PACE Medical Director

The Medical Director provides general medical direction and supervision of the medical aspects of care for Reid Health PACE Center. 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 supervision to nurse practitioners, nursing staff and allied health services and leadership of the program among staff, colleagues and providers in the community. 

Essential Duties and Responsibilities

1. 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.
2. Overall responsibility for the implementation and oversight of the QAPI activities, and QAPI plan.  Will study data, review procedures, identify problems and make necessary corrections to ensure the QAPI plan is viable, and data has integrity.
3. Member of the PACE Quality Assurance Committee.
4. 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 Reid Health PACE Center.
5. 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.
6. Coordinate and integrate medical services with other participant care services to provide a continuum of care for the participants
7. Develop, implement, and monitor outcome measurements to assure appropriate and efficient utilization of all health care services including:
   • Reid Health inpatient and ER utilization
   • Pharmaceuticals
   • Specialist referrals
   • Medication management
   • Nursing facility utilization
8. 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 best practices.
9. Supervise Reid Health PACE Center nurse practitioners
10. Recruit and train nurse practitioners
11. 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.
12. Participate in annual performance evaluations of nurse practitioners.
13. Consult with primary care staff to discuss clinical and case management issues
14. Monitor clinic operations to assure integration of primary care and nursing services.
15. Be available to primary care staff for consultation as needed.
16. Oversee and ensure appropriate diagnostic coding practices of primary care staff.
17. Collaborate with providers in alternative care settings, such as the hospital and nursing home, to ensure PACE participants are receiving services aligning with their plan of care.
18. Participate in primary care and the 24-hour on-call system to assure continuity of care for PACE participants.
19. Ensure that medical staffing patterns are implemented.
20. Act as community liaison with physician groups, specialists, and Reid Health to represent Reid Health PACE Center and assure good provider relationships.
21. In conjunction with the Executive Director, participate in contract negotiations and monitoring with medical and health related providers.
22. Provide leadership with medical staff, promoting the goals and needs of Reid Health PACE Center and those it serves.
23. Participate with the executive management group in internal operations, program development and resource utilization.
24. Participate in staff orientation and staff education activities.
25. Participate in continuing education and training of all Reid Health PACE Center staff.
26. Participate in the National PACE Association physician network to assure representation and recognition.
27. Identify opportunities for clinical and health care delivery research which will enhance the geriatric leadership role of Reid Health PACE Center in clinical expertise and innovation.
28. When acting as a 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.
29. When acting as a primary care physician, evaluate and treat participants during acute illness.  Oversee and manage participants’ use of medical specialist and inpatient care. Admit participant to the Reid Health in coordination with the Reid Hospitalist team and provide updates to interdisciplinary team.  In conjunction with the interdisciplinary team, plan and coordinate discharge.
30. When acting as a primary care physician, collaborate with nurse practitioners in the assessment and delivery of health care services to participant’s based upon the collaborative practice agreement.
31. Complies with CMS PACE regulations as they pertain to this role.
32. Participate in planning and budgeting for the Medical Services.
33. Act only within the scope of practice.

Education and Experience

Education Required:

• Successfully completed a residency program accredited by the Accreditation Council for Graduate Medical Education, MD or DO designation
• Education Preferred:  Geriatric fellowship, palliative care training, rehabilitation training
• Experience Required:  Minimum of 2 years of experience working with a frail or elderly population
• Experience Preferred:  At least 5 years practicing as a community physician, knowledge of alternate payment models, risk-stratification, and educating other healthcare professionals on stewardship of healthcare resources.

Licensure and Certification

• Licensure: Current state physician license, current driver’s license
• Certifications:  Current CDS certification and DEA registration, BCLS, board certification in internal medicine or family practice, geriatric board certification preferred