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Texas Health Action

Medical Director

Full-Time
$250k/yr+ $10,000 one-time sign-on bonus
Senior
MD
Austin, TX, USA
In Person
Medical, Clinical & VeterinaryPhysicians & Surgeons

About the job

Requirements
  • A Doctor of Medicine (MD) or Doctor of Osteopathy (DO) degree from an accredited institution.
  • Active board certification in primary care or an applicable specialty.
  • A license to practice medicine in Texas and active Drug Enforcement Administration registration.
  • A minimum of five years of clinical experience with demonstrated leadership in a healthcare setting.
  • Prior supervisory experience of advanced practice providers.
  • Experience working with diverse and underserved communities.
  • Active certification in Basic Life Support for Healthcare Providers.
  • Professional liability insurance within the minimum limits required by the organization.
  • Basic personal computer skills, including working with Windows and Microsoft Outlook, Word, and Excel.
  • Ability to maintain confidentiality under Health Insurance Portability and Accountability Act standards.
  • Ability to exercise diplomacy and tact, provide customer service, communicate interpersonally, and work with diverse people groups with cultural sensitivity.
  • Well-developed verbal and written communication skills in English.
  • Ability to work well under pressure with minimal supervision.
  • Ability to interact effectively with people of diverse roles, backgrounds, cultures, and socioeconomic classes, including people in crisis or resistant or negative toward organizations.
  • Ability to apply time-management practices to prioritize, schedule, and complete work effectively in compliance with policies and deadlines.
  • Ability to work on multiple tasks simultaneously and complete work activities on time.
  • Ability to work productively with other departments and employees and with professionals from partner organizations.
  • Ability to work forty hours per week; some weekends may be required.
  • Ability to manage conflict and negotiate mutually beneficial solutions.
  • Ability to multitask, prioritize, and manage time effectively.
  • Strong follow-through on tasks and assignments.
  • Leadership qualities and ability to supervise staff and secure their cooperation.
  • Ability to perform physical activities including stooping, kneeling, crouching, crawling, reaching, standing, walking, pushing, pulling, lifting, and grasping, and to perceive object attributes through touch.
  • Ability to communicate spoken details or important instructions accurately, sometimes quickly and loudly.
  • Hearing sufficient to perceive sound and detailed oral information and discriminate between sounds, with or without correction.
  • Ability to perform repetitive motions with wrists, hands, and fingers and exert up to 100 pounds of force occasionally to move objects.
  • Visual acuity sufficient to complete administrative and clerical tasks and inspect and analyze, with or without correction.
  • Ability to work and concentrate amidst noise, conversation, foot traffic, and frequent interruptions, and to switch between tasks.
  • Ability to submit official transcripts, diplomas, certifications, and licenses before a final offer if required.
  • The selected applicant is subject to a pre-employment background check; a physical, motor vehicle record evaluation, and additional background checks may be conducted if required.
Responsibilities
  • Provide direct patient care hours for all services outlined in the Texas Health Action Scope of Services.
  • Conduct comprehensive patient examinations, including medical history reviews, physical assessments, and diagnostic evaluations.
  • Order and interpret laboratory tests, imaging, and other diagnostic tests as applicable.
  • Diagnose and manage acute and chronic conditions and develop and maintain appropriate treatment plans.
  • Complete medical record documentation within 24 hours of an encounter, review laboratory results within 72 hours, and respond to refill requests within three business days.
  • Collaborate with case managers, nurses, advocates, and other healthcare staff through direct contact or electronic means to support clinical and operational staff.
  • Coordinate referrals to specialists and ancillary services to ensure continuity and patient-centered care.
  • Participate in resource and utilization management and make cost-effective clinical decisions regarding laboratory testing, medication prescribing, visit frequency, and appropriateness of care.
  • Oversee clinical emergencies in the clinic, including loss of consciousness, anaphylaxis, drug interactions or overdose, mental health crises, intoxicated or incoherent patients, threats of violence, needlestick injuries, staff medical crises, and situations requiring ambulance, police, or other external assistance.
  • Use the Texas Prescription Drug Monitoring Program before prescribing controlled substances, including refills and renewals.
  • Minimize disruptions to clinical schedules that require rescheduling, cancellation, or delays in patient care.
  • Provide coverage for other providers when they are unexpectedly unavailable.
  • Participate in annual performance reviews for clinic providers as assigned.
  • Complete required ongoing annual training and competencies.
  • Maintain active, unrestricted state professional licensure and Drug Enforcement Administration registration, and fulfill applicable regulatory requirements.
  • Follow and enforce Texas Medical Board supervising rules and the Texas Health Action and Texas Health Action Physicians Group collaborative agreement.
  • Ensure Texas Medical Board delegation is complete and accurate during onboarding and offboarding of providers under supervision.
  • Be available to assigned advanced practice providers during clinical working hours to answer questions, provide guidance, co-sign orders, consult, assume patient care, and document guidance.
  • Conduct weekly audits of supervised advanced practice provider electronic health record inboxes, including outstanding laboratory results, patient cases, and open encounters.
  • Conduct at least a 3% monthly chart review for each supervised advanced practice provider, adjustable based on provider experience, including review of compliance with the scope of services and delegated authority under the collaborative practice agreement.
  • Conduct scheduled monthly one-to-one meetings with supervised advanced practice providers and other clinical support staff as applicable.
  • Document feedback provided to supervised advanced practice providers on a monthly review form in the learning management system.
  • Provide supervisory feedback and direction related to peer review, investigations, and corrective measures for providers at the site.
  • Oversee clinical residency programs in coordination with the Chief Medical Officer, Director of Clinical Operations, and supervising physicians.
  • Participate directly in creating Performance Improvement Plans for advanced practice providers with the Chief Medical Officer, Director of Clinical Operations, and/or Senior Director of Clinical Quality when clinically applicable.
  • Provide direct patient care for approximately 80% of the role and administrative work for approximately 20%, subject to organizational needs.
  • Set expectations for work performance and coordination of services among the clinical team with the Chief Medical Officer and clinic or program administrator.
  • Coordinate with operational leadership to implement clinical efficiency, strategy, and policy development.
  • Meet monthly with the location administrator to collaborate on operational and clinical success.
  • Provide clinical leadership for physicians, doctors of osteopathy, advanced practice providers, registered nurses, and medical assistants; oversee healthcare delivery quality, clinical performance, and evidence-based practices.
  • Identify and mitigate potential risks related to patient care and medical practices.
  • Ensure clinical compliance, supervision and oversight of advanced practice providers, and performance evaluations for assigned clinics or programs.
  • Provide direct clinical supervision and guidance to designated advanced practice providers and physicians, ensuring compliance with policies, procedures, and clinical guidelines; provide consultation and support, review and approve treatment plans as necessary, monitor performance, and provide feedback.
  • Participate in and help facilitate quarterly peer reviews with the Director of Continuous Quality Improvement.
  • Remain actively engaged and accessible on the clinical floor during direct patient-care days and provide defined availability and means for clinical consultation when off-site.
  • Support and develop provider retention and recruitment plans with the clinic or program administrator.
  • Participate in interviews for clinical staff, as required for providers and as requested for other positions.
  • Collaborate with Clinical Quality and operations leadership to ensure clinical staff training and competency during onboarding, including completing a 90-day shadowing evaluation for new providers.
  • Oversee clinical quality-improvement projects, compliance efforts, and implementation of clinical best practices and workflows.
  • As assigned by the Chief Medical Officer, participate in reviewing, creating, and revising clinical policies, procedures, protocols, and other internal documents.
  • Ensure providers sign off on and understand pertinent clinical standard operating procedures and related documents annually and as needed.
  • Provide clinical education to staff and providers in collaboration with the Chief Medical Officer and other organizational leaders.
Desired Qualifications
  • Experience in HIV care, gender-affirming care, and LGBTQIA+ health.
  • Prior experience working with LGBTQIA+ and/or other marginalized communities.
  • Additional language abilities.

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