Job Summary
The Medical Director is a senior level administrative position with responsibility for all medical services at the assigned CVCH site. This responsibility includes the authority to oversee all aspects of healthcare delivery, regulatory compliance, quality, efficiency, and the supervision of assigned medical providers. This is a full-time position, currently 0.2 FTE Medical Director and 0.8 FTE Family Medicine Physician, as assigned by the Chief Medical Officer (CMO). Participates in shared call system with other providers as assigned. The Medical Director is directly accountable to Chief Medical Officer.

Essential Functions: These functions are fundamental to the role and must be performed with or without a reasonable accommodation.

1. Health Care Plan
   1. The Medical Director shall assist the CMO to formulate, implement, and supervise the Center's Health Care Plan.
   2. The Health Care Plan shall constitute an organized blueprint of the strategy and logistics of the health care services provided by Columbia Valley Community Health.
      1. The formula is based on community medical needs, an epidemiological survey of the Service Area, and general demographics.
      2. It is used to generate an accurate assessment of the patients' health care needs.

• The Health Care Plan shall be reviewed annually and modified as necessary.

1. Supervise Health Care Providers
   1. Participates in the reviews of applications, interviews, and makes recommendations to the CMO of potential medical staff members.
   2. Evaluates assigned Physicians, Physician Assistants (PA), and Family Nurse Practitioners (FNP).
   3. Provides ongoing feedback to each assigned provider during quarterly rounding, and via scorecard metrics.
   4. Chairs provider meetings if requested to keep medical staff apprised of current corporate goals and objectives as they pertain to patient health management and encourages patterns of care directed toward accomplishment of these goals and objectives.
   5. Maintains compliance with the state and federal practice guidelines, and local standards of care.
   6. Assures continued medical education, skills, and training for all medical staff are maintained as required to ensure high levels of professional competency.
   7. Stimulates collegiality among medical staff so that a cooperative allegiance is cultivated, and team cohesion is maximized.
   8. Provides leadership to the health care team in their pursuit of operating an efficient self- sustaining department.
   9. Sets an example to peers and subordinates by demonstrating exemplary ethics and clinical practice.
2. Preceptor
   1. Appropriately serves as a preceptor to healthcare professionals in training, PAs and FNPs, as needed.
3. Liaison
   1. Maintains a liaison relationship assuring communication between the medical staff and the administrator of the local hospital inclusive of the hospital's Board of Directors.
   2. Maintains professional relationships with the medical providers in the community.
   3. Participates in external medical, civil and community activities which may have a positive influence on the clinic's operation and the health of all citizens in the CVCH service area when requested.
4. Clinic Administration
   1. Advises the CMO in the deployment of personnel on the health care team to maximize the skills and knowledge of all individuals.
   2. Uses prudently the delegatory powers in dispersing the work and responsibilities as appropriate in fulfilling the mission of the organization.
   3. In partnership with the dyad partner clinic manager, reviews, formulates, and implements specific operational protocols for the Center t
   4. Monitors and intervenes appropriately in clinical management areas.
5. Corporate Administration

1. 1. Participates in Leadership Team meetings and activities.
   2. Works closely with the dyad partner clinic manager on short- and long-term operational issues and concerns.
   3. Participates on CVCH strategic planning activities as requested.
   4. Although not directly responsible for, partners with dyad partner clinic manager to understand, develop, implement, and track the departmental budget.

6. Physician Provider (Refer to Physician Job Description)

1. 1. Maintains a full patient load in accordance with FTE allotment.
   2. Remains in good standing with the local and state professional affiliations.

Essential Duties & Responsibilities: These functions are fundamental to the role and must be performed with or without a reasonable accommodation.

1. Performs other duties and tasks as assigned by supervisor
2. Start shift on time and meet attendance standards per the FTE assigned in HRIS system.
3. Follow safety policies and maintain a clean, safe work environment.
4. Demonstrate sound work ethics, flexibility, and cultural sensitivity
5. Uphold CVCH's mission and core values in all interactions.
6. Comply with CVCH policies, Joint Commission standards, and HIPPA regulations.

Non-Essential Functions: These are tasks that are included in the role but are not critical. They may be reassigned or modified without fundamentally changing the job.

• Run ad hoc reports as requested.
• Participate in internal committees or special projects.
• Contribute to internal communications or newsletters.

Qualifications:

• Education: Must be a graduate of an accredited medical school and must have completed a residency program. Must be a board- certified primary care physician. Management experience preferred.
• Certification/Licensure: Must possess current, valid unrestricted license to practice medicine in the State of Washington. Must have a valid DEA license. Basic Life Support (BLS) required. ACLS or ATLS may be used to substitute for BLS. All Providers must be eligible for enrollment in Medicare and must not be currently opted out of the Medicare program
• Experience: Must possess experience in a leadership role which demonstrates administrative responsibilities in a progressive health care facility and includes personnel management, fiscal controls, health planning, and other related activities. Experience working in a community health center or managed care environment preferred. Equivalent experience will be considered.
• Language Skills: English and Spanish fluency preferred. English fluency required

Skills & Competencies needed:

• Strong interpersonal and communication skills
• Analytical and problem-solving abilities
• Ability to manage sensitive and confidential information

Work Environment & Physical Demands:

• Typical office environment
• Sit, stand, walk, often
• Reach occasionally
• Kneel or crouch minimally
• May need to lift up to 10 pounds
• Visual acuity for close and distance work

Exposure to Hazards:

• Moderate noise
• Standard working conditions

Blood/Fluid Exposure Risk:

• Category I - Tasks routinely involve a potential for mucous membrane or skin contact exposure to blood, fluids or tissue. Use of personal protective equipment (PPE), when appropriate, is required.

Age Specific Competency

1. Neonatal (Birth - 30 days)
2. Infant (30 days to less than 1 year)
3. Pediatric (1 year - 12 years)
4. Adolescent (12 years - 18 years)
5. Adult (18 years - 65 years)
6. Geriatric (65 years - Death)

Telecommuting:

Not eligible for telecommuting.

Benefits:

*Coverage below based on a 1.0 FTE; Medical, Dental, Paid Leave, Holidays, and CME benefits are prorated based on FTE

Benefit:

Coverage:

Effective:

Medical

Premera (Self Insured)

Preferred Provider

Employee/Spouse/Dependents; receive a Benefit Stipend of up to $700 per month

First of the month following the first date of employment.

Dental

Washington Dental

Employee/Spouse/Dependents; receive a Benefit Stipend of up to $700 per month

First of the month following the first date of employment.

Paid Leave

120 hours - Year 1

136 hours - Year 2
Each year after that employee will accrue 8 hours of PTO each year, on their anniversary date, until they reach a maximum of 208 hours at 10+ years.

Paid Leave may be used immediately for sick leave and after 3 months employment for vacation. Maximum accrual cap of 320hours; hours in excess of 320 hours will automatically transfer into the employees EIB. If an employee is within their 90-day introductory period and does not have holiday pool hours available, PTO may be used to cover the holiday if the employee has an available balance.

Extended Illness Bank (EIB)

Maximum accrual of 200 hours

PTO hours in excess of 320 will transfer into EIB. Employees are eligible to use EIB hours after at least 3 consecutive scheduled working days of PTO (max 24 hours) which have been used for a personal illness and/or a qualifying event under FMLA or the WA Family Care Act.

Holidays

64 hours related to:
• New Year's Day
• Memorial Day
• 4th of July
• Labor Day
• Thanksgiving Day
• Day after Thanksgiving
• Christmas Eve
• Christmas Day

Holidays are based on an 8-hour day. Providers will receive a holiday pool of 64 hours as a 1.0 FTE at the beginning of each calendar year. Holiday pool hours must be used by December 31 of each calendar year; unused holiday pool hours will be forfeited. If an employee starts after the calendar year has begun, holiday hours will be prorated based on remaining holidays in the calendar year.

Diversity Days

3 Diversity Days

Available after the first payroll cycle after start date. Diversity days will be prorated based on start date as outlined below:
• Jan 1- April 30: 3 diversity days (24 hours if 1.0 FTE)
• May 1 - August 31: 2 diversity days (16 hours if 1.0 FTE)
• Sept 1 - Dec 31: 1 diversity day (8 hours if 1.0 FTE)

Please refer to the Paid Leave policy for additional details.

403(b) Retirement Plan

Lincoln Financial

150% CVCH match up to 3% of the employee's contribution

Immediately. Vesting schedule:

20% at 2 years, 50% at 3 years, 60% at 4 years, and 100% at 5 years.

Spanish Immersion

$2,000

Employer will reimburse Provider up to $2,000, for participating in Pop Wuj Spanish Immersion program in Guatemala, or La Hacienda Spanish School in Mexico, for a minimum 3-week period, prior to the Provider's initial start date.

Benefit:

Coverage:

Effective:

CE

40 hours/ $4,000 per year based on 1.0 FTE

Available immediately. CE is loaded the first full pay period in January of each year and available to maintain licensure while working at CVCH. CE must be used by December 31 of each calendar year; unused CE will be forfeited. CE will be prorated based on start date into calendar year. CE is not available during provider's termination notice period. Refer to policy

Licenses/Dues

DEA Certificate, Washington State Medical License

Family Practice Board Certification, Board Certification exam and fees for 10 year certification Access to CVCH provided Epocrates and Up To Date, $750 towards membership dues, subscriptions or misc. certifications.

Available after hire date

Benefits are suspended once a Physician has tendered resignation, except as required to continue to work until separation date. Refer to policy

Employee Assistance Program

Mutual of Omaha

No cost short-term counseling for employee and family



Long-term Disability

Mutual of Omaha

Employee Only (variable)

First of the month following the first date of employment.

Basic Term Life

Mutual of Omaha

Employee Only (1x annual salary, up to $200,000)

First of the month following the first date of employment.

Group Accidental Death and Dismemberment (AD&D)

Mutual of Omaha

Employee Only (1x annual salary, up to $200,000)

First of the month following the first date of employment.

Supplemental Term Life

Mutual of Omaha

Employee / Spouse / Dependent(s)

First of the month following the first date of employment.

Voluntary AD&D

Mutual of Omaha

Employee / Family

First of the month following the first date of employment.

Health Reimbursement Arrangement

RedQuote

Reimbursement for out of pocket expenses for services received at CVCH (medical, dental, and prescription) by employees and their dependents enrolled in our medical plan. Up to $750per family per year.

First of the month following the first date of employment.

Flex Plan: Medical

RedQuote

Flex Plan: Maximum $3,400 per year

Direct Deposit available.

First of the month following the first date of employment.

Flex Plan: Dependent Care

RedQuote

Flex Plan: Maximum $7,500 per year

Direct Deposit available

First of the month following the first date of employment.

AFLAC

Supplemental insurance: cafeteria plan

First of the month following the first date of employment.

Benefit:

Coverage:

Effective:

Wellness Stipend

CVCH will reimburse staff up to $30 per month for a local gym membership

OR

CVCH will reimburse up to $150 per y