PRINCIPLE CHOICE HOME HEALTHCARE 

Alternate Medical Director   

POSITION PURPOSE 

The Alternate Medical Director is a licensed physician (MD/DO) who provides backup clinical leadership and oversight for the home health and hospice agency in the absence of the Medical Director. The role supports compliance with federal (CMS) and Oklahoma state regulations, ensures quality of care, and participates in clinical governance, utilization review, and policy development. This position may serve in an acting capacity when the Medical Director is unavailable and helps maintain continuity of medical oversight and regulatory compliance. 

ORGANIZATION 

This position reports to the Medical Director.  

ESSENTIAL FUNCTIONS  

• Provide physician guidance on patient care plans, including home health and hospice eligibility and appropriateness of services 

• Review clinical records for medical necessity and quality of care 

• Be available for consultation with clinicians (RN, therapy, aides) 

• Participate in case conferences as needed 

• Assume full Medical Director responsibilities during absences (planned or unplanned) 

• Provide timely physician availability for: 

• Orders and plan of care approval 

• Clinical escalation issues 

• Regulatory or survey needs 

• Participate in on-call rotation, if applicable 

• CMS Conditions of Participation (CoPs) for Home Health 

• Oklahoma State Department of Health (OSDH) requirements 

• Support survey readiness and participate in audits 

• Maintain adherence to: 

• HIPAA 

• Medicare/Medicaid regulations 

• Fraud, waste, and abuse prevention 

• Participate in QAPI program activities 

• Review outcomes, incident reports, and quality metrics 

• Provide clinical input to improve patient outcomes and reduce hospitalizations 

• Assist in developing clinical policies and procedures 

• Collaborate with: 

• Administrator 

• Director of Hospice Services  

• Clinical managers and field staff 

• Support staff education and clinical competency development 

• Serve as a liaison between agency and attending physicians 

• Assist in development and review of: 

• Clinical protocols 

• Standing orders 

• Evidence-based practice guidelines 

• Provide medical expertise for new programs or services 

KNOWLEDGE & EXPERIENCE 

• Doctor of Medicine (MD) or Doctor of Osteopathy (DO) 

• Active, unrestricted Oklahoma medical license  

• Board certification (e.g., Family Medicine, Internal Medicine, Geriatrics) 

• Minimum 3–5 years of clinical experience 

• Experience in home health, hospice, geriatrics, or post-acute care, preferred.  

• Current Driver's License, vehicle insurance, and access to a dependable vehicle or public transportation  

• Active car insurance   

• Medical knowledge, patience, compassion, kindness, critical thinking skills, knowledge of infection control practices, stamina, and physical endurance, observational skills, knowledge of occupational hazards and safety rules, communication skills, leadership, empathy  

• Must be a U.S. citizen; work sponsorship is not available.  

MACHINES & EQUIPMENT 

The incumbent must be able to effectively operate the current computer system, telephone system, and other office machines such as a copier. 

PHYSICAL REQUIREMENTS 

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The work requires moderately heavy physical exertion on a regular and recurring basis such as: extensive driving, assisting client in transfer activities (wheelchair, to bed, to tub, to commode) and providing substantial support to individuals in ambulation. While performing the duties of this job, the employee is regularly required to use hands to finger, to handle or feel, and talk or hear. The employee frequently is required to stand; walk; reach with hands and arms; and stoop, kneel, crouch, or crawl. The employee is occasionally required to sit. The employee must occasionally lift and/or move over 100 pounds. Specific vision abilities required by this job include close vision, color vision, peripheral vision, depth perception, and ability to adjust focus.  

WORKING CONDITIONS 

The work environment characteristics described here are representative of those an associate encounters while performing the essential functions of this job.  

• General office, patient home setting, exposure to infectious diseases, automobile. 

Security and privacy training will be provided as part of this role to protect the confidentiality, integrity, and availability of PCS’ associate and customer data. 

The above statements are intended to describe the general nature of work being performed by people assigned to this classification.  They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified.