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Cowlitz Indian Tribe

 Medical Director




Title:  Medical Director
Schedule:   Monday through Friday
Location:   Longview, WA
Classification:  Full-time
Opening Date:  April 5th, 2020
Salary Range:  DOQ/DOE
Closing Date:  Open until filled

 Position Summary: This is a full time, exempt position located in Longview, Washington. Medical Director provides medical leadership and oversight of the clinical services in addition to providing direct patient care for the Cowlitz Indian Tribe Health Services, 80% of duties will be providing direct care to patients. CITHS. CITHS operates three clinics in Washington state with primary care services located in Longview.

The Medical Director will coordinate and supervise the overall clinical care program for the practice team and assist the Clinic Manager to ensure clinical compliance with all appropriate external funding, accreditation, and reimbursement guidelines.

The Medical Director will follow clinical programming, schedule provider personnel, implement and maintain the clinical quality improvement program, represent the medical staff and practice team to the Clinic Manager and Director of Health Services, and represent the CITHS program to patients, the community and other external parties as required. The Medical Director will work in conjunction with the Clinic Manager and be responsible to the Director of Health Services.

The Medical Director exemplifies positive attitude, models appropriate behavior, and leads by example within the clinic and community.

Duties and Responsibilities:


  • Serve as Medical Director for purposes of facility accreditation and licensure as required by federal, state and tribal policies and regulations. Performs all duties required for medical staff oversight for the operations of an FQHC.
  • Serve as Compliance Officer for the medical staff. In coordination with the clinic manager develops, implements, and maintains a comprehensive Compliance program as required by CMS policy and statutes. Assists the Clinic Manager to ensure that the clinic complies with all regulatory agencies governing health care delivery and the rules of accrediting bodies.


  • Assists Clinic Manager to develop, maintain and monitor a comprehensive Quality Assurance and Improvement Program for the medical clinic including patient satisfaction and patient grievance procedures concerning clinical care and utilization. The medical director shall enhance clinical quality and effectiveness, with appropriate consideration of cost containment, while enabling innovation and quality of care.
  • Assists Clinic Manager to develop, implement and maintain a patient management system that demonstrates care coordination at all levels of health care, including arrangements for referrals, hospital admissions, discharge planning and patient tracking. The system must ensure a continuum of care.
  • Provides medical perspective and leadership in critical incident reviews and other medical practice aspects of risk management.


  • Assures that quality practices are promoted by advising and assisting the Clinic Manager and Health Services Director in the development of practice guidelines and protocols, clinical practice review processes and staff development activities
  • Works with Clinic Manager to assure that clinical policies and protocols are implemented and followed by all medical staff.
  • Recommends measures to improve methods, performance and quality of medical service and suggests changes in working conditions to increase efficiency. Coordinates with Clinic Manager regarding nursing and medical assistant practice issues in clinical operations and services.


  • Participates in the selection of new medical staff and coordinates their training in conjunction with the Clinic Manager.
  • Provides medical practice oversight for primary care to include involvement in individual provider practice and primary care program operations.
  • Assures coordination of activities and clinical practice for medical care and clinical services
  • Works with Clinic Manager to assure that clinical policies and protocols are implemented and followed by all medical staff.
  • Provides input and guidance regarding after hours call system, scheduling, and duties and responsibilities of medical staff on call.
  • Resolves any medical staff personnel problems and keeps lines of communication open with staff to ensure high employee morale and a professional clinic atmosphere.
  • Evaluates the clinical performance for all members of the medical team: Physicians, Nurse Practitioners, and Physician Assistants.
  • Review clinical practice by developing and participating in medical record audits, peer review, and other practice review activities including:
    • Compliance with clinical protocols and practice guidelines
    • Appropriateness, completeness and timeliness of chart and progress notes
    • Progress in attaining clinical quality performance measures
    • Contribution and responsibility of each member of the medical staff toward providing a collegial, positive working environment in the clinic and within the practice team.
    • Participation in staff meetings and contributions toward improvements in clinical processes and quality patient care.
  • Provide input and leadership on decision making issues affecting mergers and medical staff employment contracts, job descriptions and performance indicators.
  • Facilitating and coordinating medical student resident training opportunities.


  • Maintains good relationships with community medical providers and organizations.
  • Serves as an official medical liaison between the Cowlitz Indian Tribe and other healthcare facilities including but not limited to Olympic Medical Center, Sequim Health and Rehabilitation, Avamere, Assured Hospice and independent living facilities. Specialty providers and other healthcare services.
  • Supports public relations and marketing of clinical programs and services.
  • Maintains professional affiliations and enhances professional development to keep current in the latest health care trends and developments.


  • Provides direct patient care as needed.
  • Identifies, evaluates, and addresses disease prevention and health promotion issues of the population in the practice while administering quality patient care.
  • Assesses and develops a treatment plan with patient.
  • Orders lab and diagnostic tests when appropriate and interprets test results.
  • Works in an independent and interdependent relationship with members of the medical staff, which allows for consultation, collaboration, or referral.
  • Documents all medical evaluations, diagnoses, procedures, treatment, outcomes, education, referrals and consultations in EHR and other established methods.
  • Educates patients and/or families about preventive care, medical issues, and use of prescribed medical treatments and/or medications.

REQUIRED EXPERIENCE/EDUCATION/TRAINING/LICENSING: Any equivalent combination of education and experience which provides the knowledge, skills, and abilities required to perform the job. The Medical Director must be a full-time employee and agree to see patients.

  • Knowledge of the principles and practices of health planning and management sufficient to direct and oversee clinic operations.
  • Knowledge of the purposes, organization and policies of the community's health systems sufficient to interact with other health care providers.
  • Knowledge of the policies and procedures of a clinic sufficient to direct its operations and to provide effective patient care.
  • Knowledge of the principles and practices of employee development and personnel management sufficient to ensure organizational productivity.
  • Knowledge of computer, programs and applications.
  • Knowledge of financial planning and accounting principles.
  • Skill in exercising a high degree of initiative, judgment, discretion and decision-making to achieve clinic's mission.
  • Skill in analyzing situations accurately and taking effective action.
  • Skill in establishing and maintaining effective working relationships with employees, policy-making bodies, third party payers, patients and the public.
  • Skill in organizing work, delegating and achieving goals and objectives.
  • Skill in exercising judgment and discretion in developing, applying, interpreting and coordinating departmental policies and procedures.
  • Ability to assume responsibility and exercise authority over M.D., ARNP, PA-C, Nursing and clinical support staff.
  • Ability of manage change and direct the problem-solving process.
  • Ability to establish and maintain quality control standards.
  • Employee must demonstrate the ability to interact tactfully and positively with co-workers, patients, management, and the public.
  • Ability to define problems, collect data, establish facts, and draw valid conclusion. Ability to interpret a variety of technical instructions.

Education/Training: MD, DO, with MHA, or MBA, or MS in health administration or business administration. Professional development courses in health care management.

Experience: Prefer MD or DO with minimum seven years of clinical experience including three, an advanced degree in healthcare management and five years of experience in the administration of a Tribal Ambulatory Clinic.



To perform this job successfully, an individual must be able to perform the essential duties of this job. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties.


The work environment characteristics described here are representative of those an employee encounters while performing the essential duties of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties.

  • Requires the ability to concentrate and consistently produce accurate work.
  • Requires sitting and standing associated with normal office work.
  • Duties are performed in an office environment but may also require traveling to other facilities using employee's personal transportation.


Requirements: Must submit to and pass a background check and drug screen


Please mail or fax Resume and Cover Letter to:

Cowlitz Indian Tribe
Human Resources Department
P.O. Box 2547
Longview, WA 98632
Fax: (360) 578-1641

The Cowlitz Indian Tribe is a Drug & Alcohol-Free workplace. - Potential candidates must submit and pass drug screening and a criminal background check. The Cowlitz Indian tribe is an Equal Opportunity Employer, except as provided by Title 25 CFR, Section 472 which allows for Indian preference in hiring, the Cowlitz Indian Tribe does not discriminate on the basis of race, color, creed, age, sex, national origin, physical handicap, marital status, politics, or membership or non-membership in an employee organization.

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