The posting
Be Well is located on the Be Well Orange County campus, which brings together mental health care services uniting public, private, academic, and faith-based organizations in a cooperative partnership that helps facilitate communication, bridge gaps, and eliminate barriers to care. The result is a more compassionate system of care that works better for everyone in the community. The 24/7/365 residential substance use disorder (SUD) treatment program provides 3.1, 3.3, and 3.5 ASAM levels of care for males and females, as well as 3.2 withdrawal management. There are 15 beds allocated for 3.1/3.5, 15 beds for 3.3and 12 beds for 3.2, for a total of 42 beds. The part-time (20 hours a week) Associate Medical Director is primarily responsible for the oversight and delivery of care. This is accomplished through the monitoring of clinical skills of providers and patient access to care, participation in the performance improvement process, assisting in the development of policies and procedures used to ensure quality patient care and the orientation of new providers. The Associate Medical Director is a member of the program leadership team and fosters teamwork, collaboration, and integration of all service areas. KEY RESPONSIBILITIES Responsibilities include oversight and delivery of care for patients suffering from substance use disorders and co-occurring psychiatry disease including withdrawal management. Other duties include:
In conjunction with program leadership, creates, contributes to and implements policies pertaining to the HR360 behavioral and medical care. In collaboration with Nurse Manager, program leadership, regional leadership, and Medical Director works to ensure quality, efficient patient care. Provides full supervision in addition to clinical supervision and oversight for Advanced Practice
Providers including entering into Collaborative Agreements with the Advanced Practice Provider, providing supervision and having input in the clinical review, performance appraisal, peer review and hiring and termination providers and clinical support staff.
Provides supervision and oversight of quality of care among providers and ancillary staff in clinical areas. This includes being available for consultations. Supervises advanced practice providers:
Participate in regular supervision meetings with medical providers. Be available for consultations when difficult or complex patients arise. Review a set number of charts for each provider; this number will vary based one experience and credentials of the provider and will be determined by the Medical Director. When certain forms or documents require a physician signature, review said forms with provider and execute signature if care is appropriate.
Strategize how best to allocate resources to support expanded services. Ensures that appropriate care is delivered to all patients; from withdrawal management and Residential Treatment Center (RTC) to Intensive Out Patient (IOP) and other outpatient services. Fosters integration of services at the programs. Champions Quality Improvement efforts. Ensures patient access to care by monitoring provider productivity targets. In conjunction with the Medical Director supports providers in attaining goals through practice management or other support. Work with Nurse Manager to ensure adequate productivity of nursing staff as set forth by the organization. Work with Medical Director to ensure adequate productivity of providers (MD/DO/NP/PA) as set forth by the organization. Is an active member of the program leadership team. Actively fosters collaboration and furthers integration efforts among service areas.
Clinical Staff Direction Responsibilities:
Reviews employee performance provides feedback and makes recommendations for individual performance improvement and development for medical providers and other staff. Performs annual performance appraisal of providers. Orients new physicians and advanced practice providers; monitors performance during initial employment and thereafter through peer review, chart audits, utilization review and other processes. Responds to patient requests for information and assistance (e.g., form completion, prescription refills, etc.) in a timely manner. Provides on-call after-hours availability as requested by the Medical Director. Works evening and weekends as required. Works directly with the Nurse Manager to provide competent care and provides oversight of nursing staff. Provides withdrawal management services, MAT, as well as behavioral and Incidental Medical Services related medical and psychiatric care in the RTC and IOP settings.
Agency Development/Support Responsibilities:
Attends and participates in Integrated Team Meetings. Able to precept for medical students, residents, and fellows -educate, train, and supervise volunteers when necessary. Supports and actively participates in clinical performance improvement initiatives. Participates in on going internal and/or external leadership development opportunities.
Administrative Responsibilities: Participates in Peer Reviews to improve quality of clinical services. Provides clinical leadership to the program in collaboration with the divisional director and managing director. Monitors the performance of the program and works with the divisional director and managing director to improve the quality and efficiency of care and service provided to participants. Provides training and consultation to treatment staff. Attends required training and meetings. Supervises nurse practitioners and licensed vocational nurse or licensed psychiatric technicians. Responsible for all performance management including performance improvement plans, formal written warning notices and terminations of all direct reports as needed and in consultation with Divisional Director and/or Managing Director. Ensure that program’s physicians are adequately trained to perform other physician duties, if applicable. Compliance responsibilities: Compliance responsibilities include co-signing treatment plans and medical necessity determinations as required by funder requirements. Understands and ensures compliance with policies and procedures to manage risk. Ensures compliance with HIPAA, 42CFR regulations and all other funding mandates and licensing requirements. Ensures program staff, management, and other senior management are informed on quality-of-care concerns through regular reporting and/or team discussions. Develop protocols and work in collaboration with Quality Assurance and management team to develop policies regarding medication assisted treatment. Training responsibilities: Training responsibilities include developing and conducting training in clinical topics related to the delivery of medication services. Ensuring all direct reports are properly trained and updated on HIPAA regulations and compliance as well as any other ongoing compliance and regulatory requirements. Documentation Responsibilities: Collaborates with each caseload participant and other available internal and external resources to develop/maintain treatment plans, transition plans, progress notes and appropriate updates in support of the health and recovery needs of the participant. Maintain documentation in compliance with agency, HIPAA, 42CFR, and funder standards. Properly documents all services provided and completes admission and discharge paperwork/process and required agency assessments in timely manner and ensure that the golden thread is documented throughout the chart. Develop and assess effectiveness of individualized treatment plans and participant progress. Assist in ongoing maintenance of participants’ charts and other related documentation. Ensure that all clinical documentation is completed in a timely and accurate manner and entered into the various electronic systems. EDUCATION AND KNOWLEDGE, SKILLS AND ABILITIES QUALIFICATIONS: Education and Experience Required:
A valid and unrestricted California Physician’s License (MD or DO) with a specialty in psychiatry and / or addiction medicine Sub-specialty in Addiction Medicine or significant clinical experience in Addiction Medicine Valid DEA certificate, X-waiver, 275 cap. Knowledge of third-party payer requirements, California practice guidelines and malpractice laws, -Title 22, Bureau of Primary Care and state funding sources preferred, and 42 CFR/HIPAA. Will maintain required CME and other professional requirements to maintain the above. Experience serving adults with chronic medical conditions and co-occurring severe mentally illness and substance use challenges A minimum 5 years post-licensure experience in direct participant care, ideally in intensive psychiatric and substance use treatment settings
Desired:
Board Certification in Addiction Medicine
