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Commonwealth Care Alliance Sr. Medical Director, Addiction Services in Brighton, Massachusetts

The Sr. Medical Director, Addiction Services provides clinical oversight and leadership as well as direct care to CCA’s 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 CCA’s 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 CCA’s 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 CCA’s 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 CCA’s 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.

o Documents all clinical work in a timely manner and provides the necessary documentation required for data collection and billing purposes.

o Participates in all call responsibilities.

o Participates in “Doctor of the Day” for clinical and administrative responsibilities

o Attends clinical team meetings and other mandatory educational sessions.

• Conducts educational and training activities that promote appropriate and effective patient care:

o Participates in the planning, implementation and coordination of psychiatric care to the patient and caregivers.

o Provides educational updates to clinical staff.

o 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

• requested

• 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

• services

• Proven skills, knowledge base and judgment necessary for independent clinical

• decision-making

• Excellent organizational, time-management and problem-solving skills

• Ability to function effectively as part of a multi-disciplinary team

• Self-direction

• 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

ID: 2020-3615

External Company Name: Commonwealth Care Alliance, Inc.

External Company URL: http://www.commonwealthcarealliance.org/

Actual Work Location: Marie's Place, Brighton, MA

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