Regional Medical Director (Physician)

Under the direction of the CEO and SVP of Operations, the Regional Medical Director provides leadership and is responsible for all PACE medical services at the assigned regional and local level, including planning, development, implementation, and ongoing delivery of participant care and clinical outcomes for the assigned region. Acts as a Primary Care Provider at the assigned PACE Center. Responsibilities Advise and inform CEO and SVP of Operations on PACE medical care development and operations at the regional and local levels. Works with the assigned Quality Specialist on local and regional quality assessment and performance improvement programs (QAPI) and reports to Kinship Health Corporate Medical Director on all clinical matters. Attends local and regional QAPI meetings. Serves on PACE's regional management team. Works with the Regional Program Director in negotiating contract agreements with medical specialty and long-term health care providers following policies and procedures and contact practices. Establishes an array of medical service delivery contacts to complete the service network and set up the quality assessment and performance improvement infrastructure. Maintains positive relationships with network providers. Works with Regional Program Director to recruit, interview, credential, hire, and orient primary care providers who can work cohesively as a member of the interdisciplinary team. Provides supervision and performance evaluation to maintain high-quality participant primary care. Provides consultation to the clinic nurse manager, home care coordinator, and other clinical staff, holding regular meetings to discuss participant care and clinic operations. Works with the Registered Dietician to determine the nutritional adequacy of menus and the caloric and nutritional needs for the participant population. Utilizes interpersonal skills to maintain supportive relationships with all staff. Participates in the continuing education and training of all regional Kinship PACE staff. Confer with Regional Program Director on standards for interdisciplinary team care, participant and caregiver satisfaction, quality, protocols, grievances and appeals, enrollment and disenrollment, infection and exposure control, emergency preparedness, data and medical records management, service access, and overall program performance. JOB DESCRIPTION This job description is an overview of the duties and responsibilities assigned to the role identified below. It is not intended to cover every work assignment the job may have, but rather to cover those work assignments which are essential, predominant, and recurring. Responsibilities and duties may change, or new ones may be assigned at any time, with or without notice. Assists in the development of the company's Health policy and procedures on medical care, in collaboration with corporate staff. Works with the Regional Program Director to develop plans and committee oversight for medical care, utilization review, and ethics so that all PACE quality, medical, and program standards are met. Acts as Chair of the Quality Subcommittee to oversee and implement quality initiatives to ensure quality of clinical care, patient safety, and participant satisfaction. Serves as a standing member of PACE's local and regional Infection Control and Pharmacy and Therapeutics Subcommittees. Recommend standards for medical care. Communicate to the providers, staff, and contractors the standards of care and how they are to be implemented. Provides direct primary care, including inpatient management (as appropriate), routine assessments, reassessments and episodic care, and medical record documentation. Serves as a liaison between PACE and community providers, providing information and conducting presentations as required. Coordinates educational rotations for residents and fellow employees. Responsible for the safety and health of PACE participants and employees. Promotes safe work practices; conduct environmental rounds; attends to, investigates, and reports accidents promptly; assists with medical surveillance; and provides Health-specific safety training. Intervenes immediately when conditions exist that pose an immediate threat to participants, physicians, staff, contractors, visitors, and others. Understands fiscal issues and is appropriately involved in meeting budget targets. Consistently meets or exceeds the company's Health targets for productivity and customer service. Continually seeks better ways for delivering services and communicating with participants. Demonstrates respect for and promotes participant rights including dignity, self- determination, access to care, confidentiality, and independence. Understands the importance of community involvement and participates as appropriate in activities that link PACE to its communities. Effectively collaborates with staff peers and contractors to meet the company's Health goals and to further success. Demonstrates proficiency in delivering age-specific care. Attends and participates in staff meetings, in-services, projects, and committees as assigned. Collaborate with clinical and operations leadership to address network adequacy, service gaps, and participant experience. Work closely with medical, operations, finance, and compliance teams to ensure strategic alignment and execution. Support regulatory readiness and adherence to CMS and state requirements related to PACE operations and contracting. Represent the organization in industry forums, regulatory discussions, and strategic initiatives. May require use of personal vehicle. Other duties as assigned. Qualifications ROLE QUALIFICATIONS EDUCATION & EXPERIENCE REQUIRED Graduate of an accredited school of medicine; Board certified in internal medicine or family practice. Board certification granted by the American Boards of Internal Medicine and Family Practice for Added Qualification in Geriatric Medicine. Minimum of five (5) years of experience in caring for seniors. Licensed by the State Medicine Board to practice medicine. Medically cleared for communicable diseases and has all immunizations up to date before engaging in direct participant contact. TB screening and successful completion of a health examination by a hospital-designated nurse practitioner or physicians is required for employment. CPR certification. Minimum of 5-10 years of progressive leadership experience in healthcare strategy, network development, managed care, or PACE/senior care services. Proven track record of strategic leadership, program expansion, and provider relations in a complex healthcare environment. Strong understanding of value-based care models, risk-based contracting, and regulatory compliance within Medicare/Medicaid frameworks. Excellent communication and presentation skills #J-18808-Ljbffr