PACE Medical Director

Kamin Science Center; Jacksonville (FL); On-site; USD 180,000 - 260,000; Full time

Job summary

PACE Partners is seeking a Medical Director to provide medical direction and supervision for participant care and outcomes. You will oversee clinicians, develop policies, and ensure QA programs are implemented with data-driven oversight.

The role requires leadership in an interdisciplinary team, contract negotiations, and ongoing participation in program development and provider relations to maintain high-quality geriatric care.

Qualifications

• Current knowledge of chronic care/geriatric issues and best practices.
• Ability to build strong working relationships with other physicians and health care managers.
• Excellent judgment and problem solving.
• Strong communication and organizational skills.

Responsibilities

• Assume overall accountability for the medical care of participants.
• Guide the medical service team to promote quality outcomes.
• Direct delivery of participant medical care.
• Oversee implementation of the QIPI program and plan.
• Study data, review procedures, and maintain data integrity.
• Supervise PACE Partners primary care practitioners and staff.
• Develop and maintain medical policies, procedures, and standards.
• Coordinate medical services with other participant care services.
• Monitor outcomes and utilization across hospital, pharmacy, and referrals.
• Lead with executive leadership in contract negotiations with providers.
• Promote the goals of PACE Partners and represent the organization in health networks.
• Participate in staff orientation and continuing education.

Skills

Chronic care

Geriatrics

Leadership

Interdisciplinary teamwork

Problem solving

Analytical skills

Communication

Organizational skills

Education

MD/DO designation

Residency training

Job description

Position Summary

The PACE Medical Director provides general medical direction and supervision of the medical aspects of care for PACE Partners. The Medical Director is responsible for the delivery and oversight of participant care, clinical outcomes, implementation and oversight of the quality assessment and performance improvement program, development and maintenance of medical policies and procedures/standards and protocols. The Medical Director will provide direction and/or supervision to primary care physicians, nurse practitioners, nursing staff and allied health services and leadership of the program among staff, colleagues, and providers in the community.

Essential Functions

• Assume overall accountability and responsibility for the medical care of the participants
• Guide the medical service team to promote quality outcome goals
• Directs delivery of participant medical care
• Overall responsibility for the implementation and oversight of the QIPI activities, and QIPI plan.
• Will study data, review procedures, identify problems and make necessary corrections to ensure the QIPI plan is viable, and data has integrity
• Member of the PACE Quality Improvement Committee
• Provide medical oversight in the development of standards and uniform treatment policies and procedures to assure they are inclusive of the knowledge and values which guide PACE Partners
• Develop and maintain written objectives, policies and procedures, an organizational plan, and a quality assurance program for the medical service
• All medical policies shall be reviewed at least annually
• Coordinate and integrate medical services with other participant care services to provide a continuum of care for the participants
• Develop, implement, and monitor outcomes measurements to assure appropriate and efficient utilization of all health care services including hospital inpatient and ER utilization, Pharmaceuticals, Specialist referrals, Medication management, and Nursing facility utilization
• When utilization problems are identified, research best practices and work with clinical staff and interdisciplinary team to make appropriate procedural and or operational changes to bring utilization into alignment with established PACE Partners best practices
• Supervise PACE Partners primary care practitioners:
• Recruit and train primary care physicians and geriatric nurse practitioners, assist in developing and maintaining written job descriptions for the medical staff
• Participate in the review of credentials and delineation of privileges of medical staff members, and assign duties based upon education, training, competencies, and job descriptions
• Participate in annual performance evaluations of Primary Care Physicians and Nurse Practitioners
• Consult with primary care staff to discuss clinical and case management issues
• Monitor clinic operations to assure integration of primary care and nursing services
• Oversee and ensure appropriate diagnostic coding practices of Primary Care Physicians
• Participate in primary care, hospital and nursing home rounds, and the 24‑hour on‑call system to assure continuity of care for PACE Partners participants
• Ensure that all medical staffing patterns are implemented
• Act as a community liaison with physician groups, specialists, and hospitals to represent PACE Partners and assure good provider relationships
• In conjunction with the Executive Director, participate in contract negotiations and monitoring with medical and health related providers
• Provide leadership with medical staff, promoting the goals and needs of PACE Partners and those it serves
• Participate with the executive management group in internal operations, program development and resource utilization
• Participate in staff orientation and staff education activities
• Participate in continuing education and training of all PACE Partners staff
• Participate in the National PACE Partners Association physician network to assure representation and recognition
• Identify opportunities for clinical and health care delivery research which will enhance the geriatric leadership role of PACE Partners in clinical expertise and innovation
• When acting as Primary Care Physician, maintain daily attendance at and participate in interdisciplinary team meetings, communicating participant changes, collaborating on care planning decisions and coordination of 24‑hour care delivery
• When acting as Primary Care Physician, evaluate and treat participants during acute illness.
• Oversee and manage participants' use of medical specialist and inpatient care
• Admit participant to hospital, provide primary care or coordination of care with hospitalists, remain responsible for medical management, and provide updates to interdisciplinary team. In conjunction with the interdisciplinary team, plan, and coordinate discharge
• Participate in planning and budgeting for the Medical Services
• Act only within the scope of practice
• Only act within the scope of his or her authority to practice
• Other duties may be assigned as necessary

Qualifications

Knowledge and Critical Skills

• Current knowledge of chronic care/geriatric issues and best practices
• Ability to build strong working relationships with other physicians and other health care managers and providers
• Excellent judgment, problem solving and cognitive skills
• Ability to process information accurately and timely
• Effective oral communication skills
• Strong organizational skills
• Demonstrated leadership abilities
• Ability to lead and work within an interdisciplinary setting
• Enthusiasm for geriatric medicine and taking care of the chronically ill
• Ability to anticipate and manage changing priorities
• Skill and knowledge of how to work effectively in a managed care environment
• Working knowledge of PACE Partners policies, processes, and procedures
• Excellent bedside manner

Experience

• 3 years of experience working with a frail or elderly population OR, if the individual has less than 3 years of experience but meets all other job requirements, the candidate must receive appropriate training from the PACE organization on working with a frail or elderly population upon hiring.
• Meet a standardized set of competencies for the specific position description established by the PACE organization before working independently.

License / Certification

• Board Certification – Geriatrics preferred
• Board Certification - Internal Medicine or Family Practice
• Current Florida Physician License
• Current BCLS
• State CDS Certification and DEA Registration
• Current Florida driver's license and proof of active Auto insurance
• Must have or obtain First Aid and CPR certification

Education

• Successfully completed a residency program accredited by the Accreditation Council for Graduate Medical Education
• MD or DO designation

Other Requirements

• Must have medical clearance for communicable diseases and have up-to-date immunizations before direct participant contact.

The knowledge, skills and abilities listed above are typically acquired through the levels of education and experience listed. However, any equivalent combination of education and/or experience, which provide an applicant with the listed knowledge, skills, and abilities to perform the essential duties and responsibilities of the job, is acceptable.

This description is intended to describe the general nature and level of work performed by employees assigned to this role. It is not intended to be an exhaustive list of all duties, responsibilities, qualifications, or working conditions required of employees in this position. The organization reserves the right to modify or amend the duties of the position or to require that additional tasks be performed as organizational needs change. This description does not constitute a contract of employment, and employment with the organization is at-will, meaning either the employee or the organization may terminate the relationship at any time, with or without cause or notice.