Job Description

Housecall Providers is a Portland area nonprofit organization and one of the largest providers of medical care exclusively in the home in the Western United States. We are proving every day that in home medical services for homebound and chronically ill patients can improve health outcomes, increase patient comfort, reduce health care costs and increase provider satisfaction. We are a proud part of the CareOregon family of health organizations.

Our Mission
Improving lives by bringing health care home

Our Vision
To sustainably transform home-based medicine so all homebound adults and those living with serious illness have access to care that improves their quality of life.

Our Values
Compassion and respect, authentic relationships, collaboration, courage, social justice

Diversity Statement

We embrace the diversity of our employees, patients, and those who care for them. Through awareness and advocacy, we are working to create health equity by recognizing and reducing barriers that affect non-dominant groups within Housecall Providers and our communities at large.

Job Summary

The Primary Care Medical Director is responsible for providing clinical leadership and expertise to the primary care team to improve care delivery and implement the mission of the organization, ensuring overall quality and continuity of patient care. This position works closely with the Primary Care Director to lead the execution of primary care clinical strategies for Housecall Providers. Together the Primary Care Director and Medical Director are responsible for administrative and clinical operations and continuous improvement to ensure the highest level of compliance and quality care is provided to primary care patients. This position provides supervision to all primary care providers in collaboration with the primary care clinical supervisor. The Primary Care Medical Director is responsible for facilitating a culture of collaboration within the primary care team and implementing effective care management and other clinical practice improvement initiatives as assigned. In addition, this position provides direct patient care sufficient to maintain clinical skills.

Essential Responsibilities

Clinical Leadership

Plans, organizes, manages, and administers assigned areas of medical practice; develops and implements programs supporting the strategic plan; implements and assists in the development of policies, procedures, and best clinical practices; evaluates goals, objectives, priorities, and activities to improve performance and outcomes; recommends and establishes administrative controls and improvements; develops procedures to implement new and/or changing regulatory requirements.
Directs the development and implementation of clinical best practices in assigned areas of practice, including setting standards for clinical care, researching, reviewing and revising clinical guidelines. Provides monitoring and input regarding performance of other health care professionals, and develops, directs provider in-service training.
Actively participates in quality improvement projects and tasks in assigned areas of practice, including setting strategic priorities for quality improvement in consultation with the director of population health, quality and compliance.
Researches and analyzes adverse events and cultivates open discussion within the practice to assess systemic barriers and make recommendations to support patient safety and effective clinical practice.
Provides guidance to the Primary Care team and Ethics Committee in the resolution of complex care needs, conflict and ethical issues.
Provides clinical chart review, supervision and supporting documentation of nurse practitioner and physician associate work as required by state licensing, legal and federal requirements for patient care.
Develops, administers, and monitors budgets for their assigned department; develops justifications for budgetary recommendations and/or adjustments.
Assists with the broader budgeting process to ensure clinical perspective is represented. Adheres to organization budget as approved by Board.
Participates in and may lead activities related to strategic and annual planning.
Reviews and implements, in collaboration with the Primary Care Director, federal, state, and local laws, regulations, policies, and procedures related to medical practice in order to ensure compliance.
Plans and implements in-service education; may delegate some or all of these to other staff members or experts in the field.
In collaboration with the Primary Care Manager, advises and recommends best practices related to all clinical support services and clinical operations.
Assists in maintaining credentialing and privileging of all providers.
Participates on internal committees and taskforces; leads or sponsors as appropriate.
Determines the staffing schedule which ensures after hours medical coverage and physician/leader back up is available at all times.
Works with Senior Medical Director to ensure physician availability and oversight at all times for state and federally mandated work and clinical consultation.
Community Relations and Advocacy

Assists with public relations and/or other external activities, to represent clinical perspective.
Attends meetings of Board of Directors and committees as requested.
Develops relationships in larger community, especially the medical community.
Cultivates connections with local and national organizations whose interests align with Housecall Providers mission.
Advocates for the needs of the organizations patient population at a policy level.
Clinical Service

Examines, treats, and advises patients on clinical problems; delivers preventative health services and palliative services; coordinates specialty care, and case management.
Educates patients and families on goal-based, appropriate preventative care, medical issues, and use of prescribed medications and treatment.
Employee Supervision

Directs team(s) and establishes team direction and goals in alignment with the organizational mission, vision, and values.
Identifies work and staffing models; recruits, hires, and oversees a team to meet work needs, using an equity, diversity, and inclusion lens.
Identifies department priorities; ensures employees have information and resources to meet job expectations.
Leads the development, communication, and oversight of team and individual goals; ensures goals, expectations, and standards are clearly understood by staff.
Manages, coaches, motivates, and guides employees; promotes employee development.
Incorporates guidance from CareOregon equity tools into people leadership, planning, operations, evaluation, budgeting, resource allocation, and decision making.
Ensures team adheres to department and organizational standards, policies, and procedures.
Evaluates employee performance and provides regular feedback to support success; recognizes strong performance and addresses performance gaps and accountability (corrective action).
Performs supervisory tasks in collaboration with Human Resources as needed.

Experience and/or Education

Required

Completion of medical degree, internship and residency in Internal Medicine or Family Medicine
Licensed physician (MD or DO) in the State of Oregon
Certification by the American Board of Medical Specialties
Drug Enforcement Administration (DEA) license
CPR certification at hire or within 6 months in position
Minimum 5 years clinical experience in geriatrics, chronic disease management and/or hospice and palliative medicine
Valid drivers license, acceptable driving record and automobile liability coverage or access to an insured vehicle
Preferred

Minimum 5 years experience in a supervisory position
Geriatric, behavioral health and/or palliative care certified
Experience in medical home visits

Knowledge Required

Knowledge

Knowledge of the principles and practice of medicine
Proficient in the practice of geriatrics and palliative care
Knowledge of the state and federal laws and regulations governing the practices of physicians, nurse practitioners and physicians assistants
Knowledge of the ethical and medico-legal aspects of medical practice
Knowledge of the principles and practices of public health, including familiarity with epidemiology, health services delivery and financing systems, and environmental health
Knowledge of the population served in adult health, including culture, demographics, patterns of disease, barriers to care and other unique features or special needs
Knowledge of the principles and practices of clinical quality improvement
Knowledge of trauma informed care
Knowledge of behavioral health in a primary care setting
Familiarity with clinical staffing models
Familiarity with principles and practices of organizations budgeting process
Familiarity with principles and practices of strategic planning

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