Community Health and Wellness Medical Director

The MD/FNP will oversee and provide medical direction for San Felipe Health Wellness Clinical programs.

Department:

Health & Wellness

Pay Grade:

DOE

FLSA:

Exempt

Job Description:

The MD/FNP will oversee and provide medical direction for San Felipe Health Wellness Clinical programs. The position follows the requirements, goals, and objectives of the Pueblo of San Felipe Administration, Indian Health Service P.L. 93-638 contract, and other contract requirements. The Medical Director must exercise strong stewardship in developing and maintaining community relations. The position is located in San Felipe Pueblo The incumbent will provide primary health care services to individuals of all ages as a member of a health team assigned to the various health and wellness programs. The incumbent will work both independently and collaboratively with the Health & Wellness clinical providers and the clinical medical providers of the Indian Health Service. The incumbent will work collaborate with the Community Health and Wellness Nurse and will oversee the direct medical/clinical services being provided by the Tribal Health and Wellness Department. The incumbent will receive administrative and programmatic support and supervision from the Clinical Services Director.

Duites:

Collaboration-San Felipe Behavioral Health Program Director, San Felipe Chief Dentist, San Felipe Community Health Representative, San Felipe Pharmacists, San Felipe Community Health and Wellness Nurses, San Felipe Diabetes Program Coordinator, San Felipe Head Start Director, San Felipe Elementary School Principal, and other programs as needed to complete job obligations.

Duties Include:

  • Reviewing healthcare laws and regulations to implement in daily practices.
  • Develop strategies to improve communication between medical professionals and patients.
  • Responsible for creating/updating health and Wellness (H&W) protocols/procedures/policies to comply with HIPPA and funder requirements.
  • Establish standing orders in which a nurse or other medical professional can perform specific actions for a patient.
  • They will actively participate in H&W Staff Meetings and Multidisciplinary and Taskforce meetings.
  • The Medical Director coordinates relative administration procedures and is the primary point of contact for the examination, diagnosis, and medical prevention/ treatment/education of a full range of patients.
  • The Medical Director performs their duties with professionalism, compassion, and sound judgment to S.F. patients to improve their health status and quality of life.
  • Medical directors must communicate well, establish rapport with patients and their families, and be sensitive to the needs of the San Felipe community and its cultures, traditions, and values.
  • Ensuring that the medical staff and facility comply with federal rules, regulations, and codes
  • Enhancing cooperation between Nurses, Physicians, and relevant medical departments
  • Evaluating the coordination of the medical team to ensure the success of the institution
  • Perform and provide primary medical diagnostic, preventative, education, and treatment services at all Sf programs by applicable policies and standards.
  • Initiate thorough patient interviews/medical histories and coordinate appropriate diagnostic and screening tests/examinations
  • Deliver preliminary diagnosis to patients and direct, prescribe, or provide a complete treatment regimen, including health education, health maintenance, prescription medications, and follow-up services.
  • Maintain, and update physical and electronic medical records under sound medical practice guidelines and organizational needs.
  • Coordinate patient referrals for specialty health care, including coordination with the S.F. Contract Health Services department.
  • Consult with other medical, mid-level, and nursing providers to ensure effective case management and to address complex or challenging patient issues.
  •  Coordinate, supervise, perform, and review routine lab work and therapeutic procedures, including injections, immunizations, debridement, sutures, and care of superficial wounds, among other procedures.
  • Contribute to evaluating clinic programs and quality improvement by participating, developing, and implementing quality improvement initiatives
  • Attend and contribute to all required meetings/consultations, including general and medical staff meetings and all specialized committee meetings.
  • Assist clinical staff in monitoring and determining the need for medications kept onsite.
  • Effectively represent S.F. by leading and participating in all program reviews by regulatory agencies (I.H.S.)
  • Ensure all required medical reports are completed promptly,
  • Monitor and contribute to the development of mid-level providers through protocols,
  • Develop and propose new medical standing orders, policies, guidelines, and treatment protocols.
  • Delivers direct primary medical care to children at the San Felipe Elementary School, Head Start program, and Summer Fitness programs and to patients of all ages at other Health and Wellness clinical sites, developing therapeutic plans of care for prevention, management and maintenance of optimum health for individuals.
  • Assesses, diagnoses, treats, manages, evaluates and monitors acute and chronic illnesses, administers prevention services, prenatal/postnatal services, and family planning and counsels psychologically challenged individuals.
  • Orders, performs, interprets, evaluates, and reviews diagnostic test and procedures.
  • Prescribes and dispenses pharmaceuticals, evaluates outcomes and dictates changes in management levels of therapeutics.
  • Performs minor surgeries and procedures.
  • Provides health education and counseling to those clients seeking family planning services promoting positive health behaviors and self-care skills.
  • Makes referrals to health care providers within and outside of the Indian Health Service system, specialists, other clinics and community agencies.
  • Maintains client records in a systematic format approved by the Health Department with linkage to the Indian Health Service Electronic Health Record (EHR) /RPMS systems.
  • Serves as a consultant and collaborator to and with the HIS health center team, clients and community health professionals.
  • Provides patient orders to Community Health and Wellness Nurse and Community Health Representatives. (CHR)
  • Participates as a preceptor and role model for Nurse Practitioner students.
  • Develop and supervise general operations of one or more satellite Tribal health center locations including the San Felipe School Based Health Clinic.
  • Assists and instructs other health care employees in the management of client care.
  • Develop and implement policies and procedures for Health and Wellness program.
  • Respond to Public health emergencies, testing, and care.
  • May be involved in interviewing and selection of health care employees.
  • May be assigned “on call: responsibility for Health Department clients/clinics.
  • Ensures that client records are kept confidential consistent with the Health Department policies and procedures and HIPAA standards. Monitors HIPAA compliance within the work environment.

*Note* This position description in no way states or implies that these are the only duties performed by this employee. He or she will be required to follow any other instructions or to perform any other duties requested by his or her supervisor.

Qualifications:

  • Education:  MD or FNP
  • Experience/Basic Knowledge: 5 years of Ambulatory care in Tribal or I.H.S setting
  • Required Licenses/Certification: Possession of a current license to practice in the State of New Mexico.  Maintain re-certification every three years. BLS, ACLS, and PALS certification, CLIA training and may maintain HIV counselor certification.
  • Physical Requirements: Must have manual dexterity to enter and retrieve data from a computer. Ability to sit and stand for long periods. Bends and stoops regularly.
  • Preference: Qualified candidate who is local to the community/reservation and veteran-preference.

Working Conditions:

Essential Staff may be required to work after hours, weekends, indoor and outdoor events. Works in office and within the community. Requires long hours of standing, moving and sitting. May be exposed to infectious diseases and occupational dangers.

Additional Info:

Supervision and Guidelines: Guidelines include the personnel policy and department policies and procedures

 Reports to Health and Wellness Director. 

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