Area Medical Director in Templeton, California at Agile Occupational Medicine PC
Job Description
Position Summary
The Area Medical Director is a practicing physician leader accountable for clinical quality, provider development and clinical performance, patient and client experience, and clinical-operational effectiveness across multiple assigned clinics and designated clinical programs. In partnership with the Medical and Operations Leadership, the Area Medical Director promotes consistent, high-quality, evidence-based occupational medicine care; supports effective case progression and return-to-work outcomes; develops and supports providers; addresses complex and escalated clinical matters; and helps advance operational performance, client relationships, and sustainable clinic growth. As designated by the Chief Medical Officer, the role may lead or support enterprise-wide clinical programs or specialty services that extend beyond the assigned geographic area.
The Area Medical Director provides clinical leadership, mentoring, coaching, and functional guidance to physicians and advanced practice providers. The Area Medical Director may provide clinical performance feedback and recommendations to the Chief Medical Officer; formal reporting relationships and people-management authority remain with the Chief Medical Officer or other designated leader unless otherwise assigned.
Responsibilities
Clinical Leadership, Patient Care, and Complex Case Management
- Provide physician leadership and medical oversight across multiple assigned clinics and designated clinical programs.
- Maintain a regular patient-facing clinical schedule and provide direct patient care as a core responsibility of the role, including routine clinic sessions and clinical coverage across assigned clinics based on patient care and operational needs.
- Evaluate and manage complex occupational medicine cases, including work-related injuries and illnesses, causation, treatment planning, work restrictions, disability status, and return-to-work recommendations, effective case progression, and clinically appropriate case closure.
- Promote consistent application of evidence-based occupational medicine guidelines, clinical standards, and company protocols, including the Agile Guideposts for Clinical Practice.
- Serve as a clinical escalation resource for complex, high-risk, unusual, or challenging patient matters, assuming or coordinating care when clinically appropriate, and collaborate with clinic leadership to resolve issues affecting patient care, safety, access, quality, or operational performance.
- Participate in the development, implementation, and ongoing evaluation of clinical policies, procedures, standards, workflows, and treatment protocols.
- Partner with the Chief Medical Officer to develop annual goals and allocation of clinical and physician-leadership time based on organizational, regional, and patient-care needs.
- Perform and/or provide physician leadership for initial Transfer of Care evaluations and ongoing Transfer of are follow-up services, as assigned by the Chief Medical Officer, supporting consistent Transfer of Care practices, documentation standards, workflows, and clinical outcomes across the organization.
- Serve as Primary Treating Physician or other designated physician role for assigned complex workers' compensation cases, as applicable.
- Coordinate proposed material changes to assigned clinical programs, patient-care responsibilities, clinical workflows, or scheduled patient care with the Chief Medical Officer and appropriate operational leadership before implementation when such changes may affect continuity of care, provider coverage, clinic operations, or client commitments.
Provider Leadership and Development
- Mentor, coach, and provide clinical guidance to physicians and advanced practice providers in coordination with the Chief Medical Officer, including case-based consultation and coaching for complex, high-risk, or Transfer of Care matters.
- Participate in and, as assigned, lead provider onboarding, orientation, clinical training, and continuing professional development.
- Conduct and/or participate in chart reviews, clinical audits, peer review, and other quality-monitoring activities.
- Identify clinical performance, education, or development opportunities and provide feedback and recommendations to the Chief Medical Officer, and partner on resulting provider development plans and performance improvement initiatives.
- Participate in physician and advanced practice provider recruitment, interviewing, and retention efforts.
- Model professional conduct, clinical excellence, accountability, collaboration, and Agile's standards of patient care.
Quality, Compliance, and Clinical Performance
- Ensure clinical practices comply with applicable federal, state, and local laws and regulations, accreditation requirements, company policies, and established clinical standards.
- Monitor clinical quality and performance indicators, evaluate trends in case progression, return-to-work outcomes, utilization, referrals, documentation timeliness, and patient and client experience, and lead or support improvement initiatives when opportunities are identified.
- Participate in utilization review, quality assurance, risk management, patient safety, and clinical compliance activities.
- Assist in investigating and resolving clinical complaints, grievances, adverse events, and patient safety concerns.
- Promote timely, accurate, complete, and clinically appropriate medical documentation and support compliant and appropriate coding practices, workflow efficiency, and appropriate charge capture.
- Identify emerging clinical or regulatory risks and escalate significant concerns to the Chief Medical Officer and appropriate organizational leadership.
Employer, Client, and Stakeholder Partnership
- Serve as a physician-level clinical resource to employers, claims representatives, nurse case managers, and other key stakeholders, maintaining responsive communication to address clinical questions, facilitate care coordination, and support strong client relationships.
- Provide clinical consultation and escalation support for urgent or complex employer and patient matters in accordance with established coverage and escalation protocols.
- Participate in employer meetings, case conferences, clinic tours, service-recovery efforts, and other client-facing activities when physician involvement would support the relationship or clinical outcome.
- Partner with Operations and appropriate client-facing leadership to support client satisfaction, retention, and growth through clinical expertise, responsive service, employer case conferences, service recovery, and effective resolution of clinical concerns.
- Represent Agile professionally in interactions with clients, patients, referral partners, and the broader occupational medicine community.
Operational Partnership and Clinic Performance
- Serve as the physician leadership partner to assigned Operations leadership, collaborating on clinical quality, provider clinical effectiveness and development, patient and client experience, workflows, staffing, provider coverage, and patient access needs, clinic performance, and growth initiatives.
- Partner with the Chief Medical Officer as well as Medical and Operations leadership to identify and resolve barriers affecting clinical performance, provider coverage, patient access, workflow effectiveness, and client service across assigned clinics, using clinical and operational data to drive improvement.
- Support the implementation and optimization of clinical workflows, programs, technology, and operational initiatives.
- Support the clinical development and growth of assigned clinics and emerging markets by applying successful clinical and operational practices across locations.
- Provide physician input into operational decisions that materially affect patient care, clinical workflows, provider practice, or clinical quality.
Strategic and Enterprise Clinical Leadership
- Lead or support enterprise-wide clinical programs, specialty services, or strategic clinical initiatives as designated by the Chief Medical Officer.
- Support standardization of clinical care and best practices across Agile locations and identify opportunities to replicate successful clinical practices across locations.
- Provide regular updates to the Chief Medical Officer regarding clinical performance, provider matters, complex cases, quality trends, emerging risks, client concerns, staffing or coverage needs, and strategic opportunities.
- Perform other physician leadership duties consistent with the scope and level of the position as assigned by the Chief Medical Officer.
Education
- Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) from an accredited institution.
- Board Certification in an ABMS- or AOA-recognized specialty preferred.
Licensure and Certifications
- Current unrestricted physician license in the applicable state(s).
- Current DEA registration, as required for the position.
- NRCME Certification.
- Radiology Supervisor and Operator Permit preferred.
- Current BLS certification required.
Experience
- Minimum five (5) years of occupational medicine or other directly relevant clinical experience.
- Demonstrated experience managing complex occupational medicine and workers' compensation cases.
- Demonstrated knowledge of workers' compensation, occupational medicine regulatory requirements, evidence-based treatment guidelines, disability management, and return-to-work principles applicable to the assigned market(s).
- Previous physician leadership, Medical Director, Area/Regional Medical Director, or equivalent clinical leadership experience preferred.
- Experience mentoring, coaching, or developing physicians and advanced practice providers preferred.
- Demonstrated ability to partner effectively with Operations, employers, claims professionals, and other healthcare stakeholders.
- Experience supporting multi-site clinical operations preferred.
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