The PACE Your Life program, in Milford, Delaware, is seeking a Medical Director to assist in overseeing the program.
The Medical Director provides general direction and supervision of the medical aspects of care of PACE participants. The Medical Director is responsible for the delivery and oversight of participant care, clinical outcomes, implementation and oversight of the quality improvement program, development and maintenance of medical policies and procedures/standards and protocols. The Medical Director will provide direction and supervision to primary care physicians, nurse practitioners, nursing staff and allied health professionals to ensure quality of care and consistent implementation of the PACE philosophy and model of care. The Medical Director serves as part of the leadership team of the PACE organization and represents the PACE program in the community
Essential Duties and Responsibilities:
Assume overall accountability and responsibility for the medical care of the participants. Oversee the medical service team to promote quality and outcome goals. Directs delivery of participant medical care.
Serves as the Primary Care Provider until census warrants hiring of additional providers.
Maintains responsibility for the implementation and oversight of the Quality Improvement (QI) activities and QI plan. Studies data, reviews procedures, identifies problems and makes necessary corrections to ensure the QI plan is viable and data has integrity.
Co-chairs the Quality Improvement Committee.
Provides 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.
Develops and maintains written objectives, policies and procedures, an organizational plan, and a quality improvement program for the medical service.
Coordinates and integrates medical services with other participant care services to provide a continuum of care for participants
In conjunction with the Quality Improvement Coordinator, develops, implements, and monitors outcome measurements to assure appropriate and efficient utilization of all health care services including:
Hospital inpatient and ER utilization
Nursing facility utilization
Ensures appropriate and optimal utilization of healthcare services by identifying and researching best practices and working with clinical staff and interdisciplinary team to make appropriate procedural, clinical, and/or operational decisions in the care of participants.
Supervises PACE primary care practitioners: physicians and nurse practitioners.
Provides back up and consultative support to PACE primary care providers in all settings
Conducts competencies for primary care staff.
Reviews medical records to evaluate care of participants and ensure that primary care practice is consistent with established protocols and practices.
Assists in developing and maintaining written job descriptions for the medical staff. Participates in the review of credentials and delineation of privileges of medical staff members, and assigns duties based upon education, training, competencies and job descriptions.
Participates in annual performance evaluations of Primary Care Physicians and Nurse Practitioners.
Consults with primary care staff and medical consultants to discuss clinical and case managementissues of PACE participants
Monitors clinic operations to assure integration of primary care and nursing services
Oversees and ensures appropriate diagnostic coding practices and documentation by Primary Care Providers.
Participates in primary care, hospital and nursing home rounds, and the 24-hour on-call system to assure continuity of care for PACE participants.
Acts as liaison with physician groups, specialists, and hospitals to represent PACE, provide education on the PACE model, ensure quality health care services, and assure good provider relationships and to generate referrals
Supervises and interfaces with any community PCPs who serve PACE participants.
Provides leadership to the interdisciplinary team, promoting the goals of the PACE model and those it serves.
Participates with the executive management group in internal operations, program development and resource utilization.
Participates in the National PACE Association physician network to assure representation and recognition.
When acting as Primary Care Physician, maintains daily attendance at and participates in interdisciplinary team meetings, communicating participant changes, collaborating on care planning decisions and coordinating 24-hour care delivery.
When acting as Primary Care Physician:
Provides primary care and assessment of participants in all settings
Evaluates and treat participants during acute illness.
Oversees and manage participants’ use of medical specialist and inpatient care
Admits participant to the hospital,
Provides primary care or coordination of care with hospitalists,
Provides updates to interdisciplinary team.
In conjunction with the interdisciplinary team, plans and coordinates discharge.
Participates in planning and budgeting and reviews financial and utilization reports
Complies with the required provisions of the PACE program’s Part D Fraud, Waste, and Abuse Compliance Program
Reports to the PACE Program Director
Age of Patients rendered care:
Knowledge & Skills:
Essential Physical Demands:
Physical, Psychological and ergonomic requirements:
We look forward to reviewing your resume.