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Staff Physician, Supervising

Salary: $81.25-$93.24 hourly / $14,132-$16,216 monthly / Range: 2

DEFINITION: Under general direction, provides medical supervision for clinic operations; provides direct supervision of physicians and mid-level practitioners; supervises resident physicians from local hospitals in an outpatient setting; directs the medical component of the California Children's Services (CCS) and the Child Health and Disability Prevention (CHDP) programs; and performs other related duties as required.

DISTINGUISHING CHARACTERISTICS: This classification is distinguished from other physician classes by its responsibility for providing medical administration and its focus on supervising Staff Physicians and mid-level practitioners whereas the Staff Physician I/II focuses on providing direct patient care and the Deputy Health Officer/Medical Director is responsible for providing medical policy direction. It is further distinguished by its responsibility for medical oversight of regional clinics and Public Health programs, whereas a Regional Clinic Manager has operational responsibility for a clinic, including the supervision of most non-physician staff, budget, purchasing, facilities, and contract administration.

EXAMPLES OF DUTIES:

1. Supervises and directs the work of physicians and mid-level practitioners; assigns and monitors work performance; selects, evaluates, and trains physicians, physician assistants, and nurse practitioners; participates in the peer review and other quality control processes; ensures adherence of all medical staff to proper medical procedures and protocols; and takes corrective action as necessary.
2. Provides clinical direction and consultation to all levels of medical and professional staff; assists in the development of diagnostic and treatment protocols; coordinates the work of consulting physicians; participates in or conducts in-service training programs.
3. In conjunction with the Regional Clinic Managers, ensures adherence of all medical staff to departmental policies and procedures; participates in systematic reviews of service utilization and quality; provides medical consultation to Utilization Review program by determining the medical necessity of and approving referrals to outside providers; acts as a liaison in developing and maintaining close relationships with community medical staff; develops access to specialty care for County patients.
4. Trains and supervises residents from local hospitals in an outpatient clinic setting; may supervise medical residents who admit, discharge, round, and provide emergency room care for County patients at local hospitals; coordinates residents' clinic schedules with Regional Clinic Managers; depending on assignment, may provide back-up to the Deputy Health Officer.
5. Reviews and countersigns patient charts as required; reviews the work of medical residents; provides medical consultation as needed; responds to patient complaints and staff inquiries; remains current on policies and procedures relative to the practice of medicine at local hospitals.
6. Directs the medical component of the CCS and CHDP programs; ensures compliance with state regulations relating to CCS and CHDP; promotes appropriate utilization by local medical providers; participates in multidisciplinary case conferences; reviews cases for medical eligibility in the Medical Therapy Units; responds to appeals of medical eligibility or service denials; prepares comprehensive reports and other correspondence; ensures CHDP community providers are in compliance with medical standards; recruits CHDP providers.
7. Attends or leads monthly medical staff meetings and other program meetings as requested; ensures that staff adheres to performance and quality indicators as determined by Public Health Department administration.
8. Provides direct patient care on an as-needed basis; provides appropriate consultation to other County physicians and health care practitioners; provides standby weekday and weekend call coverage as scheduled; acts as the admitting physician and provides hospital emergency room consultation and care for County patients when on call; when required, provides hospital-based care for County patients, follows up on laboratory results, consultations, and radiological or pathological studies; arranges for in-patient follow-up; ensures that all pertinent hospital medical records for County patients are provided to County Health Clinics.

EMPLOYMENT STANDARDS: Possession of a valid certificate as a physician or surgeon issued by the State of California and board certification in Internal Medicine or Family Practice, and:

1. Three years of post-Board certification experience as a physician; or,
2. three years of experience performing duties equivalent to a Staff Physician II with Santa Barbara County; or,
3. a combination of training, education, and experience that is equivalent to one of the employment standards listed above and that provides the required knowledge and abilities.

Additional Qualifications: Candidates must be eligible for hospital privileges in the local acute care hospitals and must maintain those privileges in good standing. Must be willing to provide standby call coverage on weekdays, weekends, and holidays as well as being available for consultation after regular business hours. Possession of a valid California Class C Driver's License may be required.

Knowledge of: advanced principles and practices of modern medicine, medical diagnosis, and treatment; community resources in medical treatment; American Medical Association ethics and standards; pharmacology, including laws regarding informed consent, dosage ranges, drug incompatibilities, and side effects; ICD-9 and CPT coding and billing principles; clinical supervisory principles and practices; health care management practices and principles; peer review process; development of medical policies, procedures, and protocols; principles and practices of training; standard English grammar and usage.

Ability to: learn and apply principles of staff supervision and performance evaluation; assess symptoms and make an accurate diagnosis; prescribe treatment appropriate to the patient's condition and situation; communicate effectively in both oral and written formats; establish and maintain effective relationships with staff, patients, the public, other community providers, and other County employees; interact with and effectively treat clients from diverse socio-economic backgrounds.

Desirable Qualifications: Previous experience supervising physicians is highly desirable.



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