Medical Director

FSLA Status: Exempt; 32-40 hrs/week    

Primary Location: Lyon-Martin Community Health Services

Address: 1735 Mission Street                                  

Reports To: Chief Executive Officer                        

Job Summary

The Medical Director acts as the Chief Medical Officer (CMO) for the organization, providing oversight of all aspects of medical care throughout the clinic. The Medical Director is a member of the Leadership Team. They act as a clinical leader by providing strategic vision, directly supervising medical providers, the RN manager, holistic services, and students participating in Lyon-Martin’s clinical rotation, increasing staff competencies and satisfaction through training and mentorship, and improving the overall quality and efficiency of the delivery of clinical services. The Medical Director is responsible for the organizations Quality Improvement/Quality Assurance Program. The Medical Director informs the Leadership Team on medically related issues, including but not limited to Quality Assurance, Quality Improvement, Compliance, workflow, equipment, audits (including chart audits and peer review), billing and coding, staff training, credentialing and privileging and best clinical practices.

In addition, the Medical Director maintains patient panel utilizing a trauma-informed, harm reduction model of care, including providing some after-hours coverage for the clinic by telephone on a rotating basis.  They will work closely with the Director of Mental Health Services and the mental health department to facilitate a collaborative, holistic and integrated model of care.  They are expected to maintain a high degree of professional competence, the highest possible ethical standards, and to function as part of a care-giving team. In all of their work, they uphold and imbue in others a commitment to addressing racism, ablism, and gender and sexual discrimination within the organization and our clinical practice.

Key Responsibilities

Supervisor Responsibilities:  

• Works in collaboration with leadership team and staff to develop, implement, and approve Policies & Procedures pertaining to the Medical Department.  
• Provides clinical leadership and oversight to advanced practice providers, nurses, medical assistants, care coordinators, and students. 
• Provides supervision to all medical providers and RN manager. Performs annual performance appraisal of all direct reports.  Reviews employee performance, provides feedback and makes recommendations for individual performance improvement and development.  
• Enter into collaborative agreement with Advanced Practice Providers (APPs) including full supervision, clinical supervision, peer review and hiring or termination of the provider or clinical support staff. 
• Promotes and enhances integrated team-based care in the provision of medical care, including patient centered care. 
• In collaboration with Associate Medical Director, oversees creation of on-call and provider of the day coverage plans when an APP is absent so that a coverage is available to review lab and diagnostic reports, prescriptions, and follow up on medical care for that APP’s patient panel. 
• Thorough understanding of, supervision of, and promotion of continuous quality improvement efforts. Oversees QI Subcommittee and PDSAs. Reports QI findings to the Board quarterly.
• Provides oversight for peer chart review process quarterly.
• In collaboration with Associate Medical Director, orients and on-boards new physicians and mid-level providers; monitors performance during initial employment and thereafter through chart audits, utilization review and other processes.   
• Oversees Research activities.

Clinical responsibilities:

• Demonstrates clinical expertise in primary healthcare for queer, transgender and intersex populations and gynecological care.
• Provides comprehensive care, within the scope of credentialed privileges and standardized procedures, to patients within an integrated delivery model according to pre-arranged schedules, documenting care promptly and following charting protocols and applicable CA state licensing requirements; completes patient sessions in a timely manner;
• Ensures appropriate follow-up for all aspects of ordered care (e.g., specialty referrals, laboratory results, radiology reports, etc.);
• Responds to patient requests for information and assistance (e.g., form completion, prescription refills, etc.) in a timely manner;
• Works collaboratively with mental health staff to facilitate integration between primary care and mental health in order to improve patient outcomes;
• Provides on-call after-hours availability on a rotating basis;
• Obtains and maintains licensure, DEA registration and BCLS/CPR certification;
• Attends continuing professional education programs, at the request or with the approval of supervisor, demonstrating participation in required hours of continuing medical education according to California law.

Agency Development/Support Responsibilities: 

• Participates in and provides guidance for credentialing and privileging.  
• Attends and participates in Provider Team Meetings, Collaborative Care Meetings and All Staff Meetings.
• Leads Provider Team Meetings and develop/coordinate rotating curricula of educational/training material.
• Precepts medical students, residents, and fellows. Able to educate, train, and supervise volunteers as necessary to maintain and build volunteer programs.  
• Provides clinical leadership to Patient Centered Medical/Health Home delivery model, integrated team-based care, and care coordination.  
• Supports and actively participates in clinical performance improvement initiatives.
• Serve as a spokesperson, speaks at conferences, events, or to media on behalf of the organization, when appropriate.  

And, other duties as assigned.

Competencies: (To perform the job successfully, an individual should demonstrate the following competencies): 

Communication, Written: Delivers written communications that have clarity and impact including emails.

Communication, Verbal: Effective listener; clearly and thoughtfully communicates with others in person and on the phone.

Reliability: Accountable; maintains focus; punctual; good attendance record; meets deadlines.

Time Management: Organizes and establishes priorities; gets the job done in a timely manner.

Customer Service: Persists in efforts to solve issues even when faced with internal barriers; takes personal responsibility for customer service outcomes; responds quickly and effectively to requests for assistance and support whether internal or external.

Computer Literacy: Skilled computer-based work tasks; uses technology to enhance job performance. 

Teamwork: Accountable to team; participates effectively in group- and teamwork; collaborates positively with other team members; giving and accepting constructive criticism.

Tolerance for Stress, Ambiguity, and Change: Maintains composure even while under great pressure; handles complex problems and change with minimal supervision; demonstrates flexibility and versatility in achieving key goals and priorities.

Attention to Detail: Strives to eliminate errors; makes accurate work a priority; seeks opportunities to improve performance.

Decision Making: Collects, organizes, and analyzes information before making decisions. Takes a thoughtful approach when considering options; may seek supervision and/or input from others.

Integrity and Ethics: Actively models the highest ethical standards; is honest and accountable; maintains confidentiality and appropriate boundaries at all times; handles sensitive information and issues with discretion and tact. 

Additional Competencies:

Relationship Orientation: Establishes rapport easily with others; listens attentively to others' perspectives; uses good judgment when sharing information and maintaining confidentiality; appropriately expresses empathy.

Presentation Skills: Adapts presentation techniques to fit audience level and technical needs; develops and delivers communications that have clarity and impact; conveys confidence, presence, and professionalism; uses appropriate visual aids to illustrate key points and enhance learning.

Interpersonal Skills: Uses active listening and discussion skills to identify issues, ensure understanding, and facilitate problem solving; works cooperatively with diverse groups; deals with others in a pleasant and professional manner; accurately assesses verbal and non-verbal cues.

Accountability: Makes and meets commitments; accepts responsibility for behavior and outcomes.

Follow Through: Monitors status of projects and tasks; thoroughly deals with project details; delivers clear, accurate depiction of status.

Cultural Sensitivity: Ability to work with a diverse population while withholding judgment. Willingly open to learn and understand different perspectives.

Education, Knowledge, Skills:

• MD or DO
• Graduation from accredited medical or osteopath school.
• Completion of internship and residency from accredited program.
• Board Certified/Eligible in Internal Medicine, Family Practice, OB/Gyn
• Possession of NPI number
• Current California State License and Registration 
• DEA Controlled Substances Registration Certificate
• Demonstrated leadership and expertise in the field of transgender, queer, and intersex health 
• Bilingual English/Spanish language ability preferred
• At minimum, 3 years clinical experience in clinic setting, prefer 5 years
• At minimum, 1 year experience in leadership role, prefer 3 years
• Commitment to the mission of Lyon-Martin and to community-based primary care
• Knowledge of third party payer requirements, California practice guidelines and malpractice laws, Title 22, Bureau of Primary Health Care and state funding sources preferred
• Excellent communication and interpersonal skills; creativity and enthusiasm in problem-solving 
• Strong leadership skills, strong vision and values, innovative, critical thinking skills
• Ability to work cooperatively, foster team spirit, show good judgment in emergent situations
• Ability to work independently and manage multiple tasks simultaneously
• Flexibility and comfort in anticipating and managing change in a small, fast-paced non-profit clinic