable for the PACE financial model including the medical economics of capitated care.
• Direct oversight of site physicians and Advanced Practice Practitioners (APP’s) at PACE Center(s).
• Participate in the hiring, termination, and management of PACE clinical team members including physicians and APP’s.
• Work closely with and provide leadership support to the PACE Quality Manager, including with development of the PACE Quality Plan.
• Work collaboratively with PacificSource business units including quality, compliance, Human Resources, and others to ensure high performance in accordance with PacificSource standards.
• Active participation in all CMS and State Audits including quarterly calls.
• Development of care pathways and clinical practice guidelines to effectively manage chronic health conditions and avoid preventable hospitalizations, emergency department usage, and premature skilled nursing facility placement.
• Direct patient care, including basic office-based, ambulatory procedures, telehealth, physical examinations, evaluation, and management based upon the needs of the PACE program and as directed by the PACE CMO.
• Develop and provide Age-Friendly and goal-concordant participant care.
• Direct oversight of students and residents of Medical Schools, residencies, Nurse Practitioner, and Physician Assistant programs.
• Fulfill all administrative duties on a timely basis, including record keeping in participant charts, annual performance evaluations, corrective action plans, and strategic planning.
• Work in close collaboration with the PACE Nursing leadership, Executive Director, and Clinic Manager on the delivery of care within the clinic and PACE participants’ homes.
• Conduct timely peer-to-peer discussions to clarify clinical information and to explain review outcome decisions across the continuum of care.
• Foster a safe and supportive environment conducive to the professional development of healthcare professionals in accordance with principles of High Reliability.
• Serve on various internal and external committees as required or designated.

Clinical: Estimated 50% at end of year 1

• Actively participate and lead the PACE IDT to develop and implement a comprehensive, plan of care for each participant upon enrollment and throughout the participant’s enrollment as specified by PACE regulations.
• Advance Care Planning (ACP) and palliative approaches to participants in the context of goal-concordant care.
• Clear and accurate documentation within the Electronic Health Record (EHR) including all communication and decision-making as specified by PACE regulations including oversight of physicians and APP documentation in the EHR with auditing as indicated.
• Advise on care management and examine patients with other PACE physicians and APP’s as indicated to mentor, support, and lead.
• Collaborate with specialists including dentistry, podiatry, chiropractic, therapies (speech, physical, occupational), and medical subspecialties.
• Coordinate care across all settings including hospitals, skilled nursing facilities, and assisted living facilities and closely collaborate with other attending physicians.
• Visit participants in their home or care setting as indicated.
• Prescribe pharmaceuticals and treatment regimens as appropriate to assessed medical conditions.
• Refer to and coordinate with specialists as appropriate.
• Provides all services in a manner that is consistent with PacificSource core values and State and Federal regulatory requirements.
• Participate in team meetings, caregiver groups, and special events such as indicated.
• Provide on-call coverage for direct patient care after hours and weekends as indicated.

Supporting Responsibilities:

• Meet department and company performance and attendance expectations.
• Follow privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information.
• Perform other duties as assigned.

SUCCESS PROFILE

Work Experience: Minimum one-year experience working with the elderly or frail population required. Minimum five years of clinical experience as an attending physician preferred. Experience in a value-based healthcare organization, payer model, or closely related field preferred. Prior experience in PACE, Skilled Nursing, or a managed Medicaid setting is preferred. At least two years of physician leadership experience is preferred.

Education, Certificates, Licenses: Doctor of Medicine (MD or DO) with an unrestricted license to practice medicine by the Oregon State Board of Medicine required. Required board certification recognized by American Board of Medical Specialties (ABMS). Current certification in Basic Life Support or Advanced Cardiac Life Support required. Current and valid Drug Enforcement Agency Certificate required. Valid Oregon Driver’s License Required. Certified Medical Director by the American Board of Post-Acute and Long-Term Care Medicine preferred.

Knowledge: Exceptional understanding of all areas of medical conditions, treatment, and care. Sensitivity to the health beliefs and needs of a diverse and aged population, and the ability to execute on an Age-Friendly care model. Excellent communication skills and the ability to relate to all members of the IDT as peers, combining confidence and humility.

Each member of the PACE organization's staff that has direct contact with participants must meet the following conditions:

• Be legally authorized (for example, currently licensed, registered or certified if applicable) to practice in the State in which he or she performs the function or action.
• Only act within the scope of his or her authority to practice.
• Have 1 year of experience working with a frail or elderly population.
• Meet a standardized set of competencies for the specific position description established by the PACE organization before working independently.
• Be medically cleared for communicable diseases before engaging in direct participant contact.

Competencies

• Authenticity
• Building Organizational Talent
• Coaching and Developing Others
• Compelling Communication
• Customer Focus
• Empowerment/Delegation
• Emotional Intelligence
• Leading Change
• Managing Conflict
• Operational Decision Making
• Passion for Results

Environment: Work inside in general office and clinical settings with ergonomically configured equipment. Travel is required approximately 15% of the time.

Skills:

Our Values

We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business:

• We are committed to doing the right thing.
• We are one team working toward a common goal.
• We are each responsible for customer service.
• We practice open communication at all levels of the company to foster individual, team and company growth.
• We actively participate in efforts to improve our many communities-internally and externally.
• We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community.
• We encourage creativity, innovation, and the pursuit of excellence.

Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively.