Director of Medical Standards & Practice Opportunity

Full Time Benefits:

30 days of PTO per year, plus 10 paid holidays.

Employer-paid Benefits include:

• Basic life insurance
• Short-term disability
• Long term disability
• Employee Assistance Program with 12 free sessions per year
• Continuing Education and License Renewal

Optional Benefits include:

• Medical
• Dental
• Vision
• Supplemental life insurance
• Accident and critical illness insurance
• Identity Theft Insurance
• 401k with Safe Harbor Plan match

Summary: The Director of Clinical Standards and Practice is a physician who supports the Medical Director by developing the medical policies, protocols, privileging processes, and clinical tools that support consistent, evidence-based care at Hunter Health Clinic (HHC). The role interprets Accountable Care Organization and other clinical findings and develops practical recommendations in collaboration with the Director of Clinical Quality Assurance. The position provides direct patient care and focused physician expertise while the Medical Director retains provider management, and the Director of Clinical Quality Assurance retains established organizational quality responsibilities.

Essential Functions:

Performs the essential functions of a Primary Care Physician providing direct patient care hours for a minimum of 20 hours in addition to the following leadership responsibilities:

• Develops and coordinates the clinical structure of on-site medical student and family medicine resident rotations to support HHC's physician recruitment pipeline, including learning objectives, orientation, supervision requirements, preceptor resources, and learner evaluations. Partners with academic programs and the Medical Director to support preceptors, resolve rotation barriers, and provide a consistent, engaging learning experience that encourages future employment at HHC.
• Develops, reviews, and maintains medical policies, procedures, standing orders, clinical protocols, and pathways using current evidence and applicable requirements; coordinates stakeholder review and submission through HHC's established approval process.
• Develops clear clinical eligibility criteria, exclusions, documentation expectations, and escalation instructions for medical workflows; serves as physician authorizer only when formally designated.
• Develops medical privileging processes with credentialing staff and designated leaders, including privilege categories, initial and renewal competency criteria, assessment tools, and processes for review of requested changes to privileges.
• Provides physician recommendations regarding competence and requested medical privileges; final decisions remain with HHC's designated approval authority, and administrative credential verification remains with assigned staff.
• Serves as the physician liaison for Accountable Care Organization; participates in relevant meetings, reviews clinical data and care gaps, and translates findings into practical medical recommendations for the Medical Director and care teams.
• Works with the Director of Clinical Quality Assurance and relevant staff to clarify data definitions and investigate clinical findings; recommends interventions while using established quality monitoring and reporting systems.
• Develops medical documentation guidance, clinical decision-support content, and standardized care processes in collaboration with operations, nursing, pharmacy, and other relevant teams.
• Produces clinical onboarding materials and education for approved policies, protocols, and practice changes; provides focused consultation to providers on these materials.
• Provides physician expertise for peer review, complex chart review, and questions involving medical standards of care; develops medical review criteria within HHC's established review process.
• Supports clinical incident and risk reviews by interpreting medical care and recommending changes to clinical protocols or practice; promptly escalates urgent patient safety concerns to the Medical Director and appropriate quality or risk leader.
• Completes assigned medical improvement projects and develops the clinical content of interventions; partners with the Director of Clinical Quality Assurance on measures, monitoring, and evaluation of effectiveness.
• Provides assigned physician input, clinical evidence, and medical documents for HRSA, UDS, PCMH, and other quality or compliance projects led through existing organizational processes.
• Maintains a current inventory and review schedule for assigned medical policies, protocols, and clinical tools; reports progress, unresolved issues, and resource needs to the Medical Director.
• Coordinates implementation materials and recommendations with the Medical Director, who retains provider supervision, performance management, and accountability for adoption.
• Collaborates with the Director of Clinical Quality Assurance, whose existing responsibilities for cross-service quality systems, compliance monitoring, risk trends, reporting, and assigned committees remain in place.
• Exercises project coordination authority for assigned clinical work; refers personnel concerns and disciplinary matters to the Medical Director and Human Resources.
• Travels between clinic sites as necessary and performs other duties as assigned.

Qualifications:

• A graduate of an accredited school of medicine is required.
• Current license as a Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) in the state of Kansas, while obtaining continuing education hours to maintain active licensure is required.
• Board certification in family medicine or internal medicine is required.
• Current Basic Life Support (BLS) is required, within 30 days of hire.
• Current and unrestricted Drug Enforcement Agency (DEA) license is required.
• Maintenance of credentialing and privileging with Hunter Health Clinic, any required or relevant hospitals or facilities, and third-party payors is required.
• Ability to obtain malpractice insurance is required.
• Experience developing clinical policies, protocols, competency or privileging criteria, and interpreting clinical performance data is preferred. Experience with population health, value-based care, Accountable Care Organization, or FQHC practice is preferred.
• Bilingual abilities are preferred.

Skills:

• Commits to a patient-centered approach to providing compassionate, equitable care.
• Demonstrates adaptability and resilience in a fast-paced and evolving healthcare environment.
• Listens, identifies, and responds effectively to patient, provider, and organizational needs.
• Communicates clearly and respectfully; provides constructive feedback and supports professional development.
• Demonstrates integrity, sound clinical judgment, discretion, and appropriate protection of confidential information.
• Collaborates across departments, confirms expectations, and follows through on assigned responsibilities.
• Organizes competing priorities, uses time and resources effectively, and produces accurate and reliable work.
• Accepts constructive feedback, evaluates personal performance, and contributes to HHC's mission and Standards of Culture.
• Leads teams through change, addresses conflict constructively, and balances provider support with clear performance expectations.
• Evaluates own performance and accepts constructive feedback to continue learning.

Physical and Mental Demands of the Job:

All employees, including those who become disabled, must be able to perform the essential job function listed below, either unaided or with the assistance of a reasonable accommodation. The functions listed below are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related or a logical assignment to the position. This essential functions document does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.

• Talking: The ability to speak clearly and effectively.
• Average Hearing: The ability to hear average conversations and respond accordingly.
• Repetitive Motion: The ability to sit, stand, walk and use hands to handle, feel and reach.
• Finger Dexterity: The ability to use fingers to make small movements such as typing, picking up objects and pinching fingers together.
• Average Visual Abilities: The ability to focus on items clearly, including close vision, color vision and the ability to adjust focus.
• Working Conditions: The ability to work in a well-lit, climate-controlled environment, with a noise level that is occasionally high. There is potential exposure to infectious diseases.
• Physical Strength: The ability to occasionally lift and/or move up to 30 pounds.
• Mathematical Ability: The ability to add and subtract two-digit numbers and to multiply and divide with 10's and 100's.