Description
Job Description
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Care with Heart. Work with Purpose.
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Volunteers of America National Services (VOANS) is seeking a Medical Director. The Medical Director Provide direction to Senior CommUnity Care related to the medical delivery of care by providers and ensures the delivery of quality health care services. Supports and directs Senior CommUnity Care medically-related committee work. This is a onsite role. Proudly Great Place to Work® Certified for 8 consecutive years.
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Location: 960 South 4th Street Louisville, Kentucky 40243 and 1700 Old Bluegrass Avenue, Suite 200 Louisville, KY 40215
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Schedule: Monday-Friday 8:00 AM-5:00 PM (Occasional Weekends)
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The Medical Director objective is to provide direction to Senior CommUnity Care related to the medical delivery of care by providers and ensures the delivery of quality health care services. Supports and directs Senior CommUnity Care medically-related committee work.
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Why You’ll Love It Here
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\nMission-driven work that makes a difference\nSupportive and collaborative leadership\nStrong, team-oriented culture\nOpportunities for career growth and advancement\nInclusive and purpose-driven environment\n\n
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What We Offer
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\nMedical, Dental & Vision Insurance\n403(b) Retirement Plan with discretionary contribution\nPaid Time Off (Vacation, Holiday & Sick Days)\nLife Insurance & Short-Term Disability\nEmployee Assistance Program\nWellness incentives (earn up to $350)\nEarly pay access (up to 50% of earnings)\nReferral bonuses & career scholarships\n\n
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Key Responsibilities
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\nResponsible for oversight of delivery of care and clinical outcomes.\nProvides medical guidance and supervision of medical services.\nProvides leadership and medical expertise in the development of medical policies, procedures and guidelines.\nResponsible for the development of Senior CommUnity Care clinical standards and medical practice guidelines and protocols.\nProvides oversight of the QI Plan.\nReviews all quality of care issues and oversees the development and implementation of quality of care corrective action plans.\nParticipates in the oversight, training and education of internal providers and the interdisciplinary team.\nCoordinates performance appraisal of the Internal providers.\nDevelops educational and other programs to build the skills of participating providers.\nIn conjunction with Contract Manager engages in communication with the provider network.\nRepresents Senior CommUnity Care to external agencies, professional groups and regulatory agencies and organizations as required.\nDemonstrates necessary skills and knowledge as outlined in position-specific competency requirements.\nAssumes overall accountability and responsibility for the medical care of the participants at Senior CommUnity Care Program. Oversees the medical service team in the PACE program area to promote quality and outcome goals.\nMonitors PACE medical/clinical staff to assure practice is in compliance with Occupational Safety and Health Administration (OSHA) regulations and agency policies and procedures.\nParticipates in the development and implementation of compliance programs. Enforces and promotes compliance with laws and regulations.\nPerforms initial and annual competencies on internal providers at the PACE program.\nIn conjunction with the Board, Quality Manager, is responsible for QI plan and activities. Reviews data, identifying areas of opportunity for improvement. Engages with development of annual plan and benchmarks. Participates in CMS and Senior CommUnity Care collaboration with Level 2 reporting.\nParticipates in Utilization Review inclusive of but not limited to ED visits, hospitalizations, SNF, LTC, AL, and specialty visits. Assesses for areas of opportunity for procedural, operational and/or service delivery changes.\nOversees CMS diagnostic coding practices at the PACE program.\nAssists with the development of policies and procedures, standards of care. Performs on-going monitoring and evaluation of patient care practice and service delivery. Provides guidance and training to staff regarding medical and quality assurance issues.\nMaintains participants’ medical record and fulfills Senior CommUnity Care charting and reporting requirements as they apply to the Medical Director’s role.\nProtects privacy and maintains confidentiality of all company procedures, results and information about employees, participants and families.\nFollows all Senior CommUnity Care policies and procedures and Occupational Safety and Health Administration (OSHA) safety guidelines.\nParticipates in continuing education classes and any required staff and training meetings. Maintains professional affiliations and any required certifications.\nSchedule permitting, provides information about Senior CommUnity Care Program to interested individuals and groups in adherence to PACE regulations.\nServes as community liaison between Senior CommUnity Care and community physicians, hospitals, and other health care providers in the service area\n\n
Qualifications
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\nEducation: M.D. or DO with current state of license. DEA registration and the ability to obtain and maintain staff privileges, as needed, at Senior CommUnity Care contracted agencies. Board certified in Internal Medicine or Family Practice with advanced certification in geriatrics preferred.\nExperience: Must have a minimum of one year of experience working with a frail or elderly population. Must have experience working in a managed care environment and working with peers and other health providers to resolve utilization, quality management, performance improvement, pharmacy and therapeutics, peer review, credentialing, and physician leadership issues. Minimum three (3) years of experience in a lead administrative role.\nMust have medical clearance for communicable diseases and up-to-date immunizations before having direct participant contact.\nMust have a valid driver’s license, proof of insurance and have means of transportation.\n\n
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At VOANS, we celebrate sharing, encouraging and embracing diversity. Equal employment opportunities are available to all without regard to race, color, religion, sex, pregnancy, national origin, age, physical and mental disability, marital status, parental status, sexual orientation, gender identity, gender expression, genetic information, military and veteran status, and any other characteristic protected by applicable law. We believe that blending individual strengths and unique personal differences nurtures and supports our organizations shared commitment to our mission and creates an inclusive and diverse environment where everyone feels valued and has the opportunity to do their personal best.
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Equal Opportunity Employer
\nThis employer is required to notify all applicants of their rights pursuant to federal employment laws. \nFor further information, please review the Know Your Rights notice from the Department of Labor.
