Texas Health Action

• 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. • 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.

Role Description 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. - 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 unexpectedly 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. - 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. - 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. - Participates and helps facilitate quarterly peer reviews in collaboration with Director of CQI. - During direct patient care days is actively engaged and accessible on the clinical floor. - 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. - Collaborates with Clinical Quality (CQ) and operations leadership to ensure training and competency of all clinical staff during onboarding. - 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. Qualifications - 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. Requirements - 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. - Obtains and maintains active certification in BLS for Healthcare Providers. - Obtains and maintains professional liability insurance within the minimum limits required by the organization. Benefits - 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. - 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. - EEO Statement: Texas Health Action Physicians is proud to be an Equal Employment Opportunity and Affirmative Action employer.

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, THA is at the forefront of promoting healthcare equity and accessibility throughout the state. Read more about THA here: http://texashealthaction.org. The Patient Advocate Supervisor is responsible for the supervision of the patient advocate team, including providing on-the-job training and technical support, and identifying areas for process improvement to support the advocacy team across multiple clinic locations. The Supervisor will coordinate workload and day-to-day delivery of care coordination and referral services. Under the direction of the Advocacy Program Manager, the Supervisor maintains oversight of program operations to ensure clients receive services that are strength-based and culturally sensitive and adhere to program rules and regulations. Core Functions: - Provides regular staff supervision to ensure the timely flow of supportive services and program activities to meet program goals and objectives. - Maintains responsibility for enhancing employee performance through establishing and communicating clear expectations and evaluating performance in a fair and professional manner. Makes recommendations to address employee performance issues when indicated. - Monitors team capacity, and optimally and equitably distributes workloads among advocacy staff. - Under direction of the Advocacy Program Manager, initiates a variety of supervisory tasks including creating and revising employee scheduling, reviewing timesheets and managing PTO approvals, and assisting in the review of hiring and related personnel actions. - Maintains communication with advocacy teams across locations, providing direct assistance as needed. - Ensure that patient advocates continuously monitor and evaluate patient service needs; follow through on daily tasks, assignments, care plans, documentation, and referrals. - Allocates time to provide direct assistance to staff across locations on outstanding patient cases. - Monitors communication from patients, pharmacies, and outside organizations, and assists with sorting incoming voicemails and routing faxes to the appropriate department. - Advises patient advocates on best practices and appropriate use of technology and maintain documentation and related administrative record keeping in reporting systems, as required by contracts. - Develop and revise process plans, as needed. - Use motivational interviewing to offer support and mentoring to Patient Advocates in both clinic and administrative settings to engage and retain patients in services. - Addresses client concerns and complaints and escalates situations as appropriate. - Works collaboratively with Clinic, Outreach, and Care Navigation staff to meet program goals and performance targets. - Supports oversight and process improvement of Patient Advocate workflows related to revenue cycle management (RCM), including review of patient insurance, income, and eligibility to determine coverage, payment options, and need for financial counseling based on defined criteria. - Ensures adherence to standardized workflows for financial counseling, insurance navigation, and assistance program eligibility, including use of system tools (e.g., alerts, worklists, and scheduling protocols); - Audits staff documentation to ensure accurate recording of eligibility determinations, billing plans, and financial counseling outcomes in the electronic health record. - Coordinates with patient support, front desk, and clinical teams to support financial workflows and patient flow, including appropriate visit sequencing and timing. - Supports quality improvement by reviewing worklist use, patient routing accuracy, and counseling outcomes to ensure efficient use of advocate resources. - With support from the Advocacy Program Manager, collects and analyzes programmatic data and makes recommendations for quality and programmatic improvements and policies and procedures. - Prepares and submits reports with quantitative and qualitative data including, but not limited to, outcomes and successes with patient engagement, effectiveness of new and established patient follow-up procedures, medication and adherence follow-up, and appointment reminders. - Assist with the administration of grants and financial assistance programs. - Trains and supports staff on financial assistance workflows, insurance benefits basics, and use of system tools (e.g., alerts, forms, and worklists) to promote consistency across locations. - Assists the Advocacy Program Manager with presentations, orientations, in-service programs, and trainings for program staff. - Interprets program guidelines, and other policies and procedures for operations. - Actively participates in patient- and program-related meetings and trainings. - Attends program-related community, coalition, and committee meetings as assigned. - Adheres to the clinic’s policies and procedures as it relates to the use and protection of confidential information. - Adheres to professional ethics in the care of others. - Seeks out additional tasks and opportunities from Advocacy Manager and/or Programs Director, when time permits. - Performs additional related duties and fulfills responsibilities, as required. Compensation Based on the position’s duties and requirements, this role has a starting hourly rate of $24.84. The initial hourly rate will be determined by the selected candidate’s qualifications and relevant experience.