Medical Director at Fora Health Inc – Portland, Oregon

POSITION SUMMARY

The Medical Director works closely with the Chief Medical Officer to provide vision for and implementation of medical programs and services across Fora Health’s Departments. The Medical Director is an integral part of a collaborative leadership team, which includes the Director of Psychiatric Services, Medical Operations Director and Nurse Manager. This team, in turn, collaborates with Fora-wide leadership, representing other programs in the continuum of care to support Fora Health’s mission of providing excellent care for those with substance use disorders.

The Medical Director will provide direct patient care in 3.7 level withdrawal management and medically managed residential programs. Additionally, the MD will direct expansion of both outpatient and residential MAT services. The MD will also direct the development of expanded medical services for patients enrolled in Fora Residential and Outpatient SUD programs. The MD will collaborate with Operations & Admissions leadership to develop and strengthen rapid access pathways from local hospitals into appropriate levels of care at Fora.

The Medical Director will join the Chief Medical Officer in nurturing a program culture that centers excellent medical care within a framework of loving kindness, harm reduction, and trauma informed care.

Expected allocation of time is approximately 60% administrative and 40% clinical.

ESSENTIAL JOB DUTIES

• Completing medical intakes on patients admitting to withdrawal management and residential treatment
• Formulating treatment plans for those patients and communicating with nurses and case managers as necessary regarding implementation of medical orders and ongoing assessment of patients
• Reviewing medical referrals to Medically Managed Residential Program and communicating with referents, including hospitals and outpatient settings.
• Continuing expansion of MMR program to include patients on IV antibiotics, with complex wound care needs, and those newly dependent on insulin
• Developing curricula & structure for residential medical groups to address PAWS, tobacco cessation, and MAT for AUD
• Providing clinical education to nurses
• Sharing overnight phone call with Chief Medical Officer and advance practice providers, typically one week per month.
• Supervising advanced practice providers
• Supervising and mentoring medical learners throughout their rotations at Fora
• Providing education to patients about medications and treatment options.
• Collaborating with Access Department to develop and expand relationships with community partners and pathways into Fora medical services.
• Collaborating with Chief Medical Officer on development and implementation of new programs
• Collaborating with Chief Medical Officer & Medical Operations Director on writing and revision of policies & procedures, creating & maintaining EMR order sets, addressing grievances & incident reports.
• Other duties as assigned

ADDICTIONAL JOB RESPONSIBILITIES

• Attend and participate in all staff meetings, including medical department and leadership meetings as assigned.
• Attend all supervision meetings as assigned.
• Maintain and strengthen good working relationships with members of other departments.
• Maintain cleanliness and safety of work environment.
• Perform related tasks as assigned.
• Complete documentation in a timely manner.
• Negotiate conflicting demands of patients, staff, available resources, and applicable policies & laws.
• Prioritize and manage the competing demands of their work effectively.

ORGANIZATIONAL RELATIONSHIPS

• The Medical Director reports to the Chief Medical Officer.
• The Medical Director works interdependently as a member of a program clinical team and works collaboratively with other agency staff.

SUPERVISORY FUNCTIONS

This position has supervisory duties.

Qualifications

Education and Experience

• Must be a licensed MD or DO
• Must be board certified in Addiction Medicine; Fellowship training strongly preferred
• Experience in prescribing buprenorphine required
• At least one year of attending experience in primary care, hospital medicine or urgent care required
• Experience in withdrawal management strongly preferred
• Supervising experience is a plus

Other Requirements

• For employees with a history of substance use disorder, Fora Health’s policy requires certification of a minimum of two years of sobriety for this position.
• Ability to pass a pre-employment or for cause drug tests.
• Position will require some amount of regular connection to work via cell phone to answer questions and respond to internal and external contacts.

EVALUATION CRITERIA

• Productivity: The extent to which essential job tasks are met.
• Quality of Work: The extent to which tasks are completed in a timely manner with few or no errors:
• Conducts medical history review and physical assessment when necessary in a timely manner which does not compromise client health.
• Communicates to Clinical Team any medical information that may impact client's participation in treatment.
• Provides ongoing status reports to Supervisor on responsibilities.
• Initiative: The extent to which the Medical Provider knows when to ask for help, prioritizes and efficiently and effectively performs duties.
• Addresses crisis situations as they present themselves.
• Demonstrates time management and organizational skills.
• Furthers Department’s and Fora Health Mission and Values.
• Represents Department and Fora Health appropriately in the community.
• Integrity: The extent to which the Medical Provider performs job in a professional manner, demonstrating ethical behaviors and adhering to federal/state laws and agency policies and procedures.
• Works all regularly scheduled hours.
• While at work, engages in work activities.
• Attends and participates in all meetings assigned by supervisor.
• Conducts clinical and administrative duties in an honest and respectful manner.
• Maintains professional behavior and all ethical standards.
• Informs Supervisor of unprofessional or unethical behavior by self or other staff members.

Reliability: The extent to which the Medical Nurse Practitioner accomplishes tasks with little or no follow up from the Supervisor.

• Represents Fora Health in a professional manner.
• Consistently practices kindness with patients and colleagues.
• Keeps the Supervisor informed of significant events that impact agency.
• Completes projects in a timely manner.
• Conducts clinical activities in a timely and appropriate manner.
• Ensures that all clinical services provided are within the Services Model Framework.
• Consistently employs Harm Reduction principles, Trauma-Informed care, an Motivational Enhancement techniques.
• Completes all administrative and paperwork responsibilities in a timely and reliable manner.
• Informs the Supervisor of any difficulties in performing regular duties