Physician Primary Care

The Montana Chemical Dependency Center (MCDC) is the only in-patient chemical dependency treatment center administered by the state. The treatment center provides medically monitored detoxification and treatment services to individuals 18 years or older who have been diagnosed with substance use disorders. The treatment center is licensed for 48 beds.

The Physician/Medical Director position provides primary medical care and manages the medical services and the treatment of inter-related addictive disorders of patients. This position serves as member of management and proactively ensures the facility meets all applicable state laws, American Society of Addiction Medicine (ASAM), and regulatory requirements of the State of Montana for the safety and treatment of patients.

Major Duties or Responsibilities:

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  Assesses and provides primary medical care and conducts follow up monitoring of patients with medical complications to ensure effective treatment progression.
  
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  Performs physicals and medical evaluation of patients: within 24 hours when admitted to detoxification; within 72 hours when admitted to the primary treatment unit.
  
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  Conducts daily rounds of all patients admitted for detoxification and facilitates the appropriate medical practices.
  
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  Coordinates with the Director of Nursing and contracted pharmacy provider to maintain a formulary and prescribes medications within the parameters of the formulary.
  
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  Directs the complete and timely documentation of all applicable medical records.
  
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  Provides expert medical consultation and advice to relief physicians, nursing staff and other medical staff.
  
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  Evaluates the overall medical practices of the facility and implements performance improvement measures to ensure effective and fiscally responsible medical service delivery.
  
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  Creates, implements, and revises facility medical policies, procedures and protocols, consistent with established and current medical practices for physical, addictions and co-occurring addictions.
  
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  Serves as a change agent to drive continuous improvement and oversees the quality of medical care in the facility as part of the Quality Assurance/Performance Improvement Committee.
  
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  Participates as a member of the facility Management Team, providing input and perspectives on medical and other issues impacting the facility; participates with review of critical incidents and implementation of recommendations.
  
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  Ensures the facility meets requirements of all applicable State, ASAM or other regulatory bodies.
  
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  Manages expenditures of budget line items specifically related to medication, medical supplies, and clinical consultation services.
  
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  Develops and maintains liaison communication with community physicians, mental health professionals, and drug/alcohol programs.
  
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  Participates in, and provides continuing education and training programs for other staff.
  

Physical and Environmental Demands: Work takes place in a health care setting and incumbent must be able to respond to urgent situations and emergency conditions. This work encompasses all related issues with detoxification, tolerating treatment, treatment resistance and instability to intervene and effectively, safely and appropriately de-escalate and/or redirect the patient.

The position is required to be available to respond to work related issues outside of normal working hours and on-call as necessary.



Qualifications:


Required for the first day of work:

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  Knowledge of general medicine principles and practices including medications used in the treatment of addictions.
  
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  Knowledge of detoxification procedures and precautions related to a wide variety of addictive agents.
  
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  Knowledge of the medical treatment for adults with addictions and co-occurring addictions and psychiatric disorders.
  
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  Critical thinking, attention to detail, interpersonal, and leadership skills.
  
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  Expertise with assessment, diagnosis, prevention, and treatment of addictions.
  
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  Exceptional written and oral communication skills.
  
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  Ability to respond to critical issues and make appropriate medical judgments.
  
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  Ability to participate in management meetings and provide strategic input including the implementation of policies and medical procedures.
  
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  Ability to ma intain confidentiality as required by policies, state, and federal laws.
  
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  Ability to direct medical care in a facility setting and provide instructions and guidance to nursing staff.
  
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  Ability to continually analyze medical services to improve medical treatment service delivery.
  

Knowledge of principles and practices of the ASAM criteria preferred.

Minimum Qualifications (Education and Experience):

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  Doctorate degree in Medicine (MD) and current licensure as a physician in the State of Montana.
  
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  Five years of physician experience including two years in the field of addictions.
  
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  Current Montana license to prescribe medications.
  
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  Equivalent combinations of practicing physician experience may be considered on a case-by-case basis.
  

Preferred: Addictionology certified by ASAM

Eligible Training Assignment:

72.46