JOB SUMMARY : Responsible for administrative and clinical oversight of all medical providers within their State as it relates to the delivery of healthcare. The Statewide Medical Director will also ensure medical providers are appropriately trained and supervised. They will work under the clinical supervision of the VP Medical Director of State and Federal for implementation of clinical protocols and initiatives. The Statewide Medical Director will collaborate with the RVP of Operations for implementation of company and contract objectives and initiatives and will be clinically available, as needed.
EDUCATION, TRAINING, EXPERIENCE AND LICENSING :
- Education | Graduate of accredited medical or osteopathic medical school required (M.D. preferred).
- Experience | Three (3) years of physician experience required (preferably in emergency room / trauma) including one year of management or supervisory level experience. Experience in a corrections environment with knowledge of National, State and local standards, regulations and laws is preferred.
- Licenses / Certifications | Current licensure as a physician in the state of employmentPossess and maintain current controlled substances / DEA licensure.
- Compliance
KEY JOB RESPONSIBILITIES :
Oversees the delivery of somatic providers at all facilities managed by Wellpath within the State.Reviews and recommends appropriate alternatives to non-formulary requests from each of the facilities within the state in coordination with UM DirectorCommunicates with the site Medical Directors and all providers at each of the facilities in the state.Updates monthly site report(s) and participate in a scheduled telephone calls to review the status and any important developments at each of the facilities within the state.Visits each of the facilities.Performs / delegates on-going training and mentoring for each of the providers working in the State.Participate in mortality reviews and other serious cases that occur within the stateAssists, when appropriate, with business development activities within the state.Provides support in the recruitment and training of new providers within the state.Assists Operations leadership to ensure there is on-call and on-site provider coverage for each of the facilities within the state.Serves as liaison between Wellpath and the local jurisdictions.Participates in site MAC, P&T Committee Wellpath Medical Staff organization, and other meetings as assigned.Serves as a liaison with the administrative staff, the health care community within and outside of the correctional health care community, clients, and interest groups.Conducts provider on-boarding, mentoring, and training.Assists in the development of the clinical and managerial skills of the site providers.Assists with the development and implementation of Wellpath clinical guidelines, polices, and procedures.Responsible for monitoring Wellpath clinical guidelines, policies and procedures to ensure ongoing compliance.Monitors and controls the use of pharmaceutical products to provide appropriate and cost-effective therapy for the population served by Wellpath.Assists in the review and approval of off-site service requests.Assists in the annual review of clinical guidelines, care management policies, and procedures and makes recommendations for modification as appropriate.Provides medical services as necessary.Participates in the Wellpath Continuous Quality Improvement (CQI) Program to include the development, implementation, training, and monitoring of the (CQI) program.Supports review of credentialing and privileging in accordance with Wellpath and regulatory expectations.Provides support when Wellpath administration receives grievances, lawsuits, or other complaints.KNOWLEDGE, SKILLS AND ABILITIES :
Ability to obtain and maintain security clearance.Ability to apply principles of critical thinking to a variety of practical and emergent situations and accurately follow standardized procedures that may call for deviations.Ability to apply sound judgment beyond a specific set of instructions and apply knowledge to different factual situations.Ability to remain alert at all times; pay close attention to details.Ability to work under stress on a regular or continuous basis.