Medical Director - Adult Eating Disorder Programs (Oconomowoc)

Services:

1. Attend Patients at the Site and via Telehealth: The Physician will be expected to attend patients and assist with patient coverage at the locations assigned by Employer (the "Site(s)"). In addition, Physician may be expected to cover additional locations or "Sites", as assigned by Employer if Site does not have enough patient availability for Physician to achieve RVU targets or daily patient visit goals or there are provider shortages at a particular location and Employer needs Physician to provide additional coverage. The Physician will accept referrals from medical physicians, psychiatrists, in all areas and counties surrounding Site referrals, to attend their patients on the unit, and upon patient discharge the Physician will refer the patient to the referring physician for outpatient care, unless the patient expresses another preference, or the Physician determines that this is not in the best medical interests of the patient. The Physician will be responsible for providing written and verbal discharge summaries to all referring physicians.

The Physician will continue to see patients on unit seen by Nurse Practitioners and Physician Assistants and serve as a collaborating physician for them as needed, including completion of psychiatric evaluations.

Notwithstanding the forgoing, Employer does not guarantee any minimum or maximum number of patients at any one time.

The Physician may be required by Employer to participate in call coverage based on the pre-determined schedule established by the Employer, which will include an equitable division of dates across providers.

The Physician will:

a. Attend assigned patients depending on Physician's specific educational qualifications in Rogers programs to which Physician is assigned. These programs may include the following levels of care either in person or via telehealth:

i) inpatient

ii) residential

iii) partial hospitalization program (PHP)

iv) intensive outpatient programs (IOP).

v) outpatient services including individual counseling, patient assessments, and medication evaluations.

b. 1:1 therapy, medication management sessions with patients.

c. Weekly (or more often) staffing of patients.

d. Lead and sign a treatment plan for each patient.

e. Family education/therapy, as clinically indicated.

f. Attend unit meetings, status report as appropriate.

2. Medical Activities: The Physician shall perform all medical functions necessary to insure the delivery of high quality treatment for psychiatric disorders for patients at the Sites, including, but not limited to:

Conducting a psychiatric assessment of each patient within timeline defined by Hospital policy. When applicable, conducting rounds for patients per Hospital policy, and as assigned to Physician. Completing and signing discharge summaries timely, as defined by Hospital policy. When applicable, completing emergency detentions of patients when conditions exist for taking an individual into custody under applicable state law, including filing statements concerning appropriateness of a patient for emergency detention and attending any required court proceedings or meeting standards around the duty to warn by calling the appropriate authorities to complete emergency detention. Participate in quality assurance activities. Medication education with nursing staff. Inservice treatment team, as needed. Attend the Medical Staff meeting and the Medical Staff Executive Committee meeting. Provide supervision, including sponsorship of Advanced Practice Nurse Practitioners (APNP) and/or Physician Assistants (PA) upon request.

3. Payor Relations: The Physician will assist the Site in its contracting with payors for mental health services. The Physician will also assist in developing and maintaining positive working relationships with all contracted payors. The Physician will assist in the review of all denials of service from all payors that are deemed for medical reasons.

a. Interface with referring parties, the psychiatrist, family practice and/or pediatrician, to coordinate care, aftercare. Market Employer as appropriate, to include off-site meetings and marketing activities.

b. Review potential admissions, pending cases, and declined admissions, as needed, to assure Employer policy execution and compliance with EMTALA.

4. Advocate: In addition to the above duties and responsibilities, the Physician needs to be an advocate for the Sites. Advocacy is both an informal activity and a formal activity. It is expected that the Physician will provide support, information, education and services when appropriate opportunities present themselves. The Physician must be committed to assisting the Site in becoming highly visible and respected for the contributions it does and can make to quality patient care.

a. Participate in and support Employer's quality assurance and performance improvement activities and meetings.

b. Take an active role in identifying new program development opportunities for patient care services and Employer.

c. Participate in community education of behavioral health issues, as requested by Employer.

5. Admissions Support: At the sole discretion of the Employer, Physician may be asked to devote some of their time and effort to supporting the admissions process. Duties related to this task include the following:

• Provideinitial placementrecommendations based onadmitting criteria, clinical parameters, medical historyand documentation obtained through screening process provided by prospective patient or representative.Review and evaluate completed admission screenings to determine appropriate program, level of care, and (if appropriate)mode of delivery for prospective patient.

  Review admissions screening interview (ASI), transfer documentation (TRF/TCF), external provider documentation, charted history from prior Rogerstreatment encounters, external treatment summaries, test reports, or letters from interested others.

  Determinethe potential patient has sufficient cognitive and psychological functioning that would allow them to benefitfrom treatment and programming.

  Review and demonstratean understanding of the variousprograms and modes of treatment delivery available at Rogers, as well as of the latest organizational guidance regardingwhen each is considered appropriateor necessary for a given patient presentation.

  Interact with team members, external providers and referents in a respectful manner reflecting positively upon the organization at all times.

  Convey recommendations and suggestions in a manner that facilitatesmanaging patient/family expectations related to services provided. If necessary, promptly initiate contact with referring providers or treatment teams to determineaccurateclinical/programmatic recommendation for patients.

  Provideclear guidance to team on medicalreasoning of recommendation and/or justification for level of care for most accuraterelay to patients/families.

  Document progress using the visual tracking/management system provided.

  Attend all pertinent MDI huddles as directed by medical/clinical and admission Leader.

  Complete reviews/recommendations and all required supporting work and documentation in a timely mannerin order toensure quality prospective patient experience.

• Communicate professionally andaccurately.Refer to and work with other departments and agencies as needed and according to departmental policies.

  Report pertinent data to the attending provider and others on the team, verbally or in writing as necessary, and prioritize effectively and consistently in situations requiring immediate attention versuspostponement.

  Immediately communicate difficult problems with referents, patients, family members/significant others andco-workers.

  Develop and maintainrelationships with medical staff and other providers across RBH for ongoing re-review or other case communication.

Program Medical Director Job Duties & Responsibilities:

Time Allocation. Program Medical Directors shall be allowed to be compensated for up to 6 hours per week of administrative time for one program and up to 10 hours per week for two programs.

Provide Effective Program Leadership. All three of these roles are responsible to provide clinical leadership and management leadership so that the Programs function successfully and maintain the confidence of the Medical Staff, other staff, patients and the community. Specific duties related to particular job titles include the following:

Program Medical Director: The Program Medical Director will oversee clinical quality and supervise physicians and advanced practice providers in specific program(s). Duties include:

• Responsible for ensuring the quality and sustainability of the medical and clinical services for their designated program(s) in concert with the Associate and/or Senior Medical Director(s), clinical and operational leadership.
• Guides implementation of quality initiatives to ensure medical services are evidence-based and meeting system quality goals as set forth by strategic plan and Senior Medical Director.
• Builds an environment of team-based multidisciplinary care for designated area of oversight.

3. Responsibilities of Program Directors

Lead medical and clinical services at a specific clinical unit or program.

• Responsible for ensuring the quality and sustainability of medical and clinical services for their designated program area in concert with the Associate Medical Director, Senior Medical Director, and clinical and operational leadership.
• Guides implementation of quality initiatives to ensure medical services are evidence-based and meeting system quality goals as set forth by strategic plan and Senior/Associate Medical Director.
• Builds an environment of team-based multidisciplinary care for designated area of oversight.
• Lead medical staff meetings/huddles in the program to have a clear understanding of the specialized care in the program area and ensure medical staff are aware of the evidence-based methods supported and encouraged in the specialized program area.
• Work with clinical supervisor/clinical director/clinical services leaders, and operational leaders in the program area to set quality standards and initiatives for the program through regular interdisciplinary leadership meetings.
• Participate in program area huddles.

• Participate in and provide clinical leadership in all special staffings in the program area.
• Review Admission Screenings for the program.
• Responsible for ensuring the program has a medical staff evening, weekend, and holiday call coverage schedule.

Participate in medical staff recruitment, onboarding and orientation for the program area.

• Participate in recruitment of medical staff for program area.
• Assist in conducting interviews of potential medical staff. Work with Associate/Senior Medical Director and operational leadership to determine appropriateness of candidate for job.
• Provide program specific orientation on site to new medical staff in the program, to include intake process, insurance reviews for program, and timeline promoting access to care.

Engage in professional outreach to enhance knowledge of Rogers' expertise in the program area.

• Participate in conferences, including giving talks, to enhance knowledge of Rogers' expertise.
• Participate in recruitment of medical staff at conferences.
• Assist with local and regional outreach.
• Participate in regularly scheduled meetings with the research department to share observations and provide suggestions on areas of potential research in the program area.

Actively participate in and lead quality and process improvement initiatives utilizing Roger's tools.

• Help lead/implement improvement events related to program area.
• Participate in medical director huddles and regular meetings with associate/senior medical director.
• Participate in huddle system for program area with clinical and operational leaders and other members.
• Participate in medical staff services meetings to ensure awareness of system/campus clinical and quality initiatives.

Additional Job Description:

Physical/Mental Demands:

• Must have excellent interpersonal skills and ability to resolve conflict.
• Ability to use initiative and judgement to organize, plan activities, formulate policies, delegate responsibility and make decisions affecting diagnosis and treatment of patients.
• Must be able to relate to people in a manner to win their confidence and establish rapport.
• Must be flexible to adjust to changing conditions, programs and various details of the position.
• Verbal and hearing ability required to interact with patients and employees. Numerical ability required to maintain records and operation a computer.
• Must be able to read and communicate through written, verbal and auditory skills and abilities.
• Position requires walking, sitting and standing. Work is performed inside the building and is physically light. Lifting is moderate; must be capable of lifting a minimum of 20 pounds. Reaching, handling, grasping and manual dexterity are necessary to operate various office equipment.
• Physically/Mentally able to perform job duties as verified by a physical exam by a licensed physician, per post-employment Physical

Education/Training Requirements:

• Valid state licensure as MD / DO.
• Board-eligible psychiatrist. Board certification preferred.
• Leadership and/ or supervisory experience in a behavioral health organization is preferred.
• Experience with process improvement implementation preferred.

With a career at Rogers, you can look forward to a Total Rewards package of benefits, including:

• Health, dental, and vision insurance coverage for you and your family
• 401(k) retirement plan
• Employee share program
• Life/disability insurance
• Flex spending accounts
• Tuition reimbursement
• Health and wellness program
• Employee assistance program (EAP)

Through UnitedHealthcare, UMR and HealthSCOPE Benefits creates and publishes the Machine-Readable Files on behalf of Rogers Behavioral Health. To link to the Machine-Readable Files, please visit Transparency in Coverage (uhc.com)