Job Description
Care with Heart. Work with Purpose. 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. Location 960 South 4th Street Louisville, Kentucky 40243 and 1700 Old Bluegrass Avenue, Suite 200 Louisville, KY 40215 Schedule: Monday-Friday 8:00 AM-5:00 PM (Occasional Weekends) 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. Why You’ll Love It Here Mission-driven work that makes a difference Supportive and collaborative leadership Strong, team-oriented culture Opportunities for career growth and advancement Inclusive and purpose-driven environment What We Offer Medical, Dental & Vision Insurance 403(b) Retirement Plan with discretionary contribution Paid Time Off (Vacation, Holiday & Sick Days) Life Insurance & Short-Term Disability Employee Assistance Program Wellness incentives (earn up to $350) Early pay access (up to 50% of earnings) Referral bonuses & career scholarships Key Responsibilities Responsible for oversight of delivery of care and clinical outcomes. Provides medical guidance and supervision of medical services. Provides leadership and medical expertise in the development of medical policies, procedures and guidelines. Responsible for the development of Senior CommUnity Care clinical standards and medical practice guidelines and protocols. Provides oversight of the QI Plan. Reviews all quality of care issues and oversees the development and implementation of quality of care corrective action plans. Participates in the oversight, training and education of internal providers and the interdisciplinary team. Coordinates performance appraisal of the Internal providers. Develops educational and other programs to build the skills of participating providers. In conjunction with Contract Manager engages in communication with the provider network. Represents Senior CommUnity Care to external agencies, professional groups and regulatory agencies and organizations as required. Demonstrates necessary skills and knowledge as outlined in position-specific competency requirements. Assumes 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. Monitors PACE medical/clinical staff to assure practice is in compliance with Occupational Safety and Health Administration (OSHA) regulations and agency policies and procedures. Participates in the development and implementation of compliance programs. Enforces and promotes compliance with laws and regulations. Performs initial and annual competencies on internal providers at the PACE program. In 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. Participates 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. Oversees CMS diagnostic coding practices at the PACE program. Assists 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. Maintains participants’ medical record and fulfills Senior CommUnity Care charting and reporting requirements as they apply to the Medical Director’s role. Protects privacy and maintains confidentiality of all company procedures, results and information about employees, participants and families. Follows all Senior CommUnity Care policies and procedures and Occupational Safety and Health Administration (OSHA) safety guidelines. Participates in continuing education classes and any required staff and training meetings. Maintains professional affiliations and any required certifications.<