FAMILY PRACTICE MEDICAL DIRECTOR

Tule River Indian Health Center Inc•Porterville, CA

5h•Onsite

About The Position

Under the direction of the Chief Executive Officer, the Family Practice Medical Director is a physician to lead primary care programs, oversee clinical and administrative functions, and deliver culturally sensitive care to the Native American and underserved communities within the CHSDA area. This position combines clinical expertise with administrative and strategic oversight to shape the delivery of primary care. This role sits at the intersection of medicine and healthcare management, ensuring that patients care is high-quality, efficient, and aligned with regulatory and quality standards.

Requirements

Must possess broad competency with medical skills and knowledge and be able to effectively apply them in an ambulatory outpatient setting.
Must possess or be able to obtain specific regulatory knowledge as it pertains to Indian health from entities such as IHS, CRIHB, IHP, and the State of California.
Must have good communication skills, be able to effectively communicate with diverse populations, and be willing to convey responsibilities to patients.
Demonstrate the ability to work independently in carrying out assignments while remaining reliable and dependable.
Possess basic computer and database software operation knowledge and demonstrate a working knowledge of routine office hardware and equipment (e.g. printers, copiers, fax machines, etc.).
Must demonstrate the ability to maintain accurate records and preparing clear and accurate reports for informational, auditing, and operational use, including capacities for attention to detail and for reviewing and verifying accuracy of data.
Possess the ability to organize and follow one's own work schedule (i.e. setting priorities, being available during work hours, and meeting critical deadlines).
Possess the ability to perform well in group problem-solving situations and use reason even when dealing with highly emotional topics.
Possess the ability to become knowledgeable of health needs and services provided to the Indian community both on and near the reservation.
Demonstrate the competency and integrity to maintain the confidentiality of organizational, employee, and client records.
Possess the ability to deliver effective education, training, and presentations on technical medical subjects to large and/or small groups of various educational and cultural backgrounds.
Knowledge of causes means of transmission and methods of control of communicable disease, principles and practices of diagnosis and treatment of common medical problems.
Valid medical degree from an accredited School of Medicine
A current California Driver's License and a good driving record are required for this position and be insurable through TRIHCI insurance agency throughout employment.
Current unrestricted medical licensure in the State of California
Current BCLS certification, DEA and National Provider Identification (NPI) registration numbers

Nice To Haves

ACLS and/or PALS certification; and the ability to obtain local hospital admitting privileges are preferred for this position
Two (2) to four (4) years prior supervisory medical experience in an ambulatory medicine but would consider strong applications coming from the residency program
Board certification by American Board of Family Medicine
Knowledge pertaining to AAAHC or JACHO standards for accreditation and patient care also preferred

Responsibilities

Clinical leadership: Providing primary care according to standardized protocols, management patient populations, and supervising subordinate medical staff and contract providers.
Program oversight: Developing and maintaining quality assurance processes, ensuring compliance, and implementing policies.
Provider Management: Recruiting, screening, and mentoring medical personnel; overseeing performance review.
Quality improvement: Auditing charts, monitoring satellite clinics, collaboration with our behavioral health clinicians, and participating in training, meetings, and conferences.
Community engagement: Working in rural or tribal settings with a focus on chronic disease management, preventative care, and social determinants of health.
Perform and provide primary medical diagnostic, preventative, education, and treatment services at all TRIHCI facilities, and in accordance with applicable policies and standards.
Serve as a preceptor for Physician, Physician Assistant, Nurse Practitioners, Medical Case Manager, reviewing and approving their notes to ensure accuracy and compliance with clinic protocols.
Oversee the entire healthcare program for the organization, including clinical policies, procedures, and quality assurance processes.
Monitor and improve quality of patient care and outcomes, implementing strategies to enhance care delivery.
Ensure compliance with Indian Health Service (IHS), Centers for Medicare & Medicaid Services (CMS), and other governing bodies’ regulations.
Participate in professional development to stay current on medical advancements.
Collaborate with clinic administration to implement strategic initiatives for operational efficiently.
Manage a significant portion of duties (often 60% administrative/40% clinical).
Provides oversight for staff development and training in alignment with accreditation, federal, state, and Tribal policies and regulations.
Initiate thorough patient interviews/medical histories and coordinate appropriate diagnostic and screening tests/examinations.
Deliver preliminary diagnosis to patients and direct, prescribe, or provide a full treatment regimen, including health education, health maintenance, prescription medications, and follow-up services.
Prepare, maintain, and update physical and electronic medical records in accordance with sound medical practice guidelines and organizational need.
Coordinate patient referrals for specialty health care, including coordination with TRIHCI's Purchased Referred Care department and available telemedicine programs.
Admit or coordinate the admission of patients to area hospitals as necessary.
Coordinate, supervise, perform, and/or review routine lab work and therapeutic procedures including injections, immunizations, debridement, suture and care of superficial wounds, and other procedures.
Contribute to the evaluation of clinic programs and quality improvement through participation, development, and implementation of quality improvement initiatives.
Attend and contribute to all required meetings/consultations including general and medical staff meetings, and all specialized committee meetings.
Assist clinical staff in monitoring, determining the need for, and ordering medical supplies, equipment, and medications kept onsite.
Effectively represent TRIHCI by leading and participating in all program reviews by regulatory agencies (IHS, IHP, CHDP, Managed Care system, etc.).
Ensure all required medical reports are completed in a timely manner, including annual diabetic audits, immunization reports, BOD reports, and other reports.
Direct, monitor, and contribute to the development of mid-level providers through protocols, policies and procedures, and direct coaching.
Develop and propose to the CEO, new medical standing orders, policies and guidelines, and treatment protocols as required by leadership or law.
Carryout special assignments to upgrade clinical quality of care and administration as assigned.
Other duties as assigned.