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Howard Brown Health: Medical Director, Broadway Youth Center

Howard Brown Health

This is a Full-time position in Chicago, IL posted February 9, 2021.

Description POSITION SUMMARY:The Broadway Youth Center (BYC) of Howard Brown Health is a haven for LGBTQ youth and young people experiencing homelessness or housing instability, serving more than 1,500 teens and young adults annually with refuge and community as well as integrated medical, social and mental health care services.

BYC is seeking a Medical Director to assume leadership of the medical services provided at the site to young people ages 12-24.

In this position, the Medical Director will provide comprehensive primary, sexual and reproductive health care to patients; provide clinical administrative leadership; and serve as part of the BYC’s management team.

The Medical Director is responsible for the quality of care provided to participants at the BYC and for the clinical productivity of the medical provider clinical site staff.

The Medical Director will promote the current policy and procedures for Howard Brown Health Center and uphold the frameworks of the BYC.

The Medical Director is expected to work onsite at the BYC when the site is open.

The Medical Director is a partner to the site practice manager and works in collaboration with operational initiatives.

This role requires a dynamic integration of clinical best practices and deep collaboration with other youth service providers and community based interventions to achieve the goal of improving LGBTQ/street-based youth access to affirming and culturally competenthealth services.

We are seeking a Medical Director who has completed an MD/DO degree and is Board-certified in family medicine or internal medicine/pediatrics with expertise in caring for adolescents and young adults.

PRINCIPAL DUTIES AND RESPONSIBILITIES: As clinical administrative leader: Demonstrates a profound passion, understanding, and knowledge related to working with LGBTQ, street based, and systems-involved youth.

Provides leadership in developing and implementing comprehensive and respectful medical services for adolescents and young adults.

Demonstrates the ability to speak to and affect a wide variety of audiences related to the health and wellness of the target populations; demonstrates the ability to connect with and provide a variety of comprehensive medical and social services and interventions to the target populations.

Integrates BYC’s guiding frameworks of anti-oppression, harm reduction, sex/body positivity, trauma-informed care, anti-adultism, and restorative/transformative justice into the daily practice in the role as a leader, co-worker, and service provider.

Orchestratesthe provision of high qualitycomprehensive primary care services to LGBTQ, street based, and systems-involved young people in a community based setting in alignment with BYC’s guiding frameworks.

Serves as an active member of the multi-disciplinary BYC management team and collaborates with BYC program managers to meet department objectives.

Develops and assists with implementation of comprehensive youth care plans and transformative justice initiatives in integrated team meetings with behavioral health, education, housing, and social service providers.

Assesses and improves staff proficiency for responding to youth primary care needs through the development and coordination of ongoingtraining and professional development opportunities.

Participates in setting strategy on services that are needed for LGBTQ, street-based, system-involved patients and discusses with management any factors that impact access to care.

Participates in media relations for the site in partnership with the agency’s development and communication team.

Provides clinical and administrative managerial support to BYC medical providers (may include advanced practice nurses, physician assistants, and/or physicians), including: Recruiting, interviewing, and hiring medical providers for the site with an emphasis on diversity and inclusion.

Providing supportive and clinical supervision to medical providers at the BYC site, including: Meeting regularly with medical providers to review care standards and performance.

Participating in efforts for provider retention, engagement, and improved satisfaction.

Communicating policy and procedure expectations to medical providers.

Teaching and developing educational CME programming as needed.

Optimizing productivity of medical providers serving street-based youth.

Publishing monthly schedules for medical providers at BYC site, and consulting with practice manager to develop time-off arrangements that ensure provision of clinical services.

Acting as a conduit for patient and staff feedback to medical providers as a part of constructive professional development.

Acting as a conduit for feedback from medical providers to practice operations leadership regarding operational requests, patterns or challenges.

Serving as liaison for medical providers to BYC and agency leadership.

Supports the integration and successful cooperation of medical care into both social and mental health care services for youth at the BYC.

As part of this effort, participates in weekly BYC multidisciplinary behavioral health case consult meetings.

Provides clinical supervision to the community health nurses at the BYC at least once a month.

Provides direct care for patients at the site according to percentage of allocated effort: 1.0 FTE will include 4 hours per week for clinical leadership, 28 hours per week of face to face clinical time, and 8 hours per week of clinical admin time.

Evening and weekend hours are required.

Rotates within the agency’s telephonic after-hours medical call schedule.

Measures and monitors quality of patient care services in primary care services at the BYC, primarily the care offered by medical providers.

Meets with practice manager and BYC Director at least once monthly to discuss operations and attends clinical team site meetings.

Collaborates with the Integrated Health Care team in program planning, monitoring and evaluation of primary health care services including implementation of Patient Centered Medical Home and Meaningful Use at the clinical site and clinical quality initiatives.

Attends and participate in the agency’s medical leadership weekly meetings, clinical quality meetings, and other leadership meetings as required.

As Clinician: Demonstrates commitment to providing comprehensive primary and sexual and reproductive health care to young people that is trauma-informed, harm reducing, reflective of restorative and transformative justice and body positivity.

Understands the complex needs of youth experiencing homelessness.

Facilitates entry of the patient into the health care system (either at the BYC, in homes or community shelters, or hospitals where the Medical Director has admitting privileges) by assessing primary health care needs, including eliciting comprehensive health histories, performing physical examinations, ordering and/or performing pertinent diagnostic tests, analyzing collected data to determine client health status, and formulating a problem list (diagnosis).

Provides coordinated, continuous and culturally competent primary health care to clients that span the health continuum through mutual goal setting and planning delivery of care.

Prescribes a variety of treatment modalities to meet health and illness needs.

Demonstrates competence in the provision of long acting reversible contraception including the placement and removal of IUDs and implantable rods.

Provides care to people living with HIV; is AAHIVS certified or willing to become certified within 1 year of employment.

Provides care to people seeking gender affirmation, including provision of hormone therapy, information and support for accessing procedures, documentation needed for legal gender-related needs.

Provides medication-assisted treatment for people with opioid use disorder; has completed training and received DATA 2000 Waiver or is willing to do so within 1 year of employment.

Meets provider productivity standard including but not limited to number of visits per week.

Collaborates with advanced practice nurses, physician assistants, and community health nurses to assure that health teaching and counseling is provided.

Follows role assignments that are in alignment with the Patient Centered Medical Home Standards, and participates in all Patient Centered Medical Home efforts.

Manages and evaluates the plan of care, process and outcome and then modifies the plan as needed.

Adheres to collaborative practice principles of respect and joint decision making when: Providing clinical supervision of the medical care delivered by advanced practice nurses and physician assistants.

Consulting with health team members about managing the client treatment plan.

Following clinical practice standards (protocols) related to each health care providers role and responsibilities.

Assures access and continuity of care by rotating through the agency’s call schedule for after-hours coverage.

Assures continuity by obtaining hospital privileges at designated hospitals and by making home visits when appropriate.

Collaborates with other multidisciplinary professionals and community agencies to provide high quality care.

Seeks opportunities for community and professional outreach to maintain and increase patient referral base.

Outreach activities can include, but are not limited to: Providing training and presentations on health care issues to multi-disciplinary professionals and community agencies.

Attending community health fairs.

Disseminating information about health center and services provided to other agencies or health care professionals.

Coordinates services in conjunction with other team members to meet patients’ primary health care needs and to ensure continuity of care.

Participates in quality improvement activities through protocol development and collaborative peer review by: Developing medical and joint practice protocols and identifying appropriate evaluative criteria for utilization review activities.

Evaluating care based on clinical standards through the quality improvement process.

Implementing recommended changes and/or improvements to guarantee quality care based on the evaluative process.

Assumes the responsibility for professional development and contributes to the professional growth of others by: Developing in-depth knowledge of daily program operations, policies and procedures.

Acting as a preceptor in the orientation of new health care personnel, interns, residents, fellows, and volunteers.

Serving as a consultant in specialized populations to other health care providers and community agencies.

Incorporating and disseminating research findings as a basis for practice and to improve health care outcomes.

Identifying clinical questions to be researched.

Assumes the responsibility for maintaining competence in clinical practice by: Engaging in mentor relationships with experienced advanced practice nurses, physician assistants, and physicians to gain clinical expertise.

Developing and maintaining a patient panel as clinical competence is achieved to enhance continuity of care and meet organization productivity standards.

Participating in appropriate educational activities in order to maintain board certification and continue professional growth.

Meets cost effective productivity requirements by practicing collaboratively with advanced practice nurses, physician assistants, and community health nurses to prevent the duplication of services.

Practices within the legal and ethical guidelines established by the Medical Practice Act, the Physicians Code of Ethics and the Specialty Standards of Practice.

Documents comprehensive, accurate and continual data on clients’ records and program reports according to Organization standards.

Prepares the appropriate program reports to fulfill finding requirements as assigned.

Adheres to professional standards as outlined by governmental bodies, American Medical Association (AMA), American College of Obstetrics and Gynecology (ACOG), American College of Physicians, American Academy of Pediatrics, and American Academy of Family Physicians, private funding sources, Organization plans/policies and Unit guidelines.

Participates in periodic evaluative reviews and/or in-house and external staff training to ensure understanding and adherence to such standards.

Initiates requests for assistance or guidance from Manager to address new issues or complex concepts affecting adherence to professional standards.

Performs other duties as necessary.

SUPERVISORY RESPONSIBILITIES: The Medical Director supervises medical providers and other staff as assigned for their clinical location.

COMPETENCIES: To perform the job successfully, an individual should demonstrate the following competencies: Analytical Synthesizes complex or diverse information; Collects and researchesdata; Uses intuition and experience to complement data; Designs work flows and procedures.

Technical Skills Assesses own strengths and weaknesses; Pursues training and development opportunities; Strives to continuouslybuild knowledge and skills; Shares expertise with others.

Interpersonal Skills Focuses on solving conflict, not blaming; Maintains confidentiality; Listens to others without interrupting; Keeps emotions under control; Remains open to others’ideas and tries new things.

Quality Management Looks for ways to improve and promote quality; Demonstrates accuracy and thoroughness.

Professionalism Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments.

Quality Demonstrates accuracy and thoroughness; Looks for ways to improve and promote quality; Applies feedback to improve performance; Monitors own work to ensure quality.

Qualifications CERTIFICATES, LICENSES AND REGISTRATIONS: Active Illinois physician license, current DEA registration, Board certification in a specialty area, documentation of a medical degree from an accredited school of medicine, documentation of residency completion in a specialty area from an accredited residency program, and Physician National Data Bank verification of legal claims history.

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 frequently required to stand; walk; sit.

The employee must use hands to finger, handle, or feel.

The employee must reach with hands and arms and talk or hear.

The employee must occasionally lift and/or move up to 25 pounds.

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