Medical Director

Texas Health Action Physicians (THAP) , a part of Texas Health Action (THA), is a community-informed non-profit organization dedicated to providing access to culturally affirming, quality health services in a safe and supportive environment, with expertise in serving LGBTQIA+ people and those impacted by HIV. Kind Clinic proudly serves Texas with four vibrant locations: two in Austin, one in San Antonio, and another in Dallas plus virtual care services available to all residents across Texas. Bolstered by Waterloo Counseling Center and a passionate team of over 250 dedicated employees and volunteers, THAP is at the forefront of promoting healthcare equity and accessibility throughout the state. Read more about THA here: http://texashealthaction.org. The Medical Director is a licensed Physician who provides clinical oversight and administrative support for the delivery of high-quality, evidence-based, and patient-centered care at their assigned clinical site(s) and/or program. The Medical Director performs the core functions of a Physician (and Supervising Physician, as applicable) and serves as a clinical role model for other providers. In addition to direct patient care responsibilities, the Medical Director performs key clinical leadership duties while upholding the mission, vision, and values of the organization. Physician Core Functions: Provide direct patient care hours for all services as outlined in the THA Scope of Services. Conduct comprehensive patient examinations: medical history reviews, physical assessments, and diagnostic evaluations. Order and interpret labs, imaging, and other diagnostic tests as applicable. Diagnose and manage acute and chronic conditions, developing and maintaining appropriate treatment plans. Complete documentation in medical records within 24 hours of an encounter, reviews lab results within 72 hours, and responds to refill requests in 3 business days. Collaborate with case managers, nurses, advocates and other health care related staff through direct contact or via electronic means thereby supporting all clinical/operational staff as needed. Coordinate referrals to specialists and ancillary services, ensuring continuity and patient-centered care. Demonstrate fiscal responsibility in clinical decision-making by actively participating in resource and utilization management. This may include but is not limited to making cost-effective choices regarding laboratory testing, medication prescribing, visit frequency, and overall appropriateness of care to ensure high-quality, efficient service delivery. Oversee clinical emergencies in clinic including syncope/loss of consciousness, anaphylaxis, drug interaction, drug overdose, mental health crisis, intoxicated/incoherent/inconsolable patient, threats of violence against self or others, needle sticks, staff medical crisis, and any other indication for ambulance, police or external assistance to manage a situation. Utilize the Texas Prescription Drug Monitoring Program (PDMP) prior to prescribing controlled substances, including refills/renewals. Minimize disruptions to clinical schedules requiring rescheduling/canceling/delaying patient care. Provide coverage for other providers when they are unexpectantly unavailable. Participate in annual performance review for clinic providers as assigned. Complete ongoing annual training and competencies as required. Maintain active, unrestricted state professional licensure and DEA, fulfilling any regulatory requirements as required by the respective governing bodies. Supervising Physician Core Functions: Adheres to and enforces the supervising rules of the Texas Medical Board and the THA/THAP collaborative agreement, at a minimum. Ensures TMB delegation is complete and accurate during onboarding/offboarding of providers under their oversight. Provides availability to assigned APP during clinical working hours to answer questions, provide guidance, co-sign orders, provide consultation, assume care of patient and document said guidance. Conducts weekly audits of supervised APP EHR inboxes (outstanding labs, patient cases, open encounters). Conducts a minimum 3% monthly chart review for each supervised APP (volume may be adjusted based on provider experience) to include adherence to scope of services and authority as delegated in collaborative practice agreement, as applicable. Conducts scheduled 1:1 meetings with supervised APPs monthly at minimum and other clinical support staff, as applicable. Documents feedback provided to supervised APPs on a monthly review form completed in LMS. Provides supervisory feedback and direction related to peer review, investigation, and corrective measures for all providers at their site. Provides oversight of clinical residency programs in coordination with the CMO, DCO, and supervising physicians. Directly participates in Performance Improvement Plan (PIP) creation for APP providers with the CMO, DCO, and/or SDCQ when applicable clinically. Medical Director Core Functions: Patient Care ratio for this role is 80% direct patient care with 20% administrative time. This is subject to change based upon the needs of the clinic and organization. Fulfills core functions for Physicians and Supervising Physicians, as applicable. Responsible for setting expectations related to work performance and coordination of services among the clinical team in partnership with the CMO and the clinic or program administrator. Coordinates with operational leadership to implement clinical efficiency, strategy, and policy development. Meets monthly in a scheduled 1:1 with location administrator to collaborate on ways to drive operational and clinical success within the location. Provides clinical leadership for all clinical staff (MDs/DOs/APPs/RNs/MAs), overseeing the quality of health care delivery, clinical performance, and ensure evidence-based practices. Identifies and mitigates potential risks related to patient care and medical practices. Ensures clinical compliance, supervision and oversight of APP’s, and performance evaluations for assigned clinics/programs. Provides direct clinical supervision and guidance to designated APPs and Physicians ensuring compliance with policies and procedures, clinical guidelines, providing clinical consultation and support, reviewing and approving treatment plans as necessary, and monitoring performance and providing feedback. Participates and helps facilitates quarterly peer reviews in collaboration with Director of CQI. During direct patient care days is actively engaged and accessible on the clinical floor; and provides defined availability and means for clinical consultation when off-site. Responsible for supporting and developing provider retention and recruitment plans in partnership with the clinic or program administrator Participates in the interview process for clinical staff (required for providers, as requested for other positions). Collaborates with Clinical Quality (CQ) and operations leadership to ensure training and competency of all clinical staff during onboarding to include completing a 90-day shadowing evaluation for new hire providers. Oversee clinical quality improvement projects, compliance efforts, and the correct implementation of clinical best practices and workflows. As assigned by the CMO, participates in the review, creation and revising of clinical policies, procedures, protocols or other internal documents. Ensures provider sign-off and understanding of all pertinent clinical SOPs/SDOs etc., annually and as needed. In collaboration with CMO and other organization leaders, provides clinical education to staff and providers. Compensation Based on the position’s duties and requirements, this role has a starting annual salary of $234,000. The initial salary will be determined by the selected candidate’s qualifications and relevant experience. $10,000 one-time sign-on bonus , payable with the first paycheck For out-of-state candidates , the bonus is contingent upon obtaining a Texas medical license and completing DEA registration in Texas Requirements Education & Certification Doctor of Medicine (MD) or Doctor of Osteopathy (DO) degree from an accredited institution. Active board certification in primary care or an applicable specialty. Must be licensed to practice medicine in the State of Texas and maintain active DEA registration. Note: All offers of employment are contingent upon successful credentialing and approval through the THAP Credentialing Board Experience Minimum of five years of clinical experience with demonstrated leadership in a healthcare setting. Experience in HIV care, gender-affirming care, and LGBTQIA+ health strongly preferred. Prior supervisory experience of advanced practice providers required. Experience working with diverse and underserved communities is essential. Prior experience working with LGBTQIA+ and/or other marginalized communities strongly preferred. Additional Requirements Obtains and maintains active certification in BLS for Healthcare Providers. Obtains and maintains professional liability insurance within the minimum limits required by the organization. Additional Requirements – Obtains and maintains active certification in BLS for Healthcare Providers. Obtains and maintains professional liability insurance within the minimum limits required by the organization. Knowledge Skills and Abilities Must have basic PC skills that include a combination of working in a Windows Operating System and Microsoft Outlook, Word, and Excel. Understands the importance of maintaining confidentiality; able to maintain confidentiality under HIPAA standards. Must have the ability to exercise a high degree of diplomacy and tact; excellent customer services and interpersonal communication skills; Cultural sensitivity and demonstrated ability to work with diverse people groups. Well-developed verbal and written communication skills in English; Additional language abilities desirable. Ability to work well under pressure with minimal supervision. Ability to effectively interact with persons of widely diverse roles, backgrounds, cultures, and socio-economic classes, those in crises or resistant or negative toward organizations. Ability to apply time management practices to prioritize, schedule and complete work effectively to comply with mandated policies and deadlines. Ability to work on multiple tasks or parts of tasks simultaneously to ensure timely completion of work activities. Must be able to work productively with other departments and employees. Ability to work with professionals from various partners and organizations. Usually works forty (40) hours per week, some weekends may be required. Ability to successfully manage conflict, negotiating “win-win” solutions. Must be able to multi-task, prioritize with strong time management skills. Exceptional follow-through on tasks and assignments Must possess leadership qualities and be able to supervise and secure the cooperation of staff Physical Requirements/Environmental Conditions Perform the following with or without reasonable accommodations: Ability to stoop, kneel, crouch, crawl, reach, stand, walk, push, pull, lift, grasp, and be able to perceive the attributes of objects such as size, shape, temperature, and/or texture by touching with skin, particularly that of the fingertips. Ability to express and exchange ideas via spoken word during activities in which they must convey detail or important spoken instructions to others accurately, sometimes quickly and loudly. Hearing to perceive the nature of sound with no less than 40 db loss @ Hz, 1000 Hz, and 2000 Hz with or without correction; ability to perceive detailed information orally and make fine discriminations in sound. Perform repetitive motions with wrists, hands, and fingers. Individual must be able to exert up to 100 pounds of force occasionally and to be able to lift, carry, push, pull, or otherwise move objects. Work requires a minimum standard of visual acuity with or without correction that will enable people in the role to complete administrative and clerical tasks, as well as inspect and analyze. Must be able to work and concentrate amidst distractions such as noise, conversation, and foot traffic; ability to handle interruptions often and be able to move from one task to another. While worker may possibly be subjected to temperature changes, the worker is generally not substantially exposed to adverse environmental conditions as the work is predominantly inside. Health Care Plan (Medical, Dental & Vision) Retirement Plan (403b) Life Insurance (Basic, Voluntary & AD&D) Paid Time Off (Vacation, Sick & Holidays) Short-Term & Long-Term Disability Training & Development Parental Leave Longevity Pay Applicant Information Submitting official transcripts, diplomas, certifications and licenses may be required prior to final offer. Unofficial transcripts and copies of other relevant documents may be attached to the application for consideration in advance. Information regarding employment history as it relates to the qualifications of the position may be needed for employment verification. The applicant selected for employment is subject to a pre-employment background check. A history of conviction may not automatically disqualify an applicant. Applicants with a history of conviction may be considered on a case-by-case basis, after individualized assessment of factors including the nature of the conviction, the job duties and responsibilities, the length of time since the conviction, and evidence of mitigation or rehabilitation. If required for the position, a physical, motor vehicle record evaluation, and additional background checks may be conducted. EEO Statement: Texas Health Action Physicians is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.