Senior Medical Director - Seattle, United States - DESC

Description

DESC
Senior Medical Director

Seattle ,

Washington

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Job Type
Full-time
Description
Supervised by

:
Executive Director

Days Off

:
Saturday, Sunday

Shift

:
Office Day

Insurance Benefits
:
Medical, Dental, Life, Long-term Disability
Other Benefits
:
Employee Assistance Program (EAP), Flexible Spending Account (FSA), ORCA card subsidy, Paid Time Off (34 days per year), Retirement Plan

Please include in your application a cover letter that includes a statement regarding your interest in the role as well as
DESCas an agency.

About DESC:

DESC(Downtown Emergency Service Center) is a nonprofit organization working to help people with the complex needs of homelessness, substance use disorders, and serious mental illness achieve their highest potential for health and well-being through comprehensive services, treatment, and housing.

Our vision is a community where no person is abandoned, ignored, or experiencing homelessness.

As the region's leading provider of services to multiply disabled adults who have experienced chronic homelessness,
DESCserves almost 2,000 people each day.

Our integrated service model is designed to help people secure and maintain appropriate, safe and affordable housing.
DESCis recognized nationally and regionally as an innovator in developing solutions to homelessness.

JOB DEFINITION:

The Senior Medical Director is a member of the senior leadership team of DESC, oversees the psychiatric and other medical services provided by
DESCmedical personnel, and coordinates with partner organizations to bring additional healthcare services to
DESCclients.

The Senior Medical Director is a physician, board certified in psychiatry, who provides some direct clinical care to
DESCclients.

Management responsibilities include oversight of a team comprised of more than 40 personnel (as of March 2023) including nurses, nurse practitioners, doctors, and others.

This position directly supervises the Director of Nursing, any other Medical Directors and other physicians, and indirectly supervises all other
DESCmedical personnel.

This position has administrative duties associated with planning, hiring, and quality assurance/improvement, represents the organization externally, participates in leadership and management of the organization overall, and organizes and collaborates with other health system partners.

Additional activities include engagement on behalf of
DESCin related healthcare and public health system policy work, and leadership support and/or direct involvement in
DESCevaluation and other research efforts.

The range of DESC-operated behavioral health services includes:
Outpatient mental health services for 1,200+ people with serious and persistent mental illness
One high-fidelity Program for Assertive Community Treatment team
Street outreach and engagement services for people with untreated serious psychiatric conditions
Low-barrier buprenorphine induction and maintenance
20-bed short-term shelter program for people discharged from psychiatric hospitalization
Multi-program Crisis Solutions Center providing mobile crisis teams, licensed 16-bed residential treatment facility to divert people in crisis from jails and hospitals, and step-down 30-bed facility
Additional multi-disciplinary pre-crisis and post-crisis intensive support teams
Overdose response including OD reversals and follow-up stabilization services

Additionally, many
DESCbehavioral health program clients live in DESC-operated permanent supportive housing (1,600 units) or emergency shelter/emergency housing programs (380 beds).

DESCdoctors, nurses, and mental health case managers visit clients in these facilities, and some
DESCmental health case managers are fully sited in those locations.

Clients living in DESC-operated permanent supportive housing or emergency shelter/emergency housing programs, whether or not enrolled in DESC's behavioral health services, express a wide range of health conditions and needs.

Physicians and nurses from partner organizations such as Harborview Medical Center and Neighborcare Health are also sited in various
DESClocations.

DESCmedical staff collaborate with these partner clinicians to serve shared clients.

DESCalso partners with Harborview Medical Center to jointly operate the Clinic at Hobson Place, an integrated physical and behavioral health clinic located in a
DESCproperty but open to the broader community.

MAJOR DUTIES AND RESPONSIBILITIES:
Administration, Planning, and Supervision
In coordination with the Executive Director, Clinical Programs Director, and other senior directors, assume responsibility for the planning, implementation, operation and evaluation of behavioral health medical services at DESC
Develop a vision for the future of medical services at
DESCand contribute to planning efforts to ensure the availability of robust medical services that meet the needs of
DESCclients
Collaborate closely with Clinical Programs Director and other relevant directors and managers on budgeting, finance, and compliance activities
Oversee the recruitment, selection, orientation, deployment, supervision, professional development and evaluation of all medical staff
Oversee and participate in credentialing reviews of contracted providers of medical services
Establish and maintain high quality practice standards for all medical staff
Supervise and evaluate assigned staff, encompassing clinical performance, work efficiency and output, and team collaboration
In coordination with other relevant staff, oversee development of operating procedures and duties for medical staff, and the development and enforcement of program rules and practices for client and staff safety
Ensure that medical services comply with agency, funder, State, and Federal regulations
Assume responsibility for the maintenance of standards of medical services quality as defined in Washington Administrative Code and other applicable guidelines and contracts
Establish and ensure the efficient and equitable scheduling of clients for initial treatment and follow-up treatment
Ensure the timely investigation and follow-up of extraordinary incidents
Participate in planning and coordination activities of management team; provide information to that team about issues in areas of responsibility
Participate in planning and implementation of integration of behavioral health and physical health, including efforts to reduce health disparities and improve health equity for
DESCclients
Preside over medical staff meetings, including discussion of complex cases, clinical performance standards, literature reviews, and general information sharing
Represent the agency and program on community and health system committees, work groups and task forces
Advise the Executive Director and Clinical Programs Director regarding clinical program planning, matters of regulatory compliance for medical staff, and other issues relating to delivery, and integration of, psychiatric and other healthcare services
Ensure participation by appropriate medical department staff in the Quality Assurance/ Quality Improvement Committee
Ensure participation by appropriate medical department staff in developing proposals for on-going and new funding
Develop and maintain collaborative relationships with internal and external parties, including partner agencies, funders and relevant other entities
Maintain sensitivity to needs/goals/objectives of communities in which programs are located, balanced with the needs and interests of
DESCclients
Participate in a range of advocacy activity
Other duties as assigned
Clinical
Practice as a licensed physician by diagnosing, analyzing, and treating complex conditions
Review clients'
DESCcharts, obtain medical histories from relevant
DESCstaff and other providers and record medical histories and diagnoses in
DESCchart
Conduct annual diagnostic reviews in concert with clinicians from other disciplines to ensure accurate diagnosis
Collaborate with clinical and program managers for clinical services and supervision of all patient care disciplines; Continually work with staff at all levels to assure high quality clinical care to clients
Treat clients' disorders through prescribing medication and/or recommending rehabilitation services provided by other clinical staff
Coordinate client care with an interdisciplinary team of social workers/case managers, substance use disorder professionals, nurses, mental health staff, and others
Evaluate clients in crisis and advise course of treatment. Recommend and coordinate crisis prevention with primary therapy
Respond to emergency situations as needed
Conduct initial and follow-up visits in accordance with reasonable standards of care
Evaluate client conditions for needed referrals or consultations with other practitioners. When appropriate, refer clients to other specialists
Other
Serve as a medical liaison to community physicians, hospitals, and other providers
Provide consultation to treatment teams
Provide education to clinical teams/other agency staff and individually as opportunity and need presents
Provide in-service education to physicians and medical service staff at all levels. Works with quality assurance and others to verify compliance with administrative rules such as and not limited to patient and records privacy
Participate in research and program evaluation activities, including review of proposals to conduct research at DESC, participation on research teams, and leadership of design and implementation of research projects
Demonstrate the ability to work effectively under supervision, as part of a multi-disciplinary team, and independently, when necessary
Take initiative to meet the changing needs of DESC's client population, including pursuit of additional medical services
Oversee agency response to public health events such as the COVID-19 pandemic and other disease outbreaks
Document all client contacts and pertinent information according to agency, County, and State requirements within stated timelines
Provide treatment in compliance with relevant HCA policies and procedures, WACs, Washington State RCWs, CFR, and MCO requirements

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee will be required sit for long periods of time, communicate with other persons by talking and hearing, required to lift and carry items weighing up to 25 pounds and to operate computer hardware systems.

Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.

EQUAL OPPORTUNITY EMPLOYER

DESCis committed to diversity in the workplace, and promotes equal employment opportunities for all staff members and applicants.

The Agency will not discriminate against any employee or applicant for employment on the basis of race, creed, color, sex, gender, sexual orientation, age, national origin, caste, marital status, or the presence of any sensory, mental or physical disability in any employment practice, unless based on a bona fide occupational qualification.

Minorities and veterans are encouraged to apply.
Requirements

MINIMUM QUALIFICATIONS:
Licensed to practice medicine in the State of Washington
Board certification in psychiatry
Certification in addiction medicine a plus
Registration with the Drug Enforcement Agency including buprenorphine waiver
A minimum of three years of operational leadership experience
Specific training in research of health services or other public health disciplines a plus
Experience as principal investigator of funded research a plus
Publication of research papers in scientific journals a plus
Experience in health system policy planning and implementation a plus
Ability to relate to a wide range of people, demonstration of highly developed communication skills, and a desire to serve people with complex needs who are or have been experiencing homeless and are living with serious and persistent mental illness, other behavioral health disabilities, and other complex medical conditions
Solid grounding in harm reduction, trauma-informed care, health care integration, and equity and social justice principles
Ability and interest in providing case consultations with a multi-disciplinary staff
Ability to remain open and receptive to constructive feedback
Ability to communicate and work effectively with staff from various backgrounds
Subscription to the value of cooperation and continuity across programs and of consideration and respect for clients

IMPORTANT SKILLS:
Strong oral and written communication skills
Effective interpersonal skills
Ability to analyze complex policies and procedures and apply them to services delivered in program
Ability to prioritize and to shift focus rapidly to address the spectrum of issues which occur in a typical day
Ability to balance service values with financial limitations
Ability to communicate and work effectively with staff from variety of backgrounds, supervise others, exercise independent judgment and promote teamwork
Ability to facilitate meetings and the growth of program staff
Ability to use personal computer and learn new software as needed
Strong understanding of budgeting processes and management of budgets
Public speaking
Ability to develop and analyze contracts
Understanding of clinical best practices relevant to
DESCclient population

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