The posting
The Orange County, San Diego County, and Ventura County Programs provide a gender-responsive and trauma-informed environment, using evidence-based and best practices that recognize and account for the role that trauma frequently plays in the lives of the clients we serve. Our treatment and recovery services include withdrawal management, individual and group counseling, drug & alcohol education, recovery planning, case management, and relapse prevention. The Medical Director serves on the program leadership team and fosters teamwork, collaboration, and integration across all service areas. This position oversees care for clients within all three counties (San Diego, Orange, and Ventura) for all residential and withdrawal management programs. The Tri-County Addiction Medical Director provides direct clinical services, supervision, performance management, training, hires, and terminates clinical staff, and participates in a clinical committee that develops policies and procedures to ensure quality patient care and the orientation of new providers. In addition, this position oversees Advanced Practice Providers, provides input in performance appraisals, supervision, and peer review. The Tri-County Addiction Medical Director will have a set in-person schedule, primarily delivering direct client care at the BeWell Withdrawal Management and Residential program (Orange County), but will also oversee the other designated programs with ad hoc supervisory presence and client coverage, as needed. KEY RESPONSIBILITIES Leadership
Provides both hybrid and in-person leadership and presence at all assigned county programs based on a set schedule and ad hoc as needed. Collaborates with VP of BHMS to provide leadership for integration of services between behavioral health and medical at all assigned county programs. Provides coaching, mentoring, and support to all providers in San Diego, Orange, and Ventura counties. Participates in HR360 and program leadership meetings and activities. Represents HR360 and all assigned county programs in external meetings with the county, funders, CDCR, etc., as required. Champions high-quality care, practice management, and reaching fiscal goals.
Clinical
Oversees and delivers care for patients suffering from substance use disorders and withdrawal management. Will provide withdrawal management and MAT services. Will achieve clinical productivity targets as set by agency standards for patient-facing providers. Ensure quality and efficient patient care by collaborating with the Nurse Manager and Program leadership team. Ensure that appropriate care is delivered to all patients. Work with VP of BHMS to ensure staff meets productivity requirements while ensuring high-quality clinical care. Foster integration of services at the programs. Provide supervision and oversight of quality of care and provide clinical consultations for nursing, behavioral health, and medical providers. Orient new staff, monitor performance through peer review, chart audits, utilization review, and other processes. Respond to patient requests for information and assistance (e.g., form completion, prescription refills, etc.) in a timely manner. Provide oversight for Advanced Practice Providers, provide supervision, provide input in the clinical review, conduct performance appraisal and peer review, and assist with hiring and termination of other providers and clinical staff.
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 on 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 the provider and execute signature if care is appropriate.
Provide on-call after-hours availability as needed for medical issues only. Work evenings and weekends as required.
Administrative
Participate in committee or organizational meetings as assigned pertaining to HealthRIGHT 360’s behavioral and medical care Medical Director will report administratively to the VP of Behavioral Health Medical Services (VP of BHMS), who will be tasked with overseeing the implementation of P&Ps and workflows. Champion quality improvement efforts. Participate in peer reviews to improve quality of clinical services. Partner with the VP of BHMS in monitoring performance of the program and providers and work with leadership team to improve the quality and efficiency of care and service provided to patients. Provide clinical supervision for clinical staff such as reporting physicians, nurse practitioners, nurses, or psychiatric technicians. Provide input into performance appraisal, performance improvement plans, written warnings, and facilitate terminations. Attend, facilitate, and participate in meetings and training opportunities.
Compliance
Co-sign treatment plans and medical necessity determinations as required by funder requirements. Understand and ensure compliance with policies and procedures to manage risk. Ensure compliance with HIPAA, 42CFR regulations, and all other funding mandates and licensing requirements. Ensure program staff, management, and other senior management are informed on quality-of-care concerns through regular reporting and/or team discussions.
Documentation
Collaborate with each caseload 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 patient. Maintain documentation in compliance with agency, HIPAA, 42CFR, and funder standards. Properly document all services provided and complete admission and discharge paperwork or process and required agency assessments promptly and ensure that the golden thread is documented throughout the chart. Develop and assess the effectiveness of individualized treatment plans and participant progress. Assist in ongoing maintenance of patient’s 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.
QUALIFICATIONS Education, Certification, or Licensure
Graduation from an accredited M.D. or D.O. school. Board certified in Addiction Medicine or be board certified in at least one other medical specialty but preferably a primary care specialty.If not board certified in Addiction Medicine, then must have significant clinical experience in Addiction Medicine. Possession of a valid MD/DO license in CA. Possession of a valid Drug Enforcement Administration (DEA) certificate is required. Current BLS/ACLS certification or ability to obtain prior to hire.
Experience
Medication-Assisted Treatment (MAT) experience. Experience working with individuals with issues of substance abuse, mental health, criminal background, other potential barriers to economic self-sufficiency.
Competencies
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. Computer literacy and proficiency with EHR systems and Microsoft applications. Culturally competent and ability to work cooperatively with a multidisciplinary team. Ability to enter data into various electronic systems while maintaining the integrity and accuracy of the data. Excellent leadership skills. Excellent interpersonal skills. Ability to communicate clearly and succinctly in a variety of situations and mediums, including groups, one-on-one, email, and phone. Bilingual in Spanish (or another language or ASL), highly desired but not required.
Additional
Commitment to maintaining CME and licensure requirements.
Must be able to meet travel requirements related to job commute as necessary for onsite practice at various assigned locations.
PHYSICAL REQUIREMENTS In an 8-hr workday, employee is required to perform work:
Sitting
6
Hrs
Standing
1
Hr
Walking
1
Hr
Driving
Rarely
In an average month, employee must travel out of town:
☐ Often (>2x)
☒ Sometimes (<2x)
☐ Never
