Site Medical Director - Advanced Practice Clinician

Virginia Garcia Memorial Health Center•Sheridan, OR

10d

About The Position

Virginia Garcia Memorial Health Center (VGMHC) provides comprehensive primary health care to communities in Washington and Yamhill counties, with special emphasis on migrant and seasonal farm workers and removing barriers to care. It aims to create an environment that welcomes and values the people it employs and serves. The Site Medical Director (SMD) provides clinical leadership at an assigned site and directly supervises provider staff, including coaching and performance management. The SMD is part of the site leadership team, supports provider and medical staff recruitment, and helps lead quality improvement activities. The position also provides primary and obstetrical care within the clinician’s training, experience, licensure, specialty, and site needs. The SMD serves as an informational resource to patients, colleagues, students, the Center, and the community. The role combines clinical care with site operations and leadership, including provider scheduling and development, quality and safety processes, communication across teams, and implementation of organizational goals. The SMD may temporarily assume responsibilities of the Medical Director of Provider Affairs or Chief Medical Officer in their absence. Patient-care scope may include hospital and obstetrical care depending on specialty and training. Services may be required at locations beyond the primary site and in community outreach or special-clinic settings. The position has access to protected health information for treatment and quality-assurance operations, including demographic and scheduling information and the full medical record, subject to HIPAA’s minimum necessary standard. Staff must meet VGMHC immunization requirements and applicable state and federal guidelines.

Requirements

Current active board certification in Pediatrics, Internal Medicine, or Family Medicine.
Oregon medical license and current DEA registration.
At least 3 years of prior clinical experience.
Current staff privileges at Hillsboro Medical Center, which may be courtesy privileges, as needed for clinical work depending on scope of practice; specified for Reproductive Medicine only.
Meet VGMHC immunization requirements and applicable state and federal guidelines.
Detail oriented.
Knowledgeable about continuous quality improvement or willing to learn.
Strong commitment to working with patients and staff from a wide range of ethnic, economic, cultural, and social backgrounds.

Nice To Haves

At least 1 year of supervision experience in community medicine as a provider.
Bilingual English/Spanish, with ability to pass the State proficiency exam to provide medical care in Spanish; refresher courses may be provided to help prepare for the exam.

Responsibilities

Directly supervise providers at the assigned site, including coaching, performance management, annual reviews, feedback, and regular one-on-one meetings.
Provide clinical leadership and mentoring in evidence-based, timely, effective, efficient, and equitable care; offer clinical input on patient care and management as needed.
Review cases for the Controlled Substances Oversight Committee and review unexpected outcomes, including deaths, as part of peer review and quality improvement.
Participate in the site leadership team to address clinic operations, schedules, coverage, personnel issues, clinic-level projects, and delegated responsibilities.
Implement plans addressing operational, financial, and patient-care quality goals and monitor progress toward quality metrics.
Attend local, administrative, and quality-improvement meetings as needed; organize site provider meetings, document minutes, help organize staff and team meetings, and manage follow-up.
Help coordinate provider schedules, vacation and other time-off approvals, timecard approvals, and monitoring of provider time management.
Liaise with community groups and internal departments or programs, including Dental, School-Based Health Centers, and the Migrant camp program, regarding clinical issues and access.
Address day-to-day concerns of providers, support staff, and the management team and ensure information flows through the clinic to support patient safety and provider continuity.
Help implement organizational objectives guided by local, state, and federal stakeholders, including health plans and funders.
Identify and ensure training needs are met for providers and support staff.
Support recruitment of providers and other medical staff, including coordinating interviews and related activities; orient new providers and conduct regular check-ins.
Represent the site’s medical staff with the leadership team and support communication between site leadership teams and senior leadership.
Temporarily assume responsibilities of the Medical Director of Provider Affairs or Chief Medical Officer when required in their absence.
Provide direct patient care, including primary and obstetrical care within training, experience, licensure, specialty, and site needs.
Provide comprehensive, culturally competent care and case management as needed, working collaboratively with support staff.
Meet patient-care productivity standards and document care in the medical record promptly according to VGMHC documentation standards.
Supervise and educate students and residents in health care professions.
May organize or participate in special clinics, such as farmworker outreach, and may provide services at VGMHC locations other than the primary site.
Provide services to non-health-center patients in community-wide special clinics, school-based and school-linked clinics, health fairs, immunization campaigns, migrant camp outreach, homeless outreach, hospital-related activities when holding hospital privileges, and certain individual emergencies.
Handle protected health information in accordance with HIPAA.
Perform other duties as assigned.