Primary Care Medical Director - Old Town Clinic (Hiring Bonus up to $25,000 for qualified external applicants!)

Central City Concern • Portland, OR

11h • $239,000 - $359,000 • Onsite

About The Position

Central City Concern (CCC), a Portland-area nonprofit providing housing, healthcare, recovery, and employment services to people affected by homelessness, is hiring a Medical Director, Primary Care for Old Town Clinic. The role provides clinical leadership across Old Town Clinic, Hansen Clinic, and Mobile Medical, partnering with the Senior Medical Director of Primary Care and program operational managers to establish clinical standards, strengthen quality and safety, and support continuous improvement. The Medical Director also provides direct patient care in a team setting, approximately 0.4–0.6 of the workweek.

The position leads and supervises primary care providers and other clinical staff in professional and clinical domains, supports recruitment, development, evaluation, and retention, and ensures appropriate staffing, credentialing, and privileging. It develops and teaches practice standards, guidelines, policies, and protocols; monitors clinical performance and safety; and promotes a just culture. The role also contributes to clinic and agency leadership, budget development, financial performance monitoring, and medical education, including support for OHSU internal medicine residents practicing at Old Town Clinic.

The successful candidate will bring experience serving underserved populations in community clinic settings and established healthcare leadership experience. A non-judgmental approach, strong communication and team leadership, and commitment to accessible, humane care are important. Experience with primary-care-based medication management for substance use and mental health conditions is preferred, or the candidate must be willing to develop those skills. The role is based at Old Town Clinic in Portland, Oregon, and is scheduled Monday through Friday, 8:00 a.m. to 5:00 p.m.

Requirements

• Board eligibility or certification in Internal Medicine or Family Practice.
• Licensed to practice as a physician in Oregon.
• At least four years of experience providing care to underserved individuals in a community clinic setting.
• At least two years of experience in an established leadership capacity within a healthcare setting.
• Full prescriptive powers in Oregon and a DEA number.
• Current BLS certification, or ability to obtain it within one month if not current.
• Must meet CCC privileging requirements as required by FTCA.
• Ability to comply with CCC's drug-free workplace policy and pass a pre-employment drug screen, TB test, and background check, including clearance by the DHS Background Check Unit.
• Ability to adhere to agency non-discrimination policies and interact respectfully with coworkers and clients of diverse backgrounds, beliefs, lifestyles, and sexual orientations.
• Physical ability to bend, stoop, kneel, squat, twist, reach, pull, and lift heavy objects, and to climb stairs several times a day.
• Knowledge, education, training, skills, and experience in multidisciplinary approaches to physical and mental health and substance use disorders in primary care.
• Knowledge, training, skills, and experience providing and supervising services in a highly diverse work environment serving a highly diverse and mostly homeless population.
• Demonstrated leadership ability to create effective teams, communicate a vision, and manage change.
• Demonstrated ability and accomplishment in continuous quality improvement and practice innovation.
• Excellent communication skills with patients and staff, including diplomacy, tact, and effective bedside manner.
• Demonstrated ability to effectively supervise health providers.
• Ability to manage time, meet deadlines, and maintain accurate and appropriate records and documentation.
• Ability to display a non-judgmental attitude.
• Sufficient manual dexterity and physical ability to perform assigned tasks.
• Excellent problem-solving and conflict-resolution skills.
• Knowledge of de-escalation methods, or willingness to be trained in them.

Nice To Haves

• Experience with primary-care-based medication management for substance use and mental health disorders, or willingness to develop these skills.

Responsibilities

• Provide direct patient care approximately 0.4–0.6 of the workweek in a team setting.
• Serve as clinical leader for Licensed Medical Providers and other clinical staff at Old Town Clinic and in Community Care practice settings, providing consultation, teaching, and exemplary clinical practice.
• Manage and supervise primary care providers at Old Town Clinic, Hansen Clinic, and Mobile Medical in professional and clinical domains, in partnership with program operational managers.
• Provide medical direction and clinical supervision in accordance with state regulations and standards of practice.
• Ensure provider staff development, in-service training, performance reviews, credentialing, and privileging.
• Develop and teach standard work and clinical practice guidelines, policies, and protocols based on best practices, continuous improvement, and applicable standards.
• Mentor and coach front-line teams, fostering accountability, continual improvement, and staff wellness.
• Ensure adequate primary care staffing, including staffing guidelines, on-call and after-hours coverage, PTO/CME approvals, timesheet approvals, and response to callouts.
• Oversee recruitment, evaluation, and retention of Licensed Medical Providers; collaborate on comprehensive job descriptions.
• Ensure appropriate patient evaluation, diagnosis, treatment, and medical record documentation.
• Select and implement evidence-based practices and clinical standards; monitor and support improvement of clinical performance, utilization, and financial metrics.
• Lead clinical safety monitoring and review and promote a just culture.
• Respond in a timely and adequate manner to patient grievances related to medical care in supervised programs.
• Provide clinical leadership on the Old Town Clinic Controlled Substance Review Committee.
• Comply with privacy and confidentiality requirements, including HIPAA and 42 CFR Part 2, and promptly report breaches of protected health or personal identification information.
• Oversee development and implementation of medical education curriculum, including monthly education sessions and in-services, and support OHSU internal medicine residents practicing at Old Town Clinic.
• Maintain timely communication with Licensed Medical Providers, including through a weekly newsletter.
• Participate in budget development and financial performance monitoring for supervised programs.
• Attend weekly Old Town Clinic and Primary Care Leadership meetings and monthly CCC Operational Leadership Team meetings.
• Maintain connections with professional and academic communities and with accrediting and monitoring bodies relevant to primary care and community health practice.
• Attend mandatory CCC trainings, approve Old Town Clinic Licensed Medical Provider timecards, and perform other duties as assigned.

Benefits

• Hiring bonus of up to $25,000 for qualified external applicants.
• Student loan repayment options.
• Paid time off beginning at four weeks of accrual per year, with accrual increasing with longevity.
• 403(b) retirement savings plan with employer matching of 4.25% in the first year, 6% in the second year, and 8% in the third year.
• 11 recognized holidays and 2 personal holidays, dependent on work schedule.
• Medical, vision, and dental insurance coverage.
• Employer-paid life, short-term disability, and long-term disability insurance.
• Sabbatical program offering extended time off at years 7, 14, and 21.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: No Education Listed