Medical Director
at Heartland Alliance

Date Posted: 6/5/2019

Job Description

Summary:   The Medical Director provides clinical administrative leadership to the Primary Care Services Heartland Alliance Health.  In this role, the Medical Director is responsible for the quality of care provided to participants in Primary Care, and for the clinical productivity of the provider staff. 

The Medical Director is a licensed professional prepared in a specialty residency program who manages actual and potential health problems based on the area of specialty.  The health conditions include common, complex and/or advanced diseases needing intensive medical supervision of the prescribed treatment plan.  The Medical Director practices independently and interdependently by collaborating with the mid-level providers, community health nurses and other health care providers.  The Medical Director is ultimately responsible for the delivery of medical care within the legal parameters established by the Illinois Medical Practice Act.  The Medical Director also provides direct patient care, and as Physician, the Medical Director provides quality primary heath care services to special populations, emphasizing the prevention and treatment of disease.  The role of the Physician in a community setting is a response to society’s demand for accessible quality health care to all populations regardless of socio-economic status.  Individual accountabilities and work volume will be established through the development of annual Success Objectives, within the framework outlined below.

Essential Duties and Responsibilities:

As clinical administrative leader:

  • Provides medical practice oversight for primary care operations in community health center facilities, including involvement in individual provider practice and primary care program operations.
  • Measures and monitors quality of patient care services in Primary Care Services, primarily the care offered by HHO providers, including Physicians, Advanced Practice Nurses and Community Health Nurses, as well as the care provided by ancillary and medical support staff.  Meets regularly with providers to review care standards and performance.
  • Develops and disseminates clinical care protocols, trains staff to follow care protocols, and measures adherence to care protocols.
  • Measures and monitors clinical productivity of provider staff, including Physicians and Advanced Practice Nurses.  Develops productivity standards and reports regularly on performance relative to standards.  Meets regularly with providers to review standards and performance. 
  • Coordinates provider peer review process; provides feedback to improve quality of care.
  • Organizes and facilitates staff development activities such as clinical practice updates, journal clubs and chronic illness collaboratives.
  • Provides input and guidance regarding after hours call systems and provider hospital privileges.
  • Facilitates and coordinates student and resident training opportunities and placements in the department..
  • Collaborates with the Integrated Health Care team in program planning, monitoring and evaluation of primary health care services including implementation of Patient Centered Medical Home and Meaningful Use.
  • Implements and improves Electronic Health Record in conjunction with Clinical and information services teams and ensures all participant charts are updated by the Provider team in compliance with organizational standards.

As Physician:

  • Facilitates entry of the patient into the heath care system, either at the HHO main clinic site, homes or community shelters or the hospitals where the Medical Director has admitting privileges by assessing the primary heath care needs, including eliciting comprehensive heath histories, performing physical examinations, ordering and/or performing pertinent diagnostic tests, analyzing collected data to determine client health status and formulating a problem list (diagnosis.)
  • Provides coordinated, continuous and culturally competent primary health care to clients that span the heath continuum through mutual goal setting and planning delivery of care.
  • Prescribes a variety of treatment modalities to meet heath and illness needs.
  • Collaborates with advanced practice nurses and community heath nurses to assure that health teaching and counseling is provided.
  • Manages and evaluates the plan of care, process and outcome and then modifies the plan as needed. 
  • Adheres to collaborative practice principles of respect and joint decision making when:
    • Providing clinical supervision of the medical care delivered by the advanced practice nurses.
    • Consulting with heath team members about managing the client treatment plan.
    • Following clinical practice standards (protocols) related to each heath care providers role and responsibilities.
  • Assures access and continuity of care by providing call for after hours coverage.  Assures continuity by obtaining hospital privileges at designated hospitals and by making home visits when appropriate.
  • Collaborates with other multidisciplinary professionals and community agencies to provide high quality care.
  • Seeks opportunities for community and professional outreach to maintain and increase patient referral base.  Outreach activities can include, but are not limited to:
  • Providing training and presentations on heath care issues to multi-disciplinary professionals and community agencies.
  • Attend community health fairs.
  • Disseminate information about health center and services provided to other agencies or heath care professionals.
  • Coordinates services in conjunction with other team members to meet patient’s primary health care needs and to ensure the continuity of care.
  • Participates in quality improvement activities through protocol development and collaborative peer review by:
    • Developing medical and joint practice protocols and identifying appropriate evaluative criteria for utilization review activities.
    • Evaluating care based on clinical standards through the quality improvement process.  Implements recommended changes and/or improvements to guarantee quality care based on the evaluative process.
  • Assumes the responsibility for professional development and contributes to the professional growth of others by:
    • Developing in-depth knowledge of daily program operations, policies and procedures.
    • Acting as a preceptor in the orientation of new health care personnel, interns, residents and volunteers.
    • Serving as a consultant in specialized populations to other heath care providers and community agencies.
  • Incorporates and disseminates research findings as a basis for practice and to improve heath care outcomes.
  • Identifies clinical questions to be researched.
  • Assumes the responsibility for maintaining competence in clinical practice by:
    • Engaging in mentor relationships with experienced mid-level providers and physicians to gain clinical expertise.
    • Developing and maintaining a patient panel as clinical competence is achieved to enhance continuity of care and meet Organization productivity standards. 
    • Participating in appropriate educational activities in order to maintain Board certification and continue professional growth.
  • Provides cost effective Organization productivity requirements by practicing collaboratively with the advanced practice nurses and the community heath nurses to prevent the duplication of services.
  • Practices within the legal and ethical guidelines established by the Medical Practice Act, the Physicians Code of Ethics and the Specialty Standards of Practice.
  • Documents comprehensive, accurate and continual data on clients’ records and program reports according to Organization standards.
  • Prepares the appropriate program reports to fulfill finding requirements as assigned.
  • Adheres to professional standards as outlined by governmental bodies, American Medical Association (AMA), American College of Obstetrics and Gynecology (ACOG), American College of Physicians, American Academy of Pediatrics, American Academy of Family Physicians, private funding sources, Organization plans/policies and Unit guidelines.  Participates in periodic evaluative reviews and/or in-house and external staff training to ensure that he/she understands and continues to adhere to such standards.  Initiates requests for assistance or guidance from Manager to address new issues or complex concepts affecting adherence to professional standards.
  • Performs other duties as necessary.

Supervisory Responsibilities:                                                  

  • The Medical Director supervises the Physicians and Mid-Level Providers .
  • Other Primary Care Services staff may be supervised by the Medical Director, as assigned by the Chief Medical Officer.

CompetenciesTo perform the job successfully, an individual should demonstrate the following competencies.

  • Analytical - Synthesizes complex or diverse information; Collects and researches data; Uses intuition and experience to complement data; Designs work flows and procedures.
  • Technical Skills - Assesses own strengths and weaknesses; Pursues training and development opportunities; Strives to continuously build knowledge and skills; Shares expertise with others.
  • Interpersonal Skills - Focuses on solving conflict, not blaming; Maintains confidentiality; Listens to others without interrupting; Keeps emotions under control; Remains open to others' ideas and tries new things.
  • Quality Management - Looks for ways to improve and promote quality; Demonstrates accuracy and thoroughness.
  • Professionalism - Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments.
  • Quality - Demonstrates accuracy and thoroughness; Looks for ways to improve and promote quality; Applies feedback to improve performance; Monitors own work to ensure quality.

Qualifications:  To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Education and/or Experience:  Graduation from a college or university accredited by the American Medical Association with a Doctor of Medicine degree or accredited by the American Osteopathic Association with a doctor of Osteopathy degree. If medical education occurred at a foreign medical school, the applicant must possess a current Educational Council Foreign Medical Graduate (ECFMG) certificate. Successful completion of an approved program of residency training in family practice. Board certification in Family Practice preferred. Three years of clinical experience in one or more areas of medicine, three years of administrative or supervisory experience, preferably in an ambulatory setting. Documented experience in protocol development, evaluation and implementation of clinical standards of care based on the quality improvement process.  Documented experience as a preceptor for new personnel.  Documented experience as a consultant on special populations to heath care providers and community agencies. Experience in establishing and maintaining effective working relationships with other employees, patients and the general public.
  • Knowledge: Knowledge of the principles and practice of preventative medicine, state and federal laws pertaining to medicine and community health centers, and the structure and function of community health centers.
  • Language Skills:  Ability to read, analyze, and interpret the most complex documents.  Ability to respond effectively to the most sensitive inquiries or complaints.  Ability to write speeches and articles using original or innovative techniques or style.  Ability to make effective and persuasive speeches and presentations on controversial or complex topics to top management, public groups, and/or boards of directors. Skills in communicating effectively with patients and their families.
  • Mathematical Skills:  Ability to work with mathematical concepts such as probability and statistical inference, and fundamentals of plane and solid geometry and trigonometry.  Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations.
  • Reasoning Ability:  Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables.
  • Certificates, Licenses, Registrations:  Active Illinois Physician licensure, plus current DEA registration, Board certification in a specialty area (must be completed within two years of employment), documentation of a Medical Degree from an accredited school of Medicine, documentation of residency completion in a specialty area from an accredited residency program and Physician National Data Bank verification of legal claims history

Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • While performing the duties of this job, the employee is frequently required to stand; walk; sit.
  • The employee must use hands to finger, handle, or feel
  • The employee must reach with hands and arms and talk or hear.
  • The employee must occasionally lift and/or move up to 25 pounds.

Work Environment:  The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • While performing the duties of this Job, the employee is occasionally exposed to risk of radiation.

Heartland Alliance makes all hiring and employment decisions, and operates all programs, services, and functions without regard to race, receipt of an order of protection, creed, color, age, gender, gender identity, marital or parental status, religion, ancestry, national origin, amnesty, physical or mental disability, protected veterans status, genetic information, sexual orientation, immigrant status, political affiliation or belief, use of FMLA, VESSA, military, and family military rights, ex-offender status (depending on the offense and position to be filled), unfavorable military discharge, membership in an organization whose primary purpose is the protection of civil rights or improvement of living conditions and human relations, height, weight, or HIV infection, in accord with the organization's AIDS Policy Statement of September 1987.

Job Snapshot

  • Employee Type: Full-Time
  • Location: Chicago, IL
  • Job Type: Health Care
  • Experience: Not Specified
  • Date Posted: 6/5/2019

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