Medical Director

Medical Director Position at Texas Health Action Physicians

Texas Health Action Physicians (THAP), a part of Texas Health Action (THA), is a community-informed non-profit organization dedicated to providing access to culturally affirming, quality health services in a safe and supportive environment, with expertise in serving LGBTQIA+ people and those impacted by HIV. Kind Clinic proudly serves Texas with four vibrant locations: two in Austin, one in San Antonio, and another in Dallas plus virtual care services available to all residents across Texas. Bolstered by Waterloo Counseling Center and a passionate team of over 250 dedicated employees and volunteers, THAP is at the forefront of promoting healthcare equity and accessibility throughout the state.

THAP's Kind Clinic Medical Director is a licensed physician responsible for providing clinical oversight, physician leadership, and direct patient care in support of high-quality, evidence-based, patient-centered services. The Medical Director performs the core functions of a physician and, when applicable, serves as the Supervising Physician. In addition to direct patient care responsibilities, this role provides clinical leadership, mentors providers, partners with operational teams to ensure excellent patient outcomes, and advances the mission, vision, and values of Texas Health Action Physicians Group and Texas Health Action.

This position reports to the Chief Medical Officer (CMO) and works in close partnership with the Director of Clinical Operations (DCO) to support clinic operations, quality initiatives, and the delivery of exceptional patient care.

Physician Core Functions:

• Provide direct patient care hours for all services as outlined in the THA Scope of Services.
• Conduct comprehensive patient examinations: medical history reviews, physical assessments, and diagnostic evaluations.
• Order and interpret labs, imaging, and other diagnostic tests as applicable.
• Diagnose and manage acute and chronic conditions, developing and maintaining appropriate treatment plans.
• Complete documentation in medical records within 24 hours of an encounter, reviews lab results within 72 hours, and responds to refill requests in 3 business days.
• Collaborate with case managers, nurses, advocates and other health care related staff through direct contact or via electronic means thereby supporting all clinical/operational staff as needed.
• Coordinate referrals to specialists and ancillary services, ensuring continuity and patient-centered care.
• Demonstrate fiscal responsibility in clinical decision-making by actively participating in resource and utilization management.
• Oversee clinical emergencies in clinic including syncope/loss of consciousness, anaphylaxis, drug interaction, drug overdose, mental health crisis, intoxicated/incoherent/inconsolable patient, threats of violence against self or others, needle sticks, staff medical crisis, and any other indication for ambulance, police or external assistance to manage a situation.
• Utilize the Texas Prescription Drug Monitoring Program (PDMP) prior to prescribing controlled substances, including refills/renewals.
• Minimize disruptions to clinical schedules requiring rescheduling/canceling/delaying patient care.
• Provide coverage for other providers when they are unexpectantly unavailable.
• Participate in annual performance review for clinic providers as assigned.
• Complete ongoing annual training and competencies as required.
• Maintain active, unrestricted state professional licensure and DEA, fulfilling any regulatory requirements as required by the respective governing bodies.
• Other Duties as assigned

Supervising Physician Core Functions:

• Adheres to and enforces the supervising rules of the Texas Medical Board and the THA/THAP collaborative agreement, at a minimum.
• Ensures TMB delegation is complete and accurate during onboarding/offboarding of providers under their oversight.
• Provides availability to assigned APP during clinical working hours to answer questions, provide guidance, co-sign orders, provide consultation, assume care of patient and document said guidance.
• Conducts weekly audits of supervised APP EHR inboxes (outstanding labs, patient cases, open encounters).
• Conducts a minimum 3% monthly chart review for each supervised APP (volume may be adjusted based on provider experience) to include adherence to scope of services and authority as delegated in collaborative practice agreement, as applicable.
• Conducts scheduled 1:1 meetings with supervised APPs monthly at minimum and other clinical support staff, as applicable.
• Documents feedback provided to supervised APPs on a monthly review form completed in LMS.
• Provides supervisory feedback and direction related to peer review, investigation, and corrective measures for all providers at their site.
• Provides oversight of clinical residency programs in coordination with the CMO, DCO, and supervising physicians.
• Directly participates in Performance Improvement Plan (PIP) creation for APP providers with the CMO, DCO, and/or SDCQ when applicable clinically.

Medical Director Core Functions:

• Patient Care ratio for this role is 80% direct patient care with 20% administrative time. This is subject to change based upon the needs of the clinic and organization.
• Fulfills core functions for Physicians and Supervising Physicians, as applicable.
• Responsible for setting expectations related to work performance and coordination of services among the clinical team in partnership with the CMO and the clinic or program administrator.
• Coordinates with operational leadership to implement clinical efficiency, strategy, and policy development.
• Meets monthly in a scheduled 1:1 with location administrator to collaborate on ways to drive operational and clinical success within the location.
• Provides clinical leadership for all clinical staff (MDs/DOs/APPs/RNs/MAs), overseeing the quality of health care delivery, clinical performance, and ensure evidence-based practices.
• Identifies and mitigates potential risks related to patient care and medical practices.
• Ensures clinical compliance, supervision and oversight of APP's, and performance evaluations for assigned clinics/programs.
• Provides direct clinical supervision and guidance to designated APPs and Physicians ensuring compliance with policies and procedures, clinical guidelines, providing clinical consultation and support, reviewing and approving treatment plans as necessary, and monitoring performance and providing feedback.
• Participates and helps facilitates quarterly peer reviews in collaboration with Director of CQI.
• During direct patient care days is actively engaged and accessible on the clinical floor; and provides defined availability and means for clinical consultation when off-site.
• Responsible for supporting and developing provider retention and recruitment plans in partnership with the clinic or program administrator
• Participates in the interview process for clinical staff (required for providers, as requested for other positions).
• Collaborates with Clinical Quality (CQ) and operations leadership to ensure training and competency of all clinical staff during onboarding to include completing a 90-day shadowing evaluation for new hire providers.
• Oversee clinical quality improvement projects, compliance efforts, and the correct implementation of clinical best practices and workflows.
• As assigned by the CMO, participates in the review, creation and revising of clinical policies, procedures, protocols or other internal documents.
• Ensures provider sign-off and understanding of all pertinent clinical SOPs/SDOs etc., annually and as needed.
• In collaboration with CMO and other organization leaders, provides clinical education to staff and providers.

Compensation

Based on the position's duties and requirements, this role has a starting annual salary of $234,000. The initial salary will be determined by the selected candidate's qualifications and relevant experience.

• $10,000 one-time sign-on bonus, payable with the first paycheck
• For out-of-state candidates, the bonus is contingent upon obtaining a Texas medical license and completing DEA registration in Texas