Medical Director

POSITION DESCRIPTION
MEDICAL DIRECTOR/PHYSICIAN

Reports To: Chief Executive Officer Prepared By: Human Resources
FLSA Status: Full-Time, Professional/Exempt Salary Grade: DOE
Revised Date: January 31, 2023 Board Approval: March 2, 2023

POSITION SUMMARY:
Under the direction of the Chief Executive Officer, the Medical Director coordinates relative administration procedures and is the primary point of contact for the examination, diagnosis, and medical prevention/ treatment/education of for a full range of patients at TRIHCI. In this capacity, the Medical Director performs his/her duties with professionalism, compassion, and sound judgment to partner with TRIHCI's patients to improve their health status and quality of life. While serving in a supervisory capacity, the Medical Director does function to directly oversee the medical practice of mid-level providers and clinic physicians and work closely with the Director of Clinical Services to ensure the quality of medical services provided. The Medical Director is also required to serve as the Clinical Laboratory Director. The Medical Director must be able to communicate well and be able to establish rapport with patients and their families, being sensitive to the needs of the Indian community and its cultures, traditions, and values. The Medical Director must be familiar with the objectives of TRIHCI, must maintain genuine enthusiasm for the success of TRIHCI's health programs, and consequently exercise a strong sense of stewardship in developing and maintaining community relations.

ESSENTIAL DUTIES AND RESPONSIBILITIES:
1. Perform and provide primary medical diagnostic, preventative, education, and treatment services at all TRIHCI facilities, and in accordance with applicable policies and standards.
2. Initiate thorough patient interviews/medical histories and coordinate appropriate diagnostic and screening tests/examinations.
3. Deliver preliminary diagnosis to patients and direct, prescribe, or provide a full treatment regimen, including health education, health maintenance, prescription medications, and follow-up services.
4. Prepare, maintain, and update physical and electronic medical records in accordance with sound medical practice guidelines and organizational need.
5. Coordinate patient referrals for specialty health care, including coordination with TRIHCI's Contract Health Services department and available telemedicine programs.
6. Admit or coordinate the admission of patients to area hospitals as necessary.
7. Consult with other medical, mid-level, and nursing providers to ensure effective case management and to address complex or difficult patient issues.
8. Coordinate, supervise, perform, and/or review routine lab work and therapeutic procedures including injections, immunizations, debridement, suture and care of superficial wounds, and other procedures.
9. Contribute to the evaluation of clinic programs and quality improvement through participation, development, and implementation of quality improvement initiatives.
10. Attend and contribute to all required meetings/consultations including general and medical staff meetings, and all specialized committee meetings.
11. Assist clinical staff in monitoring, determining the need for, and ordering medical supplies, equipment, and medications kept onsite.
12. Effectively represent TRIHCI by leading and participating in all program reviews by regulatory agencies.
13. (IHS, IHP, CHDP, Managed Care system, etc.).
14. Ensure all required medical reports are completed in a timely manner, including annual diabetic audits, immunization reports, BOD reports, and other reports.
15. Direct, monitor, and contribute to the development of mid-level providers through protocols, policies and procedures, and direct coaching.
16. Develop and propose to the CEO, new medical standing orders, policies and guidelines, and treatment protocols as required by leadership or law.
Additional Responsibilities may include:

1. Carryout special assignments to upgrade clinical quality of care and administration as assigned.
2. Perform general medical or administrative duties, within the appropriate scope of work, as needed and assigned.
3. Other duties as assigned.

Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed here are representative of the knowledge, skills, and/or abilities required. In accordance with the Americans with Disabilities Act (ADA), reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

KNOWLEDGE. SKILLS, AND ABILITIES

1. Must possess broad competency with medical skills and knowledge and be able to effectively apply them in an ambulatory outpatient setting.
2. Must possess or be able to obtain specific regulatory knowledge as it pertains to Indian health from entities such as IHS, CRIHB, IHP, and the State of California.
3. Must have good communication skills, be able to effectively communicate with diverse populations, and be willing to convey responsibilities to patients.
4. Demonstrate the ability to work independently in carrying out assignments while remaining reliable and dependable.
5. Possess basic computer and database software operation knowledge, and demonstrate a working knowledge of routine office hardware and equipment (e.g. printers, copiers, fax machines, etc.).
6. Must demonstrate the ability to maintain accurate records and preparing clear and accurate reports for informational, auditing, and operational use, including capacities for attention to detail and for reviewing and verifying accuracy of data.
7. Possess the ability to organize and follow one's own work schedule (i.e. setting priorities, being available during work hours, and meeting critical deadlines).
8. Possess the ability to perform well in group problem-solving situations and use reason even when dealing with highly emotional topics.
9. Possess the ability to become knowledgeable of health needs and services provided to the Indian community both on and near the reservation.
10. Demonstrate the competency and integrity to maintain the confidentiality of organizational, employee, and client records.
11. Possess the ability to deliver effective education, training, and presentations on technical medical subjects to large and/or small groups of various educational and cultural backgrounds.
12. Knowledge of causes, means of transmission and methods of control of communicable disease, principles and practices of diagnosis and treatment of common medical problems.

EDUCATION AND/OR EXPERIENCE:
A valid medical degree from an accredited School of Medicine is required for this position.

CERTIFICATES, LICENSES, REGISTRATIONS

A current California driver's license and a good driving record are required for this position. Current unrestricted medical licensure in the State of California, current BCLS certification, and current DEA and National Provider Identification (NPI)l registration numbers are also required from this position.
PREFERRED QUALIFICATIONS AND CONTINGENCIES:
1. Two (2) to four (4) years prior supervisory medical experience in an ambulatory healthcare setting; Board certification in a primary care specialty; ACLS and/or PALS certification; and the ability to obtain local hospital admitting privileges are preferred for this position. Knowledge pertaining to AAAHC or JACHO standards for accreditation and patient care also preferred.
2. Must be fully vaccinated against COVID-19 prior to the first day of work.
3. TRIHCI maintains a drug-and alcohol-free workplace, and all offers of employment are contingent on the successful completion of a criminal background check, a post offer drug test and physical, COVID-19 and TB Test, and verification of each candidate's right to work in the United States.

TRIHCI maintains a drug and alcohol-free workplace, and all offers of employment are contingent on the successful completion of a criminal background check, a post-offer drug test and physical, COVID-19 and TB Test, and verification of each candidate's right to work in the United States.

Preference in hiring is given to qualified American Indians in accordance with the Indian Preference Act (Title 25, US Code, Sections 472 & 473). Applicants claiming Indian Preference must submit Indian verification, certified by Tribe of affiliation or other acceptable documentation of Indian heritage.

Physical Work Environment: The description provided here is representative of those conditions in which the Medical Director will be required to perform the essential functions of this position. As stated earlier, reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position.

While performing the duties of this position, the Medical Director is situated in a standard office environment within the health center, where there is little or no exposure to variants in the weather or similar elements. The Medical Director will move throughout the health center to meet with supervisors and co-workers but maintains direct patient/client contact. Consequently, the Medical Director must:

1. Possess the mobility to work in a standard office setting (i.e. walk, stand, or sit for extended periods of time);
2. Posses the ability to use standard office equipment to write, type, copy, fax, or perform other duties;
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