Medical Director
1 day ago
Madras
Job DescriptionDescription: This position is flexible in hours between 20 to 40 hours a week. Compensation is dependent on experience and education. JOB SUMMARY: The Certified Community Behavioral Health Clinic (CCBHC) Medical Director is a Psychiatrist, Physician Associate with specialty in Psychiatry, or a Psychiatric Mental Health Nurse Practitioner (PMHNP) who oversees all medical and psychiatric services performed in the CCBHC setting. A portion of the Full-Time Equivalent (FTE) of this position will be dedicated to administrative and leadership activities as detailed below. In addition, the CCBHC Medical Director will also independently provide comprehensive outpatient psychiatric care to adults within the CCBHC, to include psychiatric evaluations, development of treatment plans, prescription of medications, and other appropriate therapeutic interventions with a focus on evidence-based, patient-centered care. This role requires strong collaboration with a multidisciplinary team to ensure holistic and integrated behavioral health care for patients. ESSENTIAL FUNCTIONS: CCBHC Leadership Expectations and Administrative Responsibilities: • Ensures all CCBHC patients receive appropriate and effective psychiatric care and medical evaluation that is well-documented;, • Participates in development and implementation of CCBHC policies, procedures, and protocols;, • Works with the CCBHC Program Director to ensure adequate staffing throughout the CCBHC, including clinical, medical, and administrative leadership;, • Manages all CCBHC psychiatric providers and include them in the development of therapies and programs as per individual skills and training;, • Recruits, evaluates, and supervises CCBHC psychiatric providers, students/interns, nurses and medical assistants;, • Ensures appropriate clinical supervision, performance evaluation and peer review of all CCBHC medical staff, including psychiatric providers, nurses and medical assistants, and provides group or individual training as indicated;, • Collaborates with the CCBHC Program Director, Director of Psychiatric Services, and the Executive Team regarding development and review of CCBHC programs, positions, and budgets that impact medical services;, • Works with the CCBHC Program Director to advise the CEO and Executive Team of the CCBHC’s programs, positions, and budgets that affect medical services;, • Assists the CEO by participating in a relationship with the Board of Directors;, • Professionally represents BestCare and the CCBHC at community meetings, and foster relationships with other community service providers;, • Liaises with payors, including equivalent leadership in payor organizations;, • Ensures ongoing quality assessment and improvement and participates in gap analysis and program development;, • Provides oversight of utilization of all services of the CCBHC, including consideration of level of care criteria, and ensure appropriate handling of any adverse utilization review decisions;, • Participates in the development of a clinically relevant outcome evaluation process;, • Leads the development and implementation of primary care screening and monitoring of key health indicators and risks as stipulated in the latest version of the Oregon CCBHC Program Requirements;, • Develops and maintains relationships with training programs that correspond with CCBHC staffing needs;, • Psychiatric Assessment: Performs thorough psychiatric evaluations, including history taking, mental status examinations, risk assessments, and diagnostic formulation. Assesses patients for mental health disorders, substance use disorders, and comorbidities;, • Diagnosis and Treatment Planning: Develops differential diagnoses and formulate comprehensive, individualized treatment plans, which may include pharmacological and non-pharmacological interventions;, • Medication Management: Prescribes and manages medications to treat psychiatric conditions, ensuring safe and effective use. Monitors for therapeutic effectiveness and side effects, adjusting treatment as needed;, • Therapeutic Interventions: Provides brief psychotherapeutic interventions, such as Cognitive Behavioral Therapy (CBT), Motivational Interviewing (MI), and supportive therapy, especially for patients with mild to moderate mental health conditions;, • Crisis Intervention: Manages acute psychiatric crises, including risk assessments for suicide, self-harm, and violence. Coordinates appropriate emergency interventions, such as hospitalization or referral to a higher level of care when needed;, • Follow-Up and Monitoring: Conducts regular follow-up appointments to monitor progress, adjusts treatment plans, and provides ongoing support. Ensures continuity of care, particularly for chronic mental health conditions;, • Multidisciplinary Collaboration: Works closely with the clinic’s mental health team, including other psychiatric providers, social workers, therapists and mental health counselors, substance use disorder clinicians, case managers, and others. Actively participates in case conferences, clinical supervision, and team meetings to develop cohesive care plans;, • Consultation and Referrals: Provides consultation to primary care and other clinic staff regarding psychiatric care. Facilitates appropriate referrals to other medical specialties, social services, or community-based resources as needed;, • Education: Educate patients and their families about psychiatric conditions, treatment options, medication side effects, and coping strategies. Promote adherence to treatment plans and healthy lifestyle changes., • Documentation: Maintains comprehensive, timely, and accurate clinical documentation using the clinic’s electronic health record (EHR) system. Ensures documentation meets legal, regulatory, and agency requirements;, • Quality Improvement: Participates in ongoing quality improvement initiatives, data collection, and reporting related to patient outcomes, treatment adherence, and clinic workflows;, • Compliance: Ensures compliance with state and federal regulations, clinic policies, and professional practice standards, including HIPAA, DEA regulations, and licensing board requirements;, • Performs work in alignment with BestCare’s mission, vision, and values;, • Supports the organization’s commitment to fostering and maintaining a culture of inclusivity, equity, open-mindedness, cultural awareness, compassion, and respect for all individuals;, • Strives to meet Program/Department goals and supports the organization’s strategic goals;, • Adheres to the organization’s Code of Conduct, Business Ethics, Employee Handbook, and all other relevant policies, procedures, and other compliance needs;, • Understands and maintains professionalism and confidentiality per HIPAA, 42 CFR, and Oregon Administrative Rules and Revised Statutes;, • Attends required program/staff meetings and completes assigned training timely and satisfactorily;, • Ensures that any required certifications and/or licenses are kept current and renewed timely;, • Works independently as well as participates as a positive, collaborative team member;, • Performs other organizational duties as needed. REQUIRED COMPETENCIES: Must have demonstrated competency or ability to attain competency for each of the following within a reasonable period: • Ability to establish rapport with patients from diverse backgrounds, communicate empathetically, and navigate sensitive conversations regarding mental health, substance use disorders, and stigma;, • Strong clinical judgment in assessing patient risk, making appropriate referrals, and balancing medical and psychiatric needs;, • Proficiency in MS Office 365 (Word, Excel, Outlook), EHR systems, databases, virtual meeting platforms, internet, and ability to learn new or updated software;, • Strong interpersonal and customer service skills, and demonstrated compassion towards individuals with mental illness and substance abuse disorders;, • Strong communication skills (oral and written);, • Strong organizational skills and attention to detail, accuracy, and follow-through.;, • Excellent time management skills with a proven ability to meet deadlines;, • Critical thinking and problem-solving skills;, • Ability to maintain strict confidentiality as required by HIPAA, 42 CFR, and Oregon Administrative Rules and Revised Statutes;, • Ability to build and maintain positive, collaborative professional relationships;, • Ability to function well and use good judgment in a high-paced and at times stressful environment;, • Ability to manage conflict resolution and anger/fear/hostility/violence of others appropriately and effectively;, • Ability to work effectively and respectfully in a diverse, multi-cultural environment; LICENSES, CERTIFICATIONS, EDUCATION AND EXPERIENCE: Physicians: • Medical Doctor (MD) or Doctor of Osteopathic Medicine (DO) degree from an accredited medical school., • Active, current Oregon medical license., • Master’s degree in Physician Assistant Studies, Medical Science, or equivalent., • Active, current Oregon license as a Physician Associate., • Board certification as a Physician Assistant from the National Commission on Certification of Physician Assistants (NCCPA)., • Active, current license to practice as a PMHNP in the State of Oregon., • Three years of experience in a managerial or directorial role supervising other medical providers., • Current DEA registration to prescribe controlled substances., • Current Basic Life Support (BLS)/CPR Certification, or ability to obtain upon hire., • Leadership experience in a CCBHC, Community Mental Health Program (CMHP) or equivalent., • Additional experience, training and/or certification in the treatment of substance use disorders, including Medication Assisted Treatment., • Experience working with diverse, multi-cultural communities., • Bilingual in English/Spanish strongly preferred.