Posted on: June 25, 2022
Job Title: MEDICAL DIRECTOR
Status: Full-time Regular Exempt Position
Days Off: Saturday, Sunday
Pay Range: $269,550.00 - $304,971.12 annually
Shift: Office Day
Insurance Benefits: Medical, Dental, Vision, Life, Long-term
Other Benefits: Employee Assistance Program (EAP), Flexible
Spending Account (FSA), ORCA card subsidy, Paid Time Off (34 days
per year), Retirement Plan
DESC is a social services organization, supportive housing
operator, and licensed behavioral health treatment provider focused
on meeting the needs of people experiencing long-term homelessness
and living with complex behavioral health and other medical
The Medical Director is a member of the senior leadership team of
DESC, oversees the psychiatric and other medical services provided
by DESC medical personnel, and coordinates with partner
organizations to bring additional healthcare services to DESC
clients. The Medical Director is a physician, board certified in
either psychiatry, internal medicine, or family medicine, who
provides some direct clinical care to DESC clients. Management
responsibilities include oversight of a team comprised of more than
40 personnel (as of June 2022) including nurses, nurse
practitioners, doctors, and others. This position directly
supervises the Director of Nursing, Crisis Solutions Center Medical
Director, and other physicians, and indirectly supervises all other
DESC medical personnel. This position has administrative duties
associated with planning, hiring, and quality
assurance/improvement, represents the organization externally,
participates in leadership and management of the organization
overall, and organizes and collaborates with other health system
The range of DESC-operated behavioral health services includes:
Outpatient mental health services for 1,200+ people with serious
and persistent mental illness
One high-fidelity Program for Assertive Community Treatment
Outpatient substance use disorder treatment
Street outreach and engagement services for people with untreated
serious psychiatric conditions
Low-barrier buprenorphine induction and maintenance
20-bed short-term shelter program for people discharged from
Multi-program Crisis Solutions Center providing mobile crisis
teams, licensed 16-bed residential treatment facility to divert
people in crisis from jails and hospitals, and step-down 30-bed
Additionally, many DESC behavioral health program clients live in
DESC-operated permanent supportive housing or emergency
shelter/emergency housing programs. DESC doctors, nurses, and
mental health case managers visit clients in these facilities, and
some DESC mental health case managers are fully sited in those
Clients living in DESC-operated permanent supportive housing or
emergency shelter/emergency housing programs, whether or not
enrolled in DESC's behavioral health services, express a wide range
of health conditions and needs. Physicians and nurses from partner
organizations such as Harborview Medical Center and Neighborcare
Health are also sited in various DESC locations. DESC medical staff
collaborate with these partner clinicians to serve shared
DESC also partners with Harborview Medical Center to jointly
operate the Clinic at Hobson Place, and integrated physical and
behavioral health clinic located in a DESC property but open to the
MAJOR DUTIES AND RESPONSIBILITIES:
Administration, Planning, and Supervision
In coordination with the Executive Director, Clinical Programs
Director, and other senior directors, assume responsibility for the
planning, implementation, operation and evaluation of behavioral
health medical services at DESC.
Develop a vision for the future of medical services at DESC and
contribute to planning efforts to ensure the availability of robust
medical services that meet the needs of DESC clients.
Collaborate closely with Clinical Programs Director and other
relevant directors and managers on budgeting, finance, and
Oversee the recruitment, selection, orientation, deployment,
supervision, professional development and evaluation of all medical
Oversee and participate in credentialing reviews of contracted
providers of medical services.
Establish and maintain high quality practice standards for all
Supervise and evaluate assigned staff, encompassing clinical
performance, work efficiency and output, and team
In coordination with other relevant staff, oversee development of
operating procedures and duties for medical staff, and the
development and enforcement of program rules and practices for
client and staff safety.
Ensure that medical services comply with agency, funder, State, and
Assume responsibility for the maintenance of standards of medical
services quality as defined in Washington Administrative Code and
other applicable guidelines and contracts.
Establish and ensure the efficient and equitable scheduling of
clients for initial treatment and follow-up treatment.
Ensure the timely investigation and follow-up of extraordinary
Participate in planning and coordination activities of management
team; provide information to that team about issues in areas of
Participate in planning and implementation of integration of
behavioral health and physical health, including efforts to reduce
health disparities and improve health equity for DESC clients.
Preside over medical staff meetings, including discussion of
complex cases, clinical performance standards, literature reviews,
and general information sharing.
Represent the agency and program on community committees, work
groups and task forces.
Advise the Executive Director and Clinical Programs Director
regarding clinical program planning, matters of regulatory
compliance for medical staff, and other issues relating to
delivery, and integration of, psychiatric and other healthcare
Ensure participation by appropriate medical department staff in the
Quality Assurance/ Quality Improvement Committee.
Ensure participation by appropriate medical department staff in
developing proposals for on-going and new funding.
Develop and maintain collaborative relationships with internal and
external parties, including partner agencies, funders and relevant
Maintain sensitivity to needs/goals/objectives of communities in
which programs are located, balanced with the needs and interests
of DESC clients.
Participate in a range of advocacy activity.
Other duties as assigned
Practice as a licensed physician by diagnosing, analyzing, and
treating complex conditions.
Review clients' DESC charts, obtain medical histories from relevant
DESC staff and other providers and record medical histories and
diagnoses in DESC chart.
Conduct annual diagnostic reviews in concert with clinicians from
other disciplines to ensure accurate diagnosis.
Collaborate with clinical and program managers for clinical
services and supervision of all patient care disciplines.
Continually work with staff at all levels to assure high quality
clinical care to clients.
Treat clients' disorders through prescribing medication and/or
recommending rehabilitation services provided by other clinical
Coordinate client care with an interdisciplinary team of social
workers/case managers, substance use disorder professionals,
nurses, mental health staff, and others.
Evaluate clients in crisis and advise course of treatment.
Recommend and coordinate crisis prevention with primary
Respond to emergency situations as needed.
Conduct initial and follow-up visits in accordance with reasonable
standards of care.
Evaluate client conditions for needed referrals or consultations
with other practitioners. When appropriate, refer clients to other
Serve as a medical liaison to community physicians, hospitals, and
Provide consultation to treatment teams.
Provide education to clinical teams/other agency staff and
individually as opportunity and need presents.
Provide in-service education to physicians and medical service
staff at all levels. Works with quality assurance and others to
verify compliance with administrative rules such as and not limited
to patient and records privacy.
Demonstrate the ability to work effectively under supervision, as
part of a multi-disciplinary team, and independently, when
Take initiative to meet the changing needs of DESC's client
population, including pursuit of additional medical services.
Oversee agency response to public health events such as the
COVID-19 pandemic and other disease outbreaks.
Document all client contacts and pertinent information according to
agency, County, and State requirements within stated timelines.
Provide treatment in compliance with relevant HCA policies and
procedures, WACs, Washington State RCWs, CFR, and MCO
Licensed to practice medicine in the State of Washington.
Board certification in psychiatry, internal medicine, or family
Certification in addiction medicine a plus.
Registration with the Drug Enforcement Agency including
A minimum of three years of operational leadership experience.
Ability to relate to a wide range of people, demonstration of
highly developed communication skills, and a desire to serve people
with complex needs who are or have been experiencing homeless and
are living with serious and persistent mental illness, other
behavioral health disabilities, and other complex medical
Solid grounding in harm reduction, trauma-informed care, health
care integration, and equity and social justice principles.
Ability and interest in providing case consultations with a
Ability to remain open and receptive to constructive feedback.
Ability to communicate and work effectively with staff from various
Subscription to the value of cooperation and continuity across
programs and of consideration and respect for clients.
Strong oral and written communication skills.
Effective interpersonal skills.
Ability to analyze complex policies and procedures and apply them
to services delivered in program.
Ability to prioritize and to shift focus rapidly to address the
spectrum of issues which occur in a typical day.
Ability to balance service values with financial limitations.
Ability to communicate and work effectively with staff from variety
of backgrounds, supervise others, exercise independent judgment and
Ability to facilitate meetings and the growth of program staff.
Ability to use personal computer and learn new software as
Strong understanding of budgeting processes and management of
Ability to develop and analyze contracts
Understanding of clinical best practices relevant to DESC client
APPLICATION PROCESS: Applicants should send their resume and cover
letter online describing their qualifications and their interest in
the Medical Director position at DESC using the link below.
Application review will begin on June 18, 2022. DESC offers a
competitive benefits package that includes vacation/holiday/sick
leave, medical/dental/vision, life insurance and long-term
EQUAL OPPORTUNITY EMPLOYER
DESC is committed to diversity in the workplace and promotes equal
employment opportunities for all staff members and applicants. The
Agency will not discriminate against any employee or applicant for
employment on the basis of race, creed, color, sex, sexual
orientation, age, national origin, marital status, or the presence
of any sensory, mental or physical disability in any employment
practice, unless based on a bona fide occupational qualification.
Women and minorities are encouraged to apply.
Keywords: DESC, Seattle , Medical Director, Accounting, Auditing , Seattle, Washington
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