Staff Lead Provider

SUMMARY:

In addition to clinical duties provider will function as administrative lead for all providers at the assigned site(s) except for clinical pharmacy and integrative behavioral health. Lead Provider will set the example for the site(s) following policies and procedures through his/her/their work and interaction with staff with care and thought. Provider will conduct reviews of providers considering clinical acumen documentation compliance and teamwork. Provider will perform utilization review of assigned site(s). Lead Provider will provide clinical insight to operational and quality projects and lead site(s) with the execution of said projects.

ESSENTIAL JOB DUTIES AND RESPONSIBILITIES:

1. Supports and implements the organizations vision mission and values.
2. Liaise between providers and management.
3. Aids development of quality projects helps define objectives and measurement of outcomes and implements projects at assigned site(s) working with the Regional Quality Manager local management and clinical leadership.
4. Performs utilization review of referrals and other external services providing feedback to providers to optimize primary care and transitions of care.
5. Provides full clinical support for incident/grievance investigations including recommendations and executing corrective/disciplinary actions.
6. Assists recruitment of providers of assigned site(s).
7. Consults with medical leadership for guidance and other resources for their expertise like Information Systems Human Resources Electronic Health Record team and local management.
8. Assesses bottlenecks and develops/adjusts workflows to respond to business needs.
9. Determines priorities and method of completing daily workload to ensure that all responsibilities are carried out in a timely manner.
10. Performs all job functions in a professional and courteous manner. This includes answering all general phone calls timely and providing excellent customer service to internal and external customers.
11. Fosters and promotes a culture of service excellence and accountability.
12. Makes professionally competent assessments and documents those with all relevant problems.
13. Develops reasonable plans including treatment referrals and use of drugs within scope of practice.
14. Seeks help and guidance as necessary.
15. Performs relevant procedures competently with complete documentation (see provider privileges).
16. Provides and consistently documents relevant education.
17. Responds to patient special needs and appropriate requests.
18. Works appropriate hours to minimize patient wait time as well as help to relieve overload situations/assist other providers.
19. Acts and communicates in a professional manner to reduce friction with patients providers and staff.
20. Attends appropriate meetings as requested.
21. Maintains professional appearance in accordance with organizational policies.
22. Participates in quarterly peer reviews and orientation activities as requested.
23. Participates in committees when requested.
24. Cooperates in call panels as scheduled.
25. Competency of EPIC electronic medical record is required.
26. Supervises advanced practitioners/students adequately.
27. Uses discretion and judgement in handling sensitive or confidential information.
28. Complies with organizational policies and procedures.
29. Performs all other duties as assigned.
30. Be able to rotate and cover other sites when requested.

QUALIFICATIONS:

To perform this job successfully an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge skill and ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

EDUCATION/EXPERIENCE:

1. Fulfills education/experience requirements for secondary clinical role
2. Unrestricted license to practice medicine or ability to be licensed.

PREFERRED:

1. Prior experience with Patient Centered Medical Home model of care delivery.
2. Working knowledge of medical Spanish.

LANGUAGE SKILLS:

Ability to read and interpret documents such as policies and procedures benefits information benefit surveys board minutes routine mail simple contracts and procedure manuals. Ability to compose routine reports and correspondence. Ability to speak effectively with employees visitors and management. Bilingual Medical Spanish preferred.

MATHEMATICAL SKILLS:

Ability to calculate figures and amounts such as milligram per kilogram dosages ratios (for example urine-serum creatinine) discounts interest commissions proportions percentages and the ability to apply concepts of basic algebra and geometry.

REASONING ABILITY:

Ability to apply common sense understanding to carry out instructions furnished in written oral or diagram form. Ability to deal with problems involving several concrete variables in standardized situations. Ability to apply common sense to daily situations that arise. Ability to make decision and execute timely in order to produce a positive outcome.

OTHER SKILLS AND ABILITIES:

1. Demonstrates ability and flexibility to work in other areas of the organization as needed.
2. Adheres to companys policies and procedures.
3. Maintain active DEA CPR and state of CA license.
4. Demonstrates a broad knowledge of and competency in management and supervisory functions.
5. Demonstrates knowledge of current compliance standards for federal state and local regulatory agencies.
6. Maintains and promotes a safe work environment.
7. Demonstrates excellent communication skills both oral and written.
8. Demonstrates proficiency in computer applications such as Microsoft Excel Power Point Word and Outlook.
9. Displays positive outlook on the job and promotes professional behavior always.
10. Ability to organize and prioritize work with minimum supervision.
11. Leadership skills to provide direction to the health center and inspire others.
12. Diplomacy skills to work effectively in politically sensitive situations.
13. Ability to manage time efficiently and follow through on duties to completion.
14. Understands and commits to maintaining highest level of confidentiality.
15. Demonstrated ability to build the trust and respect of patients staff colleagues and other external contacts.
16. Excellent problem-solving skills required including creativity resourcefulness timeliness and technical knowledge related to analyzing and resolving medical problems.
17. Sensitivity to needs of culturally and linguistically diverse patient and employee population.

PHYSICAL DEMANDS:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job the employee is regularly required to use hands to finger handle or feel and reach with hands and arms. The employee frequently is required to stand walk and sit. The employee is occasionally required to climb or balance stoop kneel crouch or sit. The employee must frequently lift and/or move up to 10 pounds and occasionally life and/or move up to 30 pounds. The employee is occasionally required to ascend and descend one flight of stairs. Specific vision abilities required by the job include close vision color vision and ability to adjust focus.

WORK ENVIRONMENT:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The noise level in the work environment is often low. However there are many times when there is a high ambient background noise of phones and multiple conversations. Must be able to screen out the background noise to concentrate on the work at hand.