Juvenile Rehabilitation (JR) Medical Director

State of Washington•Thurston County – Olympia, WA

6d•Hybrid

About The Position

The Juvenile Rehabilitation (JR) Medical Director serves as the primary healthcare authority for Washington State Juvenile Rehabilitation programs, leading the system of medical care and treatment for youth in secure and community facilities. The Medical Director advises executive leadership on healthcare policy and system improvements, oversees standards of care and regulatory compliance, and supports consistent, high-quality, developmentally informed care. The role includes clinical supervision of medical providers and nursing supervisors, healthcare contract oversight, consultation on complex cases, and final authority for medical treatment decisions for youth in JR residential programs. Working with JR leadership, behavioral health partners, and community providers, the Medical Director advances quality improvement, promotes compliance with National Commission on Correctional Health Care (NCCHC) standards, and supports the Medicaid 1115 Reentry Waiver. The position also provides direct clinical care and medical education to staff, on-call coverage and case consultation, and advice to community facility leadership regarding care delivered by Medicaid-funded providers. This is a 60% part-time, on-call position with a day schedule in a hybrid setting. It is not fully remote: the Medical Director provides in-person clinic care at JR secure facilities, travels to community facilities, and maintains regular on-site presence; administrative work may be performed remotely. Direct clinic support at Echo Glen Children’s Center and Green Hill School is expected approximately one day per month.

Requirements

Doctor of Medicine (MD).
Board certification.
Current, valid license to practice medicine in Washington State.
Possess or meet eligible criteria for a Drug Enforcement Administration (DEA) registration.
Exceptional oral and written communication skills for communicating with agency administration, residential program and security staff, healthcare professionals, patient advocates, and members of the public.
Experience supervising providers and consulting with non-clinical program personnel on execution of support services.
At least two years of driving experience and a valid driver’s license.
Maintain current CPR/First Aid certification.
Maintain at least 12 hours of continuing education or in-service training yearly.
Applicants selected for interview must pass a national fingerprint background check and complete the PREA questionnaire; information about past allegations or investigations related to client relationships must be provided.

Nice To Haves

Experience in adolescent medicine in a residential setting.
Familiarity with best practices of medicine in juvenile justice or carceral settings.
Familiarity with standards of practice defined by the National Commission on Correctional Health Care (NCCHC).
Experience administering Medications for Opioid Use Disorder in coordination with substance use dependence professionals.

Responsibilities

Provide medical leadership and ongoing communication across JR, including clinical supervision of medical staff and nurse managers, participation in leadership meetings, interviews for key clinical positions, and oversight and guidance for clinical systems and services.
Consult with facility medical personnel and community providers about medical service needs, particularly for youth with complex needs who are transitioning to a community facility or reentering the community.
Oversee and facilitate regular medical quality assurance activities.
Provide on-call availability for emergent cases, critical incidents, and other urgent consultation needs.
Meet weekly with RN3s to advise on best-practice care and contribute to audit preparation.
Coordinate the medical aspects of the continuum of care.
Provide direct medical clinic support, focusing on coverage and outdates at Echo Glen Children’s Center and Green Hill School approximately one day per month.
Conduct medical assessments of JR youth, including medical history, physical examination, diagnosis, and medication evaluation.
Provide consultation to families, as needed, regarding youth care.
Advise executive leadership on healthcare policy and system improvements and oversee standards of care and regulatory compliance.
Oversee healthcare contracts and consult on complex cases; hold final authority for medical treatment decisions for youth in JR residential programs.
Promote compliance with NCCHC standards and support the Medicaid 1115 Reentry Waiver.
Provide medical education to staff.