The Director, Addiction Services provides clinical oversight and leadership as well as direct care to CCAs members with complex psychiatric, behavioral, medical needs and addiction. They will report directly to the Chief of Psychiatry.
This position is responsible for providing addiction oversight to CCAs addiction program, with particular focus on engagement with CCA clinicians to ensure the successful achievement of key programmatic and quality objectives. This position will work with the Chief of Psychiatry and the Vice President of Behavioral Health to lead the development of clinical practice guidelines in the management of substance use disorders informed by an understanding of the impact of social determinants, ensure appropriate clinical supervision of advanced practice clinicians as needed, spearhead substance use related clinical quality, education, and performance improvement initiatives , clinical risk management, achieve organizational and individual patient quality outcomes, and support clinical best practice adoption with specific focus on furthering the integration of addiction services and primary care services. In addition, this position will assist in the development and management of a high performing addiction treatment network.
The direct patient care component to this role (at approximately 60% FTE) involves provision of psychiatric and addiction related care to members in various settings including home, clinic, and crisis stabilization\ units. Our crisis support units are an innovative addition to our comprehensive behavioral care which allows us to provide inpatient level of care for members who are able to function in a less restrictive setting, thus avoiding up to 70% of our psychiatric hospitalizations. The psychiatrist will also provide clinical supervision regarding management of substance use disorders to home-visiting nurse practitioners, physician assistants and nurses managing members with complex psychiatric, cognitive and behavioral health needs, as part of an interprofessional team. This psychiatrist will engage in care plan development, regular consultation and case review, and occasionally assuming full provider responsibilities for members with complex needs. Additionally, the Medical Director for Addiction Services will participate in out-of-hours on-call duties as well as being available to telephonically to triage calls and discuss cases with other clinicians on the care team.
Interface with PCPs, specialists, and hospitals to promote an understanding of CCAs unique model, facilitate collaboration and shared decision-making
Clinical oversight and supervision for advance practice clinicians delivering augmented primary care and care management to CCA members
Monitoring, evaluation, and quality improvement activities
Active participation in CCAs Quality and Value Management Committee, Clinical Leadership Group, and the MD Group
Active participation in quality improvement projects
Program development and integration of clinical innovations, including community
support units, care transitions, and others
Development of educational content around psychiatric care, complex care delivery,
substance use disorder, tailored to CCA / CCC clinicians
Medical necessity reviews for acute (inpatient vs observation) level of care, as well as for service authorization requests
Second level review of member appeals and quality of care concerns
Quarterly review of CCAs pharmacy trends and engagement in the annual formulary build, with specific focus on medications of particular relevance to the geriatrics population and on medication assisted treatments
Responsibility for oversight of residents and NP/PA trainees on occasion
Interest in publication of innovations and policies
Provides clinical supervision to behavioral health and medical NPPAs and other clinical staff
Functions as clinical oversight for CCA Behavioral Health and Addiction Services. Is
available Monday Friday 8 a.m. 6 p.m. to provide clinical support for Advanced
Practice Clinicians and RNs.
Documents all clinical work in a timely manner and provides the necessary documentation required for data collection and billing purposes.
Participates in all call responsibilities.
Participates in Doctor of the Day for clinical and administrative responsibilities
Attends clinical team meetings and other mandatory educational sessions.
Conducts educational and training activities that promote appropriate and effective patient care:
Participates in the planning, implementation and coordination of psychiatric care to the patient and caregivers.
Provides educational updates to clinical staff.
Participates in orienting and training new employees as required.
Participates in quality assessment and quality improvement within CCA as a whole
Seeks to maintain a constructive work environment and maintains effective communication with other employees and managers
Communicates with primary care teams and coordinates post-acute follow up as needed
Participates in case review and quality improvement projects
Participates in annual clinical team retreats and social / teambuilding events
Maintains required professional credentialing and appropriate CME standards
Attends external meetings and activities as a representative of the organization as
Individual will be responsible for making high-level clinical and managerial decisions
MD or DO degree from an Accredited institution
Board Certified or Board Eligible in Psychiatry
Board Certification in Addiction or comparable level of experience in the treatment of substance use disorders required
Suboxone certification essential
1+ years of experience (residency is considered)
High job complexity, requiring an advanced level of skill and both clinical and operational expertise. High tolerance for ambiguity.
Office and home/community-based
After-hours on-call responsibilities
Occasional travel throughout Massachusetts
Interest and experience in serving underserved and disability populations is essential
Experience with quality improvement, monitoring and evaluation, health systems
strengthening, innovation and training is highly desired
Experience in community-based psychiatry and acute psychiatric or substance use
Proven skills, knowledge base and judgment necessary for independent clinical
Excellent organizational, time-management and problem-solving skills
Ability to function effectively as part of a multi-disciplinary team
Effective oral and written skills
Strong interpersonal skills
Commitment to social justice in medicine and an understanding of healthcare reform
Effective teaching and mentorship skills
Job Title for Posting: Psychiatric Medical Director of Addiction Services
External Company Name: Commonwealth Care Alliance, Inc.
External Company URL: http://www.commonwealthcarealliance.org/
Actual Work Location: 30 Winter Street, Boston, MA