Medical Director
Work location: 2960 Tongass Ave, Ketchikan, AK 99901
Salary Range: $287,409.03 - $431,113.57 Salary/year
Position Type: Regular Full-Time
Job Shift: Varies
Category: Medical

Job Summary
The Medical Director provides direct acute primary health care services including diagnosis, treatment, referral, and follow-up to eligible patients. Assists in the development of clinic formulary with Chief Pharmacist and other medical professional staff.  

Incumbent will provide supervision and direction to medical staff.  In conjunction with the KIC Health Director, determines the most appropriate range and depth of medical programs ensuring strict compliance with AAAHC standards and federal regulations.  Attends and participates in appropriate administrative and committee meetings.  Approximately 25% of work schedule will be available for administrative duties.

ADMINISTRATIVE FUNCTIONS

Personnel Management
Directs personnel management for consistency in the programs and services of the KIC Medical Department.  Monitors and approves staff development and training standards. Ensures the personnel policies are followed, interprets policy and monitors personnel actions for adherence to Tribal policy.  Monitors staff evaluations process and annual employee safety programs.  Ensure adhere to local, state or federal standards for employee training, specifically, HIPAA compliance, safety, workplace violence, and preventing sexual harassment. 

• Recruits, selects, orientates, trains, coaches, counsels, and disciplines the department staff;
• Recommends all hiring, promotions, salary increases, merit increases, transfers, discipline and separation of all department employees per Tribal personnel policy to the Health Director.

Financial Oversight
Monitors and enforces internal financial policies and procedures regarding the Medical Department budget. Coordinates with Health Director in the preparation of the annual budget. Complies with federal regulations outlined in the self-governance compacts, and other state and federal funding sources.  

Administers the approved department operating budget by monitoring expenditures and recommending justifiable changes to the Health Director.

Maintains AAAHC Accreditation Standards By:

• Recognizing and supporting the basic human rights of patients;
• Acknowledging the governing body that sets policy;
• Assuring the provision of high-quality health care services that fulfills the Tribe’s mission, goals, and objectives;
• Providing high-quality health care services in accordance with the principles of professional practice and ethical conduct, and with concern for the costs of care and for improving the community’s health status;
• Striving to improve the quality of care and to promote more effective and efficient utilization of facilities and services;
• Maintaining a clinical records and health information system from which information can be retrieved promptly;
• Striving to improve the professional competence and skill, as well as the quality of performance, of the health care professionals and other professional personnel it employs;
• Providing a functionally safe and sanitary environment for its patients, personnel, and visitors.

KICTHC Medical Department Policy System
Responsible for establishing and maintaining KICTHC Medical Department and administrative policies.  Ensures policies are in compliance with accreditation standards and state, federal, funding laws, and regulations.  Develops policies as needed for programs and services. Monitors the policy review process and interprets policy and procedures for efficient operations.  Attends the Policy Committee of the Tribal Council when KICTHC Medical policies are being reviewed.

Initiates, coordinates, and enforces program, operational, and personnel policies and procedures with ethical business practices.

KICTHC Medical Service Equipment
Inspects and evaluates the physical condition of the patient care area, recommending necessary changes to Maintenance to improve sanitation, appearance, and efficiency.  Develops operations, quality, and troubleshooting procedures.  Arranges Bio-medical instrument performance certification and equipment replacement, service, and repair as necessary.

ESSENTIAL JOB FUNCTIONS
Provide patient care services via ambulatory clinic / long term care facility, telehealth, or home visit utilizing age-appropriate procedures for all age groups.  Examine and diagnosis individual’s health-related conditions presenting themselves for acute outpatient care.  Determine when patient referral to specialized care or testing is required and work with administrative and clinical support to follow-up patient care.  Educate patients in the nature of their health conditions and recommend therapies as well as the general promotion of health and prevention of disease.  Maintain accurate and complete medical record of all patient contacts.

Establishes patient care goals by educating and counseling the patient, friends / family and reinforcing their understanding of disease, medications, and self-care skills.  Provides emotional and psychological support to patients, friends and families throughout entire process

Audits patient / department records and performs quarterly peer review to maintain patient care service documentation.  Monitors workload of function area, identifies peak / slack periods, and make operational or staff adjustment as necessary for patient service productivity.

Additional Job Duties: 

• Maintains Medical Guidelines by writing and updating policies and procedures;
• Being accessible to staff for consultation as needed;
• Maintain partnership with other Medical organizations at local, state, and national level;
• Recognize, identify, and resolve problems and issues without direct supervision;
• Takes a systems approach to problem solving and process improvement, which involves staff.
• Prepare monthly report to supervisor
• Provide instruction to other employees of this or similar job classification in all aspects of procedure and technique relating to the duties required by this job description unless such instruction requires a specialized certification which the employee doing the training does not have;
• Perform other related duties as directed by supervisor.

KNOWLEDGE, SKILLS, AND ABILITIES

• Knowledge to gather, organize, and analyze information for medical operations and personnel;
• Knowledge of AAAHC Accreditation requirements;
• Knowledge of the organization, function and operations of the activity services and higher management directives;
• Knowledge and ability to carry out rules of Health Insurance Portability and Accountability Act (HIPAA), which protects patient rights;
• Knowledge of word processing, spreadsheet, and electronic patient software application skills;
• Skills in conceptual thinking and orderly planning in the diagnosis treatment of patients;
• Skill in writing as would be required for reports, plans, grants proposals, program justifications, etc.
• Ability to exercise mature judgment in working with patients to allow for good communications and physician-patient relationships;
• Ability to work effectively with physicians, practitioners, nursing and ancillary staff;
• Ability to perform consistently from day to day and under unusual stress;
• Ability to analyze complex situations efficiently;
• Ability to express oneself clearly and succinctly through oral and written communication skills;
• Ability to gather, assemble, and analyze facts, draw conclusions and devise solutions to management problems;
• Ability to communicate professionally over the telephone and in person in a positive and clear manner;
• Ability to manage simultaneously multiple tasks, including telephone, computer operations and in-person visits;
• Ability to be flexible in order to perform at the highest level as a team player;
• Ability to utilize maximum degree of professionalism and diplomacy with those who may be experiencing a high degree of stress both mentally and/or physically;
• Ability to work independently with minimal supervision and able to prioritize assignments.

Physical Activities
Must be able to hear.  Specific vision abilities include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.  Ability to use hands to finger, handle, or operate objects tools, or controls; reach with hands and arms; climb or balance; stoop, kneel, crouch; and taste or smell.  Each of the listed activities also requires standing, sitting, walking, bending, and stooping, climbing on stools and ladders, and routinely being required to lift, pull, push, and manipulate equipment and patients.

Writing by hand and using a personal computer. Long hours in front of computer screen.  Frequently required to work extended hours.  Attending evening and lunch time meetings as requested by supervisor.  Traveling occasionally, using air and/or water transportation, to out-of-town meetings and functions  

Working Environment
Employee may be exposed to communicable disease.  Safety precautions for employees such as blood drawing for screening of various diseases such as hepatitis, required immunizations, etc. are necessary.  The employee is occasionally subject to verbal abuse, threats, and physical violence from angry, hostile, or disgruntled patients and/or family members

KIC COMPETENCIES

Cultural Competency: To be respectful and responsive to the health beliefs, practices, and cultural and linguistic needs of KIC Tribal Members. Developing cultural competence is an evolving, dynamic process that takes time and occurs along a continuum.

Commitment: To serve Tribal Members and set a high standard for yourself in your performance; strive for results and success; convey a sense of urgency and bring issues to closure; and stay persistent despite obstacles and opposition. 

Customer Service: Meet/exceed the expectations and requirements of internal and external customers; identify, understand, and monitor the needs of both internal and external customers, always talk and act with customers in mind; and recognize working colleagues as customers.

Effective Communication: Ensure important information is passed to those who need to know; convey necessary information with respect, clearly and effectively orally or in writing

Responsiveness and Accountability: Demonstrate a high level of conscientiousness; hold oneself personally responsible for one's own work; and do the required fair share of work.

QUALIFICATIONS

Education
Medical Doctor (MD), Doctor of Medicine of Osteopathy (DO), from a school in the United States approved by a recognized accrediting body in the year of the applicant’s graduation

Experience
Progressive responsible administrative/management work in an ambulatory health facility required that indicates ability to acquire the particular knowledge and skills needed to perform duties of this position. Minimum five (5) years supervisory experience.

Any combination of related education and/or related experience will be considered if the candidate possesses the demonstrated ability.  

License(s)
Incumbent must be licensed to practice medicine in any of the fifty (50) U.S. states, the District of Columbia or Puerto Rico. For direct Tribal hire, employee must have a permanent, full and unrestricted State of Alaska professional Physician license.

Possess current valid State of Alaska driver's license with a record acceptable to KIC’s Insurance carrier.