The Chief Medical Officer (CMO) is an Executive position which provides medical perspective, knowledge, experience and leadership to the CEO and serves as the primary advisor to the CEO regarding medical and clinical services within TCRHCC integrated health system. The CMO provides leadership to and supervises the Division Chiefs and is responsible for the Division Chiefs mentoring, evaluations, oversight, promotions, and when necessary, discipline within the Tuba City Regional Health Care Corporation’s health system.
In the CMO’s capacity as the primary medical services advisor to the CEO, the CMO is responsible for making recommendations regarding the overall strategic direction and oversight of the medical services and programs and of providing direction over the hospital’s medical management which includes, but is not limited to, electronic health records clinical system development and maintenance, and recommendations on the development, operations and implementation of other healthcare system medical objectives. The CMO, along with the CEO, is responsible for advising and assisting the Chief of Staff of the organization for the quality and provision of medical services and in setting and accomplishing the overall mission and goals of TCRHCC.
Besides maintaining and serving in the administrative role to the CEO, the CMO may be an active medical staff member, who may include as part of his/her duties, providing clinical services and patient care for TCRHCC. The exact amount and nature of these clinical services and patient care shall be determined between the CMO and the CEO at the time of the CMO’s employment. The CMO also serves as a leader on the Senior Leadership Council (SLC) and as an active participant in Medical Executive Committee.
The CMO serves as a medical service advisor to the Board of Directors and provides the Board input and assistance to evaluate the hospital’s performance related to TCRHCC’s mission, vision and goals, as set forth in TCRHCC bylaws and as required by Joint Commission standards.
- CMO is the primary medical advisor to the CEO and works closely with the CEO to develop and accomplish the goals and objectives of the integrated clinical and business Strategic Plan.
- Works in cooperation with the Board of Directors and Senior Leadership Council to develop and accomplish the Strategic Plan and to implement the goals, mission and objectives of TCRHCC.
- Provides knowledge and expertise to the CEO, the Board of Directors and others regarding all aspects of the medical and clinical components of the hospital and makes suggestions and provides guidance in order to assure the provision of quality care to TCRHCC patients.
- Works closely with the Chief of Medical Staff to ensure compliance of the full medical staff with regards to the medical staff bylaws, rules and regulations of the State, Federal and regulatory mandates and standards and TCRHCC policies and procedures.
- Works with the Chief of Medical Staff for medical staff processes including, but not limited to physician credentialing, quality management and peer review, development and maintenance of medical departments, participating in medical staff committees, to review and provide input regarding medical staff policies and make recommendations to the Chief of Staff and Senior Leadership Council on relevant hospital-wide policies, oversees the general conduct of care of the medical staff and oversees the reported breaches of standard of care, and participates in professional review actions per the medical staff bylaws.
- Provides insight and leadership in his/her collaboration with the CEO, Chief of Medical Staff and SLC in the development, building and management of a medical staff capable of meeting patient care objectives and linking medical practices to clinical and financial operational strategies.
- Provides functional guidance to the Purchased Referred Care department to ensure efficient and effective coordination of quality management resources and efforts, including patient referrals/notifications.
- Works with hospital management and staff to ensure an effective and efficient peer review process.
- Functions as administrator on-call in the absence of the CEO or as delegated per Administrator On-Call Schedule.
- While working as the CEO’s chief medical advisor, the CMO shall foster and contribute to a close and mutually beneficial relationship between and with the Chief of Medical Staff, the medical staff, hospital management and the Board of Directors.
- Recommends clinical service practice objectives and contributes to the expanded mission of a seamless, integrated healthcare system for TCRHCC patients and develops and implements the strategies to integrate clinical performance and quality information and data collection as needed for quality patient care.
- Works in close cooperation with the CEO and hospital administration to monitor and promote the efficient use of hospital resources, including operational business functions like budget, staffing, equipment and purchased referred care and patient referred care coordination.
- Provides coaching, mentoring, training and leadership to the Chief of Staff, Division Chiefs and medical team to ensure compliance with regulatory requirements and to improve employee and customer satisfaction and to create and maintain a work environment with high morale and productivity.
- Acts as the supervisor for the medical staff and is responsible for oversight, evaluations, supervision, and when necessary, discipline of the medical staff. This employment supervision and oversight may also be in conjunction with the supervision, oversight and review of the medical staff’s immediate supervisor and the Division Chiefs.
- Oversees the management of utilization management and compliance with accepted standards of patient care per Joint Commission.
- Assists the CEO with facilities needs assessments and recommends retention strategies and recruitment strategies for physicians and other medical staff members.
- Represents TCRHCC in the community and at various community functions as may be designated by the CEO. Provides input to the Board of Directors regarding the hospital’s performance related to TCRHCC’s mission, vision and goals, and in meeting the Joint Commission requirements.
- Provides management oversight to medical risk and general liability issues for TCRHCC.
Maintains familiarity with the Commission Corps rules and requirements, writing of COERs, awards and the recommendation for advancement/promotion of Commissioned Officers under his/her supervision.
Works to develop and maintain quality professional relationships with referring and non-referring physicians and suggests, recommends and implements methodologies to improve area service planning and develop strong professional relationships between regional physicians.
Works closely with the CEO and SLC in the development, performance and monitoring of the hospital’s electronic health records systems and works with all EHR users to ensure the successful implementation of the electronic health records systems in accordance with the Federal regulatory guidelines.
- Works closely with the CEO and Chief of Staff to evaluate the medical staff structure and develops plans for continual improvement on the efficiency and effectiveness of the medical staff as a group, as well as providing individuals with professional and personal growth opportunities.
- In conjunction with the CEO, the medical staff and the Division Chiefs, the CMO shall ensure that patient care policies and procedures and patient admission criteria have been effectively established, implemented and monitored. Provides leadership and guidance to the Chief of Staff and the medical staff in developing and implementing ongoing effective and efficient educational, performance improvement programs and trainings that advance the quality of patient care delivery and advance service excellence.
- Acts as a senior level advisor on medical issues, not only to the CEO, but to Senior Leadership, and all levels throughout the organization.
- The CMO shall participate in clinical services and may provide direct patient care as agreed to between the CMO and CEO.
- Perform all other duties as may be assigned by the CEO.
MENTAL AND PHYSICAL EFFORT
The physical and mental demands described here are representative of those that must be met by a professional employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential job functions.
This position requires an individual of high energy that can maintain a long and flexible schedule to meet the leadership requirements of this position. Includes long periods sitting in meetings; intense work on a computer; frequent walking to reach locations in the facility to round on organizational service areas; occasional reaching, bending, light carrying
Uses independent judgment and analytical skills to make decisions that impact the delivery of patient care and customer service within the organization and to carry out all responsibilities related to this position.
Is the CEO’s chief medical advisor and provides leadership in the SLC and within the hospital organization to promote and carry out the mission, goals and objectives of the Corporation to ensure maximum health care services to the service community and the Navajo region.
TCRHCC is located within the Navajo Nation and, in accordance with Navajo Nation law, has implemented a Navajo/Indian Preference in Employment Policy. Pursuant to this Policy, applicants who are enrolled members of the Navajo Nation and who meet the necessary qualifications for this position will be given preference in hiring and employment for this position. Those married to enrolled members of the Navajo Nation shall be provided secondary preference, followed by a preference given to enrolled members of any other tribe who meet the necessary qualifications.
In performance of their respective tasks and duties, all employees at TCRHCC are expected to conform to the following:
- Adhere to all professional and ethical behavior standards of the healthcare industry.
- Interact in an honest, trustworthy and dependable manner with patients, employees and vendors.
- Possess cultural awareness and sensitivity.
All employees must fully uphold all principles of confidentiality and patient care. This position has access to sensitive information and a breach of these principles may be grounds for immediate termination.
A Medical Degree, MD or DO from a program accredited by the American Association of Medical Colleges or the American Osteopathic Association; Board Certified. Must meet requirements for medical licensure.
Requires a minimum of ten (10) years’ experience in clinical practice and ten (10) years’ experience as Medical Director in a progressive healthcare administration management experience in a large complex health care organization or hospital system. Clinical and Medical Director Experience may be concurrent.
Other Skills &Abilities:
A record of satisfactory performance in all prior and current employment as evidenced by positive employment references from previous and current employers. All employment references must address and indicate success in each one of the following areas:
- Proven ability to develop a positive, solid relationship with hospital management, medical staff and other hospital staff.
- Proven sensitivity and understanding of the political issues within the hospital’s service community and within the hospital’s organization.
- Demonstrates high ethical standards and has no history of any proven ethics complaints.
- Has a history of being held in high regard for both ethical standards and performance and practice standards among his peers.
- Proven high level of understanding of the healthcare industry and its regulatory environment.
- Demonstrates a high level of analytical and interpretive ability regarding complex medical issues and has shown an ability to effectively respond to the most sensitive medical inquiries and/or complaints.
- Proven knowledge of applicable laws, regulations, guidelines and professional standards.
- Proven ability as an excellent communicator and a proven ability to work effectively with medical staff, hospital employees and the hospital Board of Directors
- Proven ability as an effective medical and clinical trainer and mentor, and an ability to share information and medical skills with the medical staff.
- Proven record of strong leadership skills and an ability to mentor medical staff and other hospital employees.
- Proven effectiveness as a team player who shares information with the healthcare team and supports the overall mission and goals of the healthcare institution.
- Proven knowledge of the requirements of the Joint Commission regulations, HIPAA/HITECH, AAAHC and Community Health Center regulations and requirements, as well as other applicable healthcare governing bodies.
- Past knowledge/practice regarding Native American healthcare centers and/or PL 93-638 tribally-governed health centers is preferable.
Have a MBA or MHA and at least 15 years’ experience as a CMO in a large complex health care system.
Integrated health system administration/management
Other Skills and Abilities Preferred:
Ability to speak Navajo