Medical Director

MINIMUM QUALIFICATIONS: Primary source verified Doctor of Medicine of Osteopathy degree and completed residency. A North Carolina privilege license is required by the state of NC and must be posted in the provider’s office.
Controlled Substance Registration Certificate from the Drug Enforcement Administration (DEA certificate) is required and must be kept current. All medical providers shall be board certified or board eligible with certification pending.
Advance Cardiac Life Support certification is required and should be renewed every 2 years.
GENERAL JOB DESCRIPTION: There are administrative and supervisory responsibilities related to Medical Directorship. The Medical Director has primary responsibility for developing and monitoring the goals and objectives of the annual Health Care Plan, supervision of provider staff and oversight of clinical functions. The Medical Director also serves as Laboratory Director and is the direct supervisor of the Lab Supervisor.
Clinical Responsibilities of a staff provider deliver the full range of ambulatory primary care services, including diagnosis and treatment of acute and chronic illness in all age groups, preventative and well childcare, minor surgical procedures, and occasional medical emergencies. The providers are responsible for seeing their scheduled patients as well as providing coverage during the operating hours of the Center, providing telephone consultation as needed, performing administrative tasks associated with the provisions of medical care, participating in quality improvement activities, and providing community service. Medical providers are expected to manage all patients and conditions within the scope of their training and approved privilege.
Essential duties and responsibilities include the following. Other duties may be assigned.
1. Patient Care
a. Assess individual patient conditions utilizing clinical observation, medical record, verbal information, and interaction with patient/family.
b. Identifies the impact of cultural diversity and lifestyle choices on patient condition and makes accommodations for such differences.
c. Demonstrates an understanding of the cognitive, physical, emotional, and chronological maturation process in delivery of services to patients of the age groups served. (Pediatric/Adolescent/Adult/Geriatric)
d. Demonstrates the ability to utilize medical knowledge and sound judgment to appropriately diagnose and treat patients according to the patient’s age, within scope of training and approved privileges.
e. Utilizes medical knowledge and sound judgment to appropriately prescribe medications, within scope of training and approved privileges.
f. Thoroughly and accurately documents the patient encounter and updates pertinent medical record forms, utilizing PFMC approved formats.
g. Appropriately refers patients for subspecialty care as needed.
h. Rotates weekly telephone call responsibility, provides appropriate medical advice by telephone and documents telephone encounter.
i. Documents patient care activities in legible, comprehensive, and accurate manner.
j. Participates in Patient Centered Medical Home Care Team collaboration approach to patient care.

2. Physician Administrative Duties
a. Addresses needs of patients in an accurate, thorough, and timely manner by (1) following up patient calls and taking appropriate action (2) completing patient forms related to medical conditions, care, etc.
b. Reviews and signs dictated notes, lab test results, consult reports, and all other patient information, and takes appropriate action, according to PFMC protocols within established timeframes.
c. Performs chart audits and peer reviews.
d. Supervises midlevel providers and precepts medical students, PA students and NP students.
e. Monitors medical records for completeness and accuracy.

3. Patient Education
a. Ensures learning needs of patients/family are addressed and documented.
b. Assesses the patient’s ability to learn.
c. Selects appropriate teaching method based on age, learning ability, and other pertinent factors.
d. Explains procedures, treatments medication usage as appropriate.
e. Documents teaching and patient/family response to such in the patient medical record.

4. Procedure Execution
a. Performs medical procedures, treatments, and test using skilled technique and following all prescribed safety regulations to ensure accurate results.
b. Routinely takes precautions relative to age, medical history, condition of patient, and type of treatment being given.
c. Operates equipment accurately to perform procedure, adjusting as needed and timing equipment usage properly.
d. Monitors course of procedure to ensure desired therapeutic or diagnostic results are obtained and modify as needed.
e. Provides for patient’s physical needs during procedures to ensure continued comfort and safety.

5. Quality Control/Safety
a. Inspects equipment to ensure its proper functioning.
b. Monitors environment to ensure safety.
c. Reports equipment malfunctions, safety hazards and incidents promptly to the appropriate person.
d. Consistently follows all safety policies and procedures.
e. Utilizes Person Protective Equipment appropriately.

6. Medical Director Duties
a. Oversee and direct all clinical services offered by PFMC. In conjunction with the CNC he
oversees development and revisions as necessary of all clinical systems, policies, and procedures.
b. Establish, negotiate, and review as necessary clinical agreements with hospitals, physicians, and other agencies. Develop pharmacy arrangements as related to sliding fee and develop S/F formulary.
c. Serves as member of the management team of PFMC, offering expertise in the clinical operations of the center in management planning and final decisions.
d. Reports monthly to the Board of Directors regarding clinical activities, goals, and accomplishments, or designates a substitute in his/her absence. Participates in strategic planning for the Center and the Board of Directors.
e. Responsible for developing the Health Center Plan and other clinical components of PFMC’S annual federal grant, as well as monitoring the progress of the Health Care Plan objectives.
f. Recommend to Executive Director needs of the clinical department, including equipment, etc. Oversee selection and purchase of clinical equipment.
g. Participate in recruitment of provider staff and developing retention plan for provider staff.
h. Developing, implementing, and on-going review of peer review processes, patient survey process and other assessment tools as necessary to periodically measure clinical efficiency and effectiveness. Provide continuous monitoring of subordinate staff competency and addressing needs as defined through the monitoring process.
i. Participate in the preparation for Joint Commission surveys and Primary Care Effectiveness Review.
j. Serve as Laboratory Director.
k. Supports the organization’s mission, goals and objectives and provides leadership to accomplish these at the department level.
l. Performs supervisory duties in accordance with the organization’s policies and applicable state and federal funding.
m. Communicates organizational objectives, policies, procedures, and pertinent information to staff. Conduct department staff meetings periodically. Coordinate clinical in-service training.
n. Scheduling of providers and clinical services to best meet the needs of the Center’s patients.
o. Appraises performance, rewards and disciplines employees appropriately as needed.
p. Addresses complaints and concerns and resolves problems within the department, following up as necessary to ensure resolution is achieved.

7. Customer Service (Internal and External Customers)
a. Demonstrates concern for the rights, privacy and confidentiality of patients and others.
b. Understands the urgency of customer needs and responds quickly.
c. Treats all patients in accordance with the Patient’s Bill of Rights.
d. Considers the impact on patients, visitors and peers when acting and conducting one’s own job tasks.
e. Anticipates the needs of the patients, visitors, providers and peers and assists them in a helpful, positive manner.
f. Seeks to solve problems for patients and their families and offers assistance and encouragement to others.
g. Communicates with patients/families, visitors, and coworkers in a courteous and respectful manner.
h. Demonstrates effective communication recognizing diversity among age groups, cultures, and educational levels.

8. Teamwork
a. Consistently works in a positive and cooperative manner with other employees in and outside of departmental unit.
b. Values and incorporates the contributions of people from diverse backgrounds; demonstrates respect for the opinions and ideas of others.
c. Assist in training and orientation of new staff.
d. Shares information and own expertise with others to enable them to accomplish goals and objectives.
e. Seeks out opportunities to help rather than waiting to be asked.
f. Assist other team members in the performance of their assignment.
g. Considers the impact of behavior on other staff.

9. Professional Conduct
a. Maintains professional demeanor in all interactions with patients and staff.
b. Functions independently and completes assignments with minimal supervision.
c. Adapts to changes in the work environment.
d. Maintains acceptable attendance record.
e. Observes work schedule by being punctual for shift, observing designated break schedule, and not leaving work area while on duty.
f. Adheres to all applicable Center and department rules, policies, and procedures.
g. Participates in continuing education in-services, staff development and meetings.
h. Has completed annual retraining to include blood borne pathogens, age specific and cultural competency, and safety.
i. Responds positively to constructive criticism from peers and supervisors.

10. Efficiency
a. Completes work in an organized and timely manner.
b. Prioritizes and plans work activities to achieve maximum efficiency.
c. Meets productivity standards.
d. Strives to improve productivity.
e. Minimize non-productive time by filling slow periods with activities such as assisting others, professional development and education, organization of work area, housekeeping, etc.
f. Organize job functions and work area to effectively complete assignments.
g. Manage resources efficiently and works to reduce costs and improve quality.

11. Quality of Work/Problem Solving
a. Demonstrates commitment to excellence by consistently looking for ways to improve and promote quality.
b. Identifies problems in a timely manner and develops alternative solutions to problems.
c. Contribute to Continuous Quality Improvement activities.
d. Reports to appropriate person any conflicting cultural values, ethics, or religious beliefs that may impact patient care.
e. Consistently evaluates work and evaluate if further steps are needed to meet customer/patient/management expectations.
f. Demonstrates sound judgment by taking appropriate actions regarding questionable findings or concerns.