Senior Director of Provider Affairs

At Virginia Garcia Memorial Health Center, we honor all members of our community and acknowledge the dignity of each person we serve. Our purpose is to provide high quality, comprehensive primary health care to the communities of Washington and Yamhill counties with a special emphasis on migrant and seasonal farm workers and a view to removing barriers to health care. We strive to provide an environment that welcomes and values the people we employ and serve.

If you are unsure whether you meet all the required qualifications for this role but are interested and passionate about this potential position, we encourage you to apply.

Job Summary: The Medical Director of Provider Affairs (MDPA) works collaboratively with all departments and service lines at VGMHC to achieve the Center’s strategic goals. The MDPA provides high level clinical and administrative leadership over the medical providers at all sites, usually through the agency of the Site Medical Directors (SMDs), who report directly to the MDPA. This individual also provides direct supervision to on-call and locum tenens providers. The MDPA will participate as a member of the Medical Services Leadership Team and overall leadership team of VGMHC. Quality of patient experience and adherence to standards of care by the medical providers will be monitored by the MDPA; development of plans to address identified deficits will be the responsibility of the MDPA. This individual may provide up to 8 hours per week of patient care in accordance with their level of training, experience and licensure. They will function as an informational resource to VGMHC patients, professional colleagues, the Center, students and the community.

Essential Duties and Responsibilities:
• Provide high level clinical leadership to medical providers at all sites.
• Ensure that medical standards of care are updated to support the Center’s strategic direction and clinical programs, particularly the migrant camp outreach program.
• Participate in design of peer reviews for new standards of care as needed, collaborating with all appropriate stakeholders.
• In partnership with Quality Department, ensure Morbidity and Mortality (M&M) and peer reviews are completed on schedule.
• Review outcomes of M&M and peer reviews, identifying and mitigating knowledge or procedural deficits at individual or system-wide level so that actual care meets standards of care
• Coordinate with other internal service lines to implement standards of care.
• Collaborate with Medical Director of Clinical Informatics and EHR team to ensure design of EHR supports clinical strategies of VGMHC.
• Assist in the design of medical providers’ contribution to quality metric improvement activities.
• Provide subject matter expertise and consultation around the design of and changes to the Center’s care model needed to reach strategic objectives and goals.
• Provide subject matter expertise in the design of training for all medical staff to provide care in existing or new models.
• Provide medical perspective to Quality Department in review of unexpected medical outcomes.
• Attend monthly Pharmacy and Therapeutics committee meetings.
• Participate in review of cases for CSOC (Controlled Substances Oversight Committee) as requested by CMO or Medical Director of Addiction Medicine.
• Provide clinical leadership and mentoring in the practice of evidence-based, timely, effective, efficient, and equitable medical care to clinicians of the Center.
• Provide clinical input on care and management of individual patients to colleagues and co-workers as needed on a day-to-day basis.
• Ensure compliance with CLIA waived lab competency requirements for providers.
• Maintain adequate pool of credentialed medical providers to meet access needs as determined by the executive leadership of the Center.
• Assist provider recruiter as needed with interviews and assessing appropriateness of candidates.
• Work with credentialing department to ensure timely internal and insurance credentialing.
• Determine proctoring needed for requested procedure privileges.
• Participate in review of credentialing files where there are concerns.
• Act as management’s medical provider point person during union negotiations.
• Assist HR and SMDs as needed in provider performance improvement plans or disciplinary actions for medical providers.
• With input from SMDs as appropriate, create and maintain Collaboration Agreements for all Physician Assistants.
• Collaborate with Centralized Scheduling to ensure that provider visit templates in Epic can accomplish the access to care goals of Center.
• Review CAHPS data with SMDs, design action plans where needed to address unsatisfactory findings.
• Ensure appropriate afterhours telephone call and Obstetrics hospital call coverage is in place.
• Maintain up-to-date Provider Orientation Manual, support orientation of new providers.
• Provide leadership for VGMHC participation in the education of students and residents in the health care professions.
• Provide direct supervision of Site Medical Directors, including monthly 1:1 meetings with each SMD.
• Complete annual performance reviews of SMDs and on-call providers when appropriate.
• Chair and create agenda for monthly SMD meetings, with input from CMO, SMDs and other internal stakeholders.
• Update personnel action forms for on-call providers and SMDs.
• Sign off on timesheets and vacation requests in Payroll software for direct reports.
• Coach SMDs to assist them in managing their direct reports through change.
• Provide direct supervision of the pool of on-call and locum tenens medical providers
• Meet regularly with on-call and locum providers regarding expectations, and individual performance as needed.
• Delegate direct supervision of on-call and locum tenens providers to appropriate SMD when indicated.
• Ensure adequate support at onboarding is provided for on-call and locum tenens providers.
• Work with HR recruiting staff to ensure communication with site leadership is timely and complete.
• Participate as a member of VGMHCs leadership team; attend weekly Medical Services Leadership Team meeting, tier 3 medical services huddle, monthly Quality Oversite Committee, and quarterly All Leaders Meetings.
• Participate in quality and process improvement activities as assigned.
• Understand medical services’ operational, financial, and patient care quality goals, assist in implementation, and monitor progress toward quality metrics.
• Attend medical site roundings regularly, other local and administrative meetings as needed and determined by the CMO.
• Participate in annual budgeting process at Medical Services Leadership Team.
• Contribute to HRSA Service Area Competition grant and other grant proposals as requested.
• Act as clinical liaison to other departments or programs within VG, such as Pharmacy, Mental and Behavioral Health, SUD services, Enhanced Care Management Hub, Dental, School-Based Health Centers and the Reproductive Health, Diabetes, and Migrant camp programs.
• Temporarily assume responsibilities of the Chief Medical Officer in their absence.
• Assist in organizing special clinics, such as clinics to address clinical quality metric performance.
• Address inequities in health outcomes identified in internal or external data sources through care model design
• This position may, as determined by the CMO, provide up to 8 hours/week of direct outpatient primary care in accordance with training, experience, and licensure, and will:
o Provide continuous, comprehensive, and culturally competent health care of the highest quality.
o Provide case management for patients as needed, e.g., Diabetics, OB’s and others with serious health problems, working with support staff.
o Meet patient care productivity standards to assure adequate access to clinical services.
o Provide all necessary documentation in the medical record of care provided to patient, including education, medications, referrals, diagnostic testing and follow-up.
• Perform other duties as assigned.
• Handle protected health information (PHI) in a manner consistent with the Health Insurance Portability and Accountability Act of 1996 (HIPAA).

HIPAA Requirements:
The Medical Director of Provider Affairs will have access to PHI in the course of carrying out their duties. The MDPA uses the PHI for treatment purposes and quality assurance operations. Applying the minimum necessary standard of HIPAA, the designated records sets to which this employee will have access include: the billing, demographic, and scheduling information in the practice management system, and the full medical record, inclusive of substance use disorder treatment documentation.

Knowledge, Skills and Abilities required:
• Detail oriented.
• Knowledgeable, or willing to learn about continuous quality improvement.
• Strong commitment to working with patients and staff from a wide range of ethnic, economic, cultural, and social backgrounds.
• Valid driver’s license, reliable transportation, safe driving record and insurance coverage.
• Bilingual English/Spanish preferred.

Education and Experience Required:
• Current active medical license (MD or DO) to practice medicine in Oregon and DEA registration.
• Minimum 5 years prior clinical experience in outpatient primary care, and one year of medical leadership experience in outpatient clinic setting.
• Community health center clinical and administrative experience preferred.

As a condition of employment for a medical or dental provider at VGMHC, these employees agree to provide services to non-health center patients under the following circumstances:
• Community-Wide special clinics at VGMHC School-based clinics and other school linked clinics
• Health Fairs
• Immunization campaigns
• Migrant camp outreach
• Homeless outreach
• Hospital related activities- for providers with hospital privileges, cross-coverage for patients of the community in the hospital is expected
• Coverage in certain individual emergencies- community members may experience a medical emergency in or around one of our health centers. VGMHC medical providers are expected to respond medically appropriately to these emergencies.

Physical Requirements:
Percentage of time spent:
• Standing: 20%
• Walking: 25%
• Sitting: 50%
• Lifting/Carrying: up to 5% - frequently 5-20 lbs.; infrequent 20-40 lbs.
• Physically demanding tasks: May be asked to assist patient onto or off of exam table, etc.
• Stooping, Bending, Reaching: occasional

Working Environment/Physical Hazards:
• Work in well-lighted, ventilated environment.
• Exposure to blood borne pathogens and potentially hazardous chemicals.

Equipment Used:
Office Equipment
• Computer – data entry, word processing, virtual meeting software
• Telephone, fax, copier, scanner, printer, projector
Medical equipment
• Stethoscope, ophthalmoscope, otoscope, doppler
• Surgical/Procedural instruments
• Routing medical equipment
• Fetal monitor
• EKG
• Pulse oximeter
• Nebulizer
• 02 tank
• LEEP equipment
• Colposcope

Immunization:
Staff members must meet immunization requirements as stated in VGMHC’s immunization policy and state and federal guidelines.

Job descriptions represent a general outline of the essential and major job duties, functions and qualifications required. They cannot be all-inclusive and comprehensive due to the dynamic nature of work performed to accomplish VGMHC’s Mission.

VGMHC is an Equal Opportunity Employer. No person is unlawfully excluded from consideration for employment because of race, color, religious creed, national origin, ancestry, sex, age, veteran status, marital status, or physical challenges. The policy applies not only to recruitment and hiring practices, but also includes fairness in placement, promotion, transfer, rate of pay, and termination.