Career Opportunity

Medical Director, Laguna Honda Hospital and Rehabilitation Center (1165)

Recruitment: RTF0131994-01103911

Published: June 08, 2023

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About:

Application Opening - Friday, February 10, 2023

**Interested applicants are encouraged to apply immediately as this recruitment may close at any time but no sooner than Monday, February 27, 2023.**

This is a Permanent Exempt (PEX) recruitment conducted in accordance with City Charter Section 10.104 and is exempt from Civil Service.

The San Francisco Department of Public Health is accepting applications for a permanent exempt Medical Director (1165), Laguna Honda Hospital.

The Mission of the San Francisco Department of Public Health (SFDPH) is to protect and promote the health of all San Franciscans.

The San Francisco Health Network is the City’s only complete system of care and has locations throughout the City, including Zuckerberg San Francisco General Hospital and Trauma Center, Laguna Honda Hospital and Rehabilitation Center, and over 15 primary care health centers.

Diversity, Equity, and Inclusion:
The Department of Public Health prioritizes equitable and inclusive access to quality healthcare for its community and values the diversity of its workforce. All employees are required to participate in the Department of Public Health's work to advance equity, inclusion, and diversity through:

• Commitment to providing exceptional care and services to all residents of the City and County of San Francisco service population, with heightened awareness of responsiveness to racially, ethnically, and culturally diverse members of the service population and the DPH workforce.
• Desire and commitment to lead and participate in anti-racism, racial justice, and equity work that improves quality of patient care and employee experiences; along with the commitment and fortitude to drive change in these areas.
• Desire to work with, relate to, serve, and support a diverse service population and workforce.
• Commitment to health equity with a specific lens and focus on race, ethnicity, gender, sex, sexuality, disability, and immigration status.

Role description

This position functions as a top executive for Laguna Honda Hospital and Rehabilitation Center (LHH) and is the top senior level executive responsible for medical care. This position is the accountable leader for medical care standards, coordination, surveillance and plans for improvement. This role will report to the Chief Executive Officer/Nursing Home Administrator (NHA).  This role will lead, guide, and direct the medical staff and operations of the healthcare facility in accordance with local, state, and federal regulations, standards and established facility policies and procedures to provide appropriate care and services to residents.  

They also provide leadership and direction in developing new clinical programs and establishing organizational policies, priorities, and objectives; directs and coordinates the implementation of program changes; serves as technical advisor; maintaining state and federal regulatory compliance; and performs related duties as required.  They make decisions which directly impact the entire facility. This position exercises supervision over LHH related functional areas.   

Specifically, under general direction from the NHA, the Medical Director will:

• Know current standards of practice related to the care of long-term care residents and how to oversee other practitioners.  

• Participate in administrative decisions related to resident care policies, including developing, recommending, and approving these policies.  

• Participate on the Quality Assurance and Performance Improvement Committees to address issues related to medical care coordination in the facility and process improvement initiatives.   

• Participate in organizing and coordinating the services provided by physicians and other medical professionals. This role must also identify performance expectations for physicians as well as facilitating feedback based on performance and practices.   

• Work in partnership with the Director of Nursing on developing policies to enhance clinical capabilities, outcomes and resident-centered care.  

• Promote resident-centered care, including through the formation of advance directives protocols and promoting resident choice in making care decisions. 

• Act as a liaison between administration and attending physicians.   

• Partner with the Director of Nursing in relation to patient care services.   

• Ensure completion of employee’s pre-employment and annual health examination reports.   

• Communicate with residents and families during care conferences as needed.  

• Provide education and skill enhancement for the clinical department.  

• Round to observe care and infection prevention practices, including proactive, with communication to appropriate departments. 

• Champion quality improvement through data analysis and data trending, identifying quality opportunities and contribute to action plans.  

• Provide care in the absence of the primary care physician or in the event of an emergency.  

• Perform other duties as assigned   

How to qualify

Required Minimum Qualifications  

LICENSE AND CERTIFICATION:  

• A valid California Medical License (MD or DO).*   

• Member of the California Association of Long-Term Care Medicine 

• Possession of valid, unrestricted Drug Enforcement Agency registration with the United States Department of Justice. 

• Certified as a Medical Director by the American Board of Post-Acute and Long-Term Care Medicine.**  

• Board Certification in a relevant specialty area (e.g. Certificate of added qualifications in Geriatric Medicine from the American Board of Internal Medicine or the American Board of Family Medicine). 

*Applicants possessing a valid license to practice medicine issued from another state within the United States of America may apply, but if selected, the candidate will NOT be appointed/hired until they obtain a valid license to practice medicine issued by the Medical Board of California or the Osteopathic Medical Board of California.

** If not certified by the American Board of Post-Acute and Long-Term Care Medicine, then must initiate the process of certification within 3 months of hire and demonstrate substantial progress every three months thereafter, until certification is achieved. 

EXPERIENCE:  

Requires at least three years of experience as an administrator of a large general teaching hospital or related organization; three years of complex health care administrative experience or an equivalent combination of training and experience.  

The most successful applicants will have: 

• Masters-level training in an applicable field such as public health, business administration, or equivalent. 

• Three (3) years of post-residency, managerial experience (of which all must include supervisory experience) in planning, organizing, and evaluating medical services in a hospital, clinic, skilled nursing facility, or related health care setting.  

One (1) year of full-time employment is equivalent to 2,000 hours (2,000 hours of qualifying work experience is based on a forty (40) hour work week). Any overtime hours that you work above forty (40) hours per week are not included in the calculation to determine full-time employment. Applicants must meet the minimum qualification requirement by the final filing date unless otherwise noted. 

Applicants must meet the minimum qualification requirements by the final filing date unless otherwise noted. 

Applicants may be required to submit verification of qualifying education and experience at any point during the recruitment and selection process. If education verification is required, information on how to verify education requirements, including verifying foreign education credits or degree equivalency, can be found at Verification of Education 

For more information on verifying applicable experience, please see Verification of Experience 

Note: Falsifying one's education, training, or work experience or attempted deception on the application may result in disqualification for this and future job opportunities with the City and County of San Francisco. 

Conditions of Employment: 

All qualified candidates who have been selected for appointment to positions in billable specialty areas must be an eligible billable provider and where applicable will be required to meet the following criteria: 

• Be eligible to participate in Medicare, Medicaid and/or other federal health care programs; 

• Possess a National Provider Identifier (NPI); 

• Submit a completed credentialing application and/or required documentation for credentialing; AND 

• Possess a valid third-party billable provider certification (such as Medicare, Medi-Cal and/or private insurance) OR have submitted a completed billable provider application, along with the required documentation, in order to obtain the appropriate billable provider status. 

Applicants may be required to submit verification of qualifying education and experience at any point during the recruitment and selection process. If education verification is required, information on how to verify education requirements, including verifying foreign education credits or degree equivalency, can be found at Verification of Education

For more information on verifying applicable experience, please see Verification of Experience

Note: Falsifying one's education, training, or work experience or attempted deception on the application may result in disqualification for this and future job opportunities with the City and County of San Francisco.

What else should I know?

Confidentiality: All personal information will be kept confidential according to EEO guidelines.

Additional Information Regarding Employment with the City and County of San Francisco:

COVID-19 Policies
Personal Protective Equipment (PPE)
Medical Examination Prior to Hiring
Electronic Health Record (EHR)
Licensure/Certification/Registration
Note on ICARE
Other Conditions of Employment and Important Information
Information About the Hiring Process
Conviction History
Employee Benefits Overview
Equal Employment Opportunity
Disaster Service Worker
ADA Accommodations
Veteran's Preference
Right to Work
Copies of Application Documents
Diversity Statement

If you have any questions regarding this recruitment or application process, please contact the exam analyst, Beata Chapman via beata.chapman@sfdph.org or (628) 271-6701.
/01103911

We may use text messaging to communicate with you if you include a mobile number in your application. The first message will ask you to opt in to text messaging.

CONDITION OF EMPLOYMENT:  All City and County of San Francisco employees are required to be fully vaccinated against COVID-19 as a condition of employment. Someone is fully vaccinated when 14 days have passed since they received the final dose of a two-shot vaccine or a dose of a one-shot vaccine. Any new hire must present proof of full vaccination status to be appointed. Any new hire who will be routinely assigned or occasionally enter High-Risk Settings, must provide proof of having received a COVID-19 booster vaccine by March 1, 2022, or once eligible.

The City and County of San Francisco encourages women, minorities and persons with disabilities to apply. Applicants will be considered regardless of their sex, race, age, religion, color, national origin, ancestry, physical disability, mental disability, medical condition (associated with cancer, a history of cancer, or genetic characteristics), HIV/AIDS status, genetic information, marital status, sexual orientation, gender, gender identity, gender expression, military and veteran status, or other protected category under the law.