Medical Director

SUMMARY OF POSITON: The Medical Director (MD)/Primary Care Provider is responsible for the direct and comprehensive primary, preventive and therapeutic medical care across the patient life span i.e., geriatric, adult, adolescent, pediatric and infant patients and their families of the Mi'kmaq community. The MD will work autonomously as the solo provider in the facility performing most assignments independently and is self-directed with considerable latitude in the performance of duties. The MD resolves most conflicts and uses individual judgment and clinical judgment skills to develop new procedures, practices and approaches to care for patients.

EDUCATON (AND PERTINENT EXPERIENCE): Officially accredited to practice as a Medical Doctor (MD) by AMA with a minimum of five
years’ experience.
LICENSES OR CERTIFICATIONS: Must possess current and valid unrestricted Maine license (or eligible for) from the Maine Board of
Licensure in Medicine. Meet all state requirements and obtain valid Prescriptive Authority and Drug Enforcement Agency (DEA) licensure.
Be BLS certified and possess a valid driver's license, and access to a private vehicle for day-to-day job performance.
SKILLS/KNOWLEDGE/ABILITIES REQUIRED: Demonstrated ability to plan, coordinate, implement, monitor, and evaluate program
activities to ensure efficient, proficient, and impacting program performance. Knowledge in Federal regulations pertaining to Community (Public) Health. Self- directed/motivated. Ability to work both independently, as well as part of a team. Ability to maintain accurate and current client records. Excellent oral and written communication skills, including possessing computer literacy. Possess strong supervisory skills.

FUNCTIONS/TASKS: Conducts a health and developmental history from the patient and/or family member and performs a physical examination
using palpation, percussion, auscultation, observation skills, using appropriate diagnostic instruments.
Orders and/or performs screening and diagnostic tests and procedures (lab studies, x-rays, electrocardiograms, audiograms, pulmonary
function tests, etc.) Interprets test results and analyzes all collected data, discriminates between normal and abnormal findings to identify
all stages of physical, emotional or mental problems, and prioritizes health care needs; i.e. formulates a problem list. Timely
documentation of data, patient assessment and care plan in acceptable form in the electronic medical record.

Makes diagnosis and decisions concerning medical care needs of the patient ,formulates and implements a plan of care which may
involve various treatment modalities, prescribes medications, and consults with other health care providers. Provides surveillance
of medical regimens for stabilized chronically ill persons, recognizing when to refer the patient to a provider for other specialists.
Identifies and manages both minor and serious acute and chronic illnesses (e.g. cough colds, upper respiratory infections, venereal diseases,
hypertension, tuberculosis, heart disease, diabetes etc.) in accordance with established standards of medical care and approved clinical
privileges.
Performs minor surgical and invasive procedures i.e., suture of lacerations not involving nerves or tendons, incisions and drainage of abscesses,
insertion and/or removal of birth control, joint injections, toenail removal, skin biopsy and freezing of warts.
Provides direct physical and psychological care in emergencies and in the presence of illness or disability in order to maintain life, provide comfort,
reduce stress and to enhance the patient's coping ability.
Supports the Medication Assisted Treatment (MAT) clinic to include prescribing, creating treatment plans, and engaging patients in
counseling services.
Provides health care and preventative services to healthy individuals, including guidance in nutrition, illness, prevention, accident prevention,
growth and development.
Prescribes medications as delineated in the approved clinical privileges for a variety of symptoms and illnesses. Monitors the effectiveness of
medications, adjusts medication dosages as appropriate to the patient's response.
Assesses, plans and is involved in meeting the health needs of community and group health needs, taking into consideration socio-economic, epidemiological and cultural influences. Develops and conducts health education classes and/or specialty clinics such as immunization, well-
baby, nutrition, pre-natal care, parenting, women's health, men's health, adolescent health or employee health. Adapts educational
material/methods to meet the audience/patient level of understanding. Teaches and counsels patient and family on disease prevention and
health maintenance techniques. Promotesresponsible behavior and implements plansto further enhance patient/family understanding of
medical problems.
Contributes with other health professionals to develop treatment protocols, standards of practice and policies. Participates in ongoing
quality improvement activities, including audits, chart review, development of review criteria, development of plans for improving performance
and evaluation of effectiveness of actions in improving performance.
Conducts in-service programs for clinic staff and other health care providers i.e. Community Health Representatives, school nurses) in the
community. Consults with other health providers regarding health care issues and complex medical problems. Serves as a preceptorfor
nursing/nurse practitioner studentsscheduled to perform clinical rotations in the clinic or community setting.
Performs supervisory and management duties as well as serve as the technical director for the clinic, subordinate primary health care providers
and support staff, as assigned.
Maintains and improves professional knowledge and skills by participating in seminars,
accredited home study, in-service education, etc.
Maintains current clinical competence in accordance with licensing requirements through self- study, review of professional journals and tapes, etc.
Ensures that all MN and Health Department reporting requirements relative to assigned duties occur on time.
Reviews Privacy Act and signs Statement of Confidentiality. Reviews, and adheres to, HIPPA rules and regulations. Monitors and enforces
compliance of staff with all applicable rules and regulations governing the privacy and confidentiality of patients, Health Department and
IHS data and information.
Reviews MNPersonnel and Fiscal Policies and conducts activitiesin accordance to those established policies.
All other duties as assigned by supervisor.

$69-$115 per hour