Trinity Health PACE and Mercy LIFE have an excellent opportunity for a Board Certified physician to provide oversight as Associate Medical Director over Programs of All-Inclusive Care for the Elderly (PACE) organizations located in West Philadelphia, Pennsylvania.
The Program of All-Inclusive Care for the Elderly (PACE) model is centered on the belief that it is better for the well-being of seniors with chronic care needs and their families to be served in the community whenever possible. PACE serves individuals who are age 55 or older, certified by their state to need nursing home care, able to live safely in the community at the time of enrollment and live in a PACE service area. While all PACE participants must be certified to need nursing home care to enroll in PACE, only about 7 percent of PACE participants nationally reside in a nursing home. If a PACE enrollee needs nursing home care, the PACE program pays for it and continues to coordinate the enrollee's care. We encourage fellowship and independence while serving seniors and their families with dignity and respect. Delivering all needed medical and supportive services, PACE is able to provide the entire continuum of care and services to seniors with chronic needs while maintaining their independence in their home for as long as possible.
In conjunction with the Regional Medical Director, the Associate Medical Director promotes innovation in the PACE Organization (PO) and delivery of health care services in a managed care setting. They evaluate the quality of professional medical services rendered to plan members and the utilization of health care resources. The Associate Medical Director ensures the provision of cost-effective, high quality medical services in an atmosphere of cooperation and favorable provider relations. Under the supervision of the Executive Director and in coordination with the Regional Medical Director, this position provides primary medical care to PACE participants, including assessment, development of a plan of care in collaboration with the interdisciplinary team, provision of direct participant medical care, and evaluation of effectiveness of the plan of care.
General responsibilities will include (not an exhaustive list of all responsibilities, duties and skills):
- Supports Regional Medical Director in overseeing and monitoring the implementation of quality management programs in order to ensure the delivery of high-quality health care services to plan members; and assists in adopting practice guidelines based on reasonable medical evidence with the input of the participating providers.
- Supports Regional Medical Director in implementing and monitoring the status of a sound quality and utilization review program. Analyzes clinical data and collaborates with Regional Medical Director to identify opportunities to improve health care services, process efficiencies and quality outcomes. Provides consultative support to staff in the interpretation of clinical data and development of strategies targeted toward more cost-effective clinical decision-making.
- Provide initial and ongoing participant assessments, care plan development, and implementation of care plan.
- Directly supervises Primary Care Providers supporting PACE Organization.
- Ensures compliance with all health care standards and requirements established by various licensing, regulatory and accreditation bodies.
Requirements for this opportunity include:
- Must be licensed to practice medicine in the state where PO is located and have 3 to 5 years of experience as a medical director or similar management experience.
- Must possess ability to maintain a high level of satisfaction with referring physicians/institutions and participants.
- Must possess strong interpersonal skills in order to interact in extremely delicate, sensitive and/or complex situations, and to make effective presentations before senior management within TH PACE.
- Must possess a knowledge of governmental and accreditation agency requirements.
- A thorough understanding of the health care environment and all applicable laws and regulations.
- Must possess experience with physician credential requirements and procedures.
- Demonstrated ability to model the use of evidence-based leadership/practice, and project management skills
- Minimum of one (1) year of documented experience working with a frail or elderly population.
- Must be action-oriented, have business acumen, manage conflict well, be customer focused, have high decision quality, flexibility to adapt to ongoing change and have organizational agility. Ability to work with minimal supervision and exercise independent judgment.
This is an exciting opportunity for the right physician to lead the medical team at Mercy LIFE.
Mercy LIFE offers a competitive salary and compensation package based on training and clinical experience.