JOB DESCRIPTION: Medical Director (1099 independent contractor)
PROGRAM: Community Wellness Center Outpatient Mental Health Clinic
SUPERVISED BY: Executive Director (administratively)
POSITIONS SUPERVISED: All OMHC therapists, social workers, interns/students, counselors and adjunct clinical supervisors (clinically)
WORK SCHEDULE: The Medical Director schedule will reflect 20 hours per week to render contract services to the program as set and agreed upon by the executive director. It is suggested that the services are rendered during the times and days the office is open for administrative support and when the clients being serviced are most active; which are Monday – Friday from 8:00 AM to 5:00 PM.
ANTICIPATED TRAVEL: 0% of the time. There is no additional compensation for travel.
SUMMARY OF POSITION RESPONSIBILITIES: The primary function of the Medical Director is to be responsible for many aspects of the OMHC including but not limited to the medical aspect (clinical) of quality management and clinical supervision of the medical staff. COMAR 10.21.20.10A (2) states that a medial director of the OMHC must be a psychiatrist that is on site at least 20 hours per week. You are expected to be actively involved in medical aspect of the day to day operations of the clinic. Medical director is expected to directly service 2-4 patients per hour (16-20 patients per day). We typically service those that are chronically homeless and dual diagnosis. You will see clients both in person and via telemedicine platform. The Medical Director have overall responsibility for clinical service at the OMHC which include, at minimum:
QUALITY OF DOCUMENTATION:
· Provide assistance in Supervision for psychotherapists and counselors in conjunction with the clinical supervisor. Provide reinforcement of documentation/service standards assisting with compliance and clinical concerns as needed to ensure quality management.
· Complete every section of any complete assessments of your discipline (psychosocial/diagnostic evaluations) in icanotes.
· Ensure Medical Director signature as principal on all Individual treatment plans (ITP).
· Monthly Medical Director will perform Medication Peer Review and Medication Audit on 5 charts to ensure quality compliance.
1. Establish and Maintaining appropriate standards for diagnosis and treatment, including therapeutic modalities and prescribing practices;
2. Medial Aspects of quality management;
3. Adequate physician Coverage;
4. Assuring adequate clinical supervision of clinical/medical staff;
5. Ensure ITPs for Intensive Outpatient Program (IOP) participants are reviewed and signed by the Medical Director as the principal.
6. Provides evaluation and treatment services. (as set by program protocol).
7. Medical Director will provide oversight for mental health job descriptions, recruitment and development and application of specific expertise in collaboration with the Executive Director.
8. The medical director is responsible to carry out Mission, philosophy, of care and policies of CWC and will perform other duties as needed to achieve program goals and objectives.
9. You may be issued a company laptop, internet card and mobile printer for use in the provision of your services to the company only. All company owned equipment must be returned to the office to be inspected by the supervisor weekly.
10. Collaborate with the leadership and treatment team on a weekly basis (typically Tuesday afternoons) as scheduled.
11. When scheduled for crisis duty, be available on-call to clients in the event of a mental health crisis; providing direct intervention over the phone, face to face, or via telemedicine where necessary. On the same day crisis service is rendered, document crisis intervention services rendered in the icanotes software and notify the supervisor.
12. Report to the Executive Director daily and as requested.
13. On a weekly basis, make contact and build relations with at least three new external agencies / stakeholders who service clients that may benefit from the program. Add these contacts to the stakeholder roster.
14. Ensure that an appropriate licensed mental health professional, by the individual's second visit, based on the initial face-to-face diagnostic evaluation provides the evaluative services set forth in COMAR 10.21.20.06.
15. Assure that the appropriate staff are trained and updated on the use, effect, interactions, and potential side effects of medications used by individuals serviced by the program. COMAR 10.21.20.08E(1).
16. Service patients as scheduled. Typically the psychiatrist is expected to provide clients with psychoeducation, psychotherapy during evaluation and management type visits to enhance the quality of treatment. You will be allotted 30-60 minutes for new patients and 15-30 minutes for existing followup patients. You will be expected to adequately document all direct services to patients in the icanotes software, formulate diagnosis and write referrals as needed. Contact notes are to be written during and immediatley following the treatment session. You will be expected to ensure your medical assistant triages all patients prior to servicing the patient which includes accessing and reviewing CRISP report.
17. It is the program's policy to avoid prescribing controlled substances.
18. Clockin/out for time keeping purposes.
19. Participate in and submit to performance reviews regularly.
20. Provide the program with 60 days notice if you intend to cancel your contract.
1. Participate in external and internal audits/surveys (CARF/CSA) as directed by supervisor.
2. Participates in quality assurance and performance improvement plans by completing periodic audits or other activities to ensure regulatory compliance and/or improve service delivery and quality management.
3. Assist the Executive Director with any work-related tasks as requested.
4. Collaborate with and serve as program POC for external treatment providers and outside agencies as needed.
5. Responsible for following regulations of COMAR (10.21.20), CARF, any other regulatory body, and company policies/ procedures related to service delivery and documentation.
6. Support the maintenance of a safe environment by participating in trainings and drills as requested.
7. Support supervisees with emergent clinical needs as requested.
8. Make recommendations to the Executive director and Clinical Staff on improving treatment protocols to better meet the needs of persons served.
9. Review and sign clinical documents drafted by other members of the staff as requested.
10. Review and sign all treatment plans and diagnostic evaluations.
11. Assist with drafting policies, procedures, protocols and program licensure applications as requested.
LEVEL OF EDUCATION/TRAINING/QUALIFICATIONS:
Prefer Board Certified (or eligible) Psychiatrist MD experience and specialty.
Must be Maryland licensed in the following discipline: Psychiatrist (MD)
PHYSICAL DEMANDS: Regularly walk, stand or stoop; occasionally lift, carry, push, pull or otherwise move objects weighing up to 10 pounds; and regularly drives a motor vehicle.
WORKING CONDITIONS: Work is performed in an office or in the community; Work exposes incumbent to contagious or infectious diseases; Work may expose incumbent to dangerous and volatile situations; which could result in bodily injury.
DISCLOSURES: The specific statements shown in each section of this job description are not intended to be all inclusive. They represent typical elements and criteria considered necessary to perform the job successfully. The job’s responsibilities/tasks may be modified and/or expanded over time. Community Wellness Center will inform the personnel member when changes in the respective job description are made.