Sexual Health Medical Director

Requisition #: A-159362-3

Status: Full Time

Type: Clinical Associate

School: School of Medicine

Department/Program: Infectious Diseases

Salary: $130,000 - $160,000 a year, commensurate with experience

Location City: Baltimore

Location State: MD

Location Zip Code: 21218

Closing Date: Open until filled

To apply: apply.interfolio.com/159362

General Description

Medical Director for Baltimore City Health Department Sexual Health and Wellness Clinic (SHWC)

The Medical Director oversees clinical services at Baltimore City Health Department Sexual Health and Wellness Clinics. Clinical Services in the SHWC potentially include, but are not limited to:

-       Screening, prevention, and treatment of sexually transmitted infections (STIs) including mpox,

-       HIV treatment and primary care,

-       PrEP and nPEP

-       Buprenorphine treatment

-       Hepatitis C testing and treatment

-       Duties also include overview of a limited aspect of the BCHD Tuberculosis clinic.

-       This position also oversees the activities of the HIV Directly Observed Therapy (DOT) Program, which provides home-based treatment adherence services to HIV-seropositive patients referred from Baltimore City HIV clinics. 

-       Limited clinical duties in the Baltimore City Health Department Tuberculosis clinic

Clinical duties may change as the clinical services offered through the BCHD SHWC evolve. The Medical Director is responsible for implementing the vision and mission of the BCHD SHWC, as determined by the Baltimore City Health Department and Baltimore City Health Commissioner.

These professional services are provided through a contract with the Johns Hopkins University School of Medicine.  Duties include direct patient care as well as on-site supervision of advanced practice clinicians and nurses to ensure that standards for excellence can be met in sexually transmitted infection, HIV, PrEP, hepatitis C, and buprenorphine treatment services.  The Medical Director works collaboratively with members of the multidisciplinary care team to develop and guide clinical services. Additionally, the Medical Director collaborates with the HIV/STI Prevention team at the BCHD as well as other Baltimore City partners to advance innovative clinical services related to sexual health, HIV prevention and treatment, and Hepatitis C services.  The Medical Director also collaborates with other Health Department programs to ensure maximum efficiency of clinical services. This includes the BCHD Disease Intervention Specialists (DIS) and Linkage to Care Specialists (LTC) teams, which are integrated into the BCHD clinic to provide services for individuals with STIs, HIV, and Hepatitis C. The Medical Director reports directly to the Clinical Chief and works in collaboration with other medical directors and the Assistant Commissioner to ensure services at the Sexual Health and Wellness Clinics are high-quality and integrated across disciplines.

The locations of clinical service include the BCHD SHWC, currently located at 2 brick and mortar locations in Baltimore City.  The position also includes supervision of an NP and clinical operations at the SPARC center.

This is a 100% in person position. There is no telework option with this position.

Managerial Duties and Responsibilities:  

1.      Directly supervises the nurse practitioners and physician assistants who provide sexually transmitted infection, HIV, hepatitis C, and HIV PrEP care, totaling approximately 8 clinicians (5-10 FTE). Support the nurse manager who oversees registered nurses, approximately 4-8 nurses (6-8 FTE). This includes completion of timesheets, approval of leave time, and coordination with the clinic manager on leave requests and scheduling of providers.  Complete formal annual and semi-annual evaluations for NPs and PAs, as well as informal feedback as needed based on individual performance.

2.      Serve as the authorizing provider for registered nurses or other JHH staff operating under clinical standing order protocols.  

3.      Provide clinical services and clinician oversight in the BCHD Tuberculosis clinic up to one half day per week, as needed.

4.      Coordinates with the clinic manager and clinic operations director as it pertains to clinician schedules. The clinic manager has the responsibility of approving all leave requests in accordance with the clinic appointment schedule. The medical director has the responsibility of being aware of requests made by clinical staff, ensuring they are in line with JHH protocols and guidelines, and working with the clinic manager to ensure clinical coverage of the clinics as it pertains to APP leave requests.

5.      Collaborate closely with the clinic administrator and clinic manager(s) on all aspects of clinic operations, including at least weekly meetings to ensure smooth clinic operations. This includes but is not limited to staff hours, clinic workflows, and inventory of medical items.

6.      Oversees management of Ryan White, CDC, Maryland Department of Health, and other grants and for continued funding of sexually transmitted infection, EII, PrEP, and HIV DOT services. This includes grant preparation, budget development and management, required deliverables and meetings, and grant reporting, with support from BCHD grant management and data teams.

7.    Participates in leadership meetings with Assistant Commissioner of Clinical Services, medical directors, and operational meetings with administrative supervisors at the clinic. Participates in development of all-sexual health clinic staff meetings, at the request of the operations director and/or clinic manager.

8.      Supervises the clinical care of the nurse practitioners and physician assistants to ensure care is delivered in accordance with clinical guidelines.

9.      Provides direct care for patients attending the BCHD SWHC. This includes, but is not limited to, patients being seen for sexual health concerns, a panel of HIV primary care patients, as well as hepatitis C treatment, PrEP, mpox testing and treatment, and buprenorphine management as appropriate.

10.   Provides medical consultation on medically complex cases to nurse practitioners and physician assistants as needed.

11.   Provides advice to outside providers in consultation (as required) with the clinical chief.

12.   Trains newly hired nurse practitioners and physician assistants in clinical sexual health, HIV PrEP, HIV primary care, and hepatitis C care and prevention, as well as other clinical duties.

13.   Point of contact for all human resources related issues with NPs or PAs, including disciplinary issues. These may include scenarios with patients, other JHH staff working at the BCHD SHWC, and/or BCHD staff (in which case BCHD HR will be involved as well).

14.   Performs chart reviews and periodic evaluations of clinician-patient encounters to monitor quality of clinical services delivered.

15.   Request and at times compile reports from the EMR on clinical practices and quality control, with support from data analyst. Interpret reports to make modifications and improvements to clinical services.

16.   Participates in the development and revision of clinical practice guidelines and performance improvement plans for the sexual health clinical services.

17.   Participates in multidisciplinary case management meetings focusing on complex HIV patients to ensure that decisions related to support services are medically appropriate. Attending the online Friday noon HIV case conference provided by Johns Hopkins ID division for peer support on complex management issues.

18.   Schedules and/or directly provides in-service trainings for staff in topics related to sexually transmitted infections, HIV PrEP, HIV primary care, and Hepatitis C.

19.   Oversees clinical aspects of HIV DOT activities, including review of DOT referrals, and medical consultation with team and referring providers, as needed.

20.  Coordinate with other programs within the Health Department as needed, including but not limited to the Immunizations Clinic, Dental Clinic, Family Planning and Adolescent and Reproductive Health, Baltimore Disease Control lab, Tuberculosis, and other programs as needed.

21.  Use operational data to guide decisions related to clinical services.  Develop and implement clinical protocols. 

22.  Develop, review, and refine electronic medical record clinical documentation configuration and operability alongside administrative managers and the information technology team. Serve as an EMR ‘champion' and participate in BCHD meetings on EMR functionality and improvement. Disseminate information pertinent to clinical treatment as it pertains to the EMR to clinical staff, and ensure clinical staff are appropriately trained in BCHD EMR.

23.  Coordinate with data managers and epidemiologists to design data analysis for the purpose of clinical and programmatic quality improvement.

24.  Works collaboratively with a multidisciplinary team at the BCHD to develop and implement city-wide efforts related to sexually transmitted infection, HIV and hepatitis C care continuum. Collaborate with the Baltimore City Health Department STD/HIV Prevention teams including linkage to care, DIS, outreach, social innovations, PrEP, and surveillance.

25.  Collaborate with Baltimore City partners to further access to quality sexual health clinical services, including participation in implementation and evaluation of the city's HIV Ending the Epidemic Plan.

26. Participate in city and state health department HIV and STI outbreak investigations.

27.  Periodically prepare abstracts for presentation at appropriate conferences and contributed to manuscripts for publication in peer-reviewed journals, following BCHD protocols for data analysis and publication/presentation.

28.  Provide clinical guidance to administrative staff regarding new or ongoing purchases of needed medications and clinical supplies and equipment in clinic.

29.   Moderate patient complaints with clinical staff or services offered in a mindful and empathetic manner.

30.   Work with learners from various clinical institutions in Baltimore for clinical and research rotations.

31.   Collaborate with academic research teams to assess feasibility and appropriateness of project implementation for patients or staff at the sexual health clinics. Support the clinic manager in implementation of research activities as needed.

32.   Participate in Baltimore City Health Department public health emergency response, as requested by the Health Commissioner. This may include, but is not limited to, oversight, coordination and/or staffing of vaccine clinics.

33.   Provide regular updates on all items above to BCHD leadership, including summary of clinical metrics, grant reporting, clinical activities, and clinical effectiveness.

34.   Other duties as required. 

Clinical Duties and Responsibilities

1.     Examines and evaluates all new and return patients and documents findings. This is to include as needed: medical history, physical examination, written orders for medication and diagnostic tests, and review of results of laboratory results.

2.     Implements protocols for treatment, monitoring adverse effects, and emergency procedures, recognizing that the condition of individual patients may occasionally require a medical decision to alter certain aspects of these protocols.

3.     Completes clinical components of forms requiring the attention of a clinician, i.e. insurance, vocational, rehabilitation, social services, automated information management input documents and abstracts patient records as required.

4.     Provides consultations, makes patient referrals and arranges general hospitalizations with appropriated medical care providers.

5.     Participates in in-service training and supervises clinical training of approved students and physicians in training.

6.     Participates in research activities authorized by JHU and BCHD.

7.     Counsels patients, providing disease information about treatment, prevention, follow-up care, sex partner referral and contraception as appropriate.

8.     Provides emergency services to the Department as needed.

9.     Maintains a current and valid license in accordance with the Maryland Board of Physicians.

This position description provides a summary of the major duties and responsibilities by the individual in this position.  The incumbent may be asked to perform other clinical or administrative tasks not specifically written in this position,  but considered important to the success of the BCHD Sexual Health and Wellness Clinics or to the Johns Hopkins mission of excellence in teaching, research and patient care.  These extra duties may be assigned or deemed necessary by the Chief of Clinical Services, the Assistant Commissioner of the Bureau of Clinical Services, the Commissioner of Health, or the Director of the JHU Division of Infectious Diseases.

Supervises:

Nurse practitioners/physician assistants.

Reports To:

Clinical Chief (JHU) and Assistant Commissioner (BCHD)

Qualifications

-      Education:

Physician: Medical degree and residency training

Licensure, Certification, Registration:

Physician: active licensure in the State of Maryland. Current CPR certification required. Must maintain current licensure and certification during duration of employment. Completion of the JHH credentialing process is required prior to start date.

Experience:

A minimum of 5 years clinical experience in sexual health/HIV/infectious diseases. At least 1-year managerial experience is preferred. 

Knowledge, Skills, and Abilities:

• Knowledge of, or willingness to receive training in STI/HIV/HCV disease, treatment, and resources
• Willingness to become familiar with management of Tuberculosis
• Maintain certification as an HIV Specialist by the American Academy of HIV Medicine.
• Waiver to prescribe buprenorphine, or working towards waiver within 6 months of employment.
• Willingness to train in substance use disorder care and obtain all required licenses within 6 months of employment
• Strong commitment to diversity and inclusion and ability to work with culturally diverse patient, staff and community populations.
• Ability to work in multidisciplinary, multi-organization team settings.
• Strong organizational skills with attention to detail and follow through.
• Experience with grant and budget management.
• Strong analytic skills and ability to analyze and interpret data to present in a scientific setting.
• Fluency in Spanish is preferred.

Application Instructions

Interested individuals should submit a short letter describing their interest and suitability in the role and a plan for what activities will be reduced to allow for divisional support to accomplish tasks as Medical Director. Please also include an up to date CV. 

Salary Range

The referenced salary range represents the minimum and maximum salaries for this position and is based on Johns Hopkins University's good faith belief at the time of posting. Not all candidates will be eligible for the upper end of the salary range. The actual compensation offered to the selected candidate may vary and will ultimately depend on multiple factors, which may include the successful candidate's geographic location, skills, work experience, internal equity, market conditions, education/training and other factors, as reasonably determined by the University.

Total Rewards

Johns Hopkins offers a total rewards package that supports our employees' health, life, career and retirement. More information can be found here: https://hr.jhu.edu/benefits-worklife/.

Equal Opportunity Employer

The Johns Hopkins University is committed to equal opportunity for its faculty, staff, and students. To that end, the university does not discriminate on the basis of sex, gender, marital status, pregnancy, race, color, ethnicity, national origin, age, disability, religion, sexual orientation, gender identity or expression, veteran status or other legally protected characteristic. The university is committed to providing qualified individuals access to all academic and employment programs, benefits and activities on the basis of demonstrated ability, performance and merit without regard to personal factors that are irrelevant to the program involved.

Pre-Employment Information

If you are interested in applying for employment with The Johns Hopkins University and require special assistance or accommodation during any part of the pre-employment process, please contact the HR Business Services Office at [email protected]. For TTY users, call via Maryland Relay or dial 711. For more information about workplace accommodations or accessibility at Johns Hopkins University, please visit accessibility.jhu.edu.

Background Checks

The successful candidate(s) for this position will be subject to a pre-employment background check including education verification.

EEO is the Law:

https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdf

Diversity and Inclusion

The Johns Hopkins University values diversity, equity and inclusion and advances these through our key strategic framework, the JHU Roadmap on Diversity and Inclusion.

Vaccine Requirements

Johns Hopkins University strongly encourages, but no longer requires, at least one dose of the COVID-19 vaccine. The COVID-19 vaccine does not apply to positions located in the State of Florida. We still require all faculty, staff, and students to receive the seasonal flu vaccine. Exceptions to the COVID and flu vaccine requirements may be provided to individuals for religious beliefs or medical reasons. Requests for an exception must be submitted to the JHU vaccination registry. This change does not apply to the School of Medicine (SOM). SOM hires must be fully vaccinated with an FDA COVID-19 vaccination and provide proof of vaccination status. For additional information, applicants for SOM positions should visit https://www.hopkinsmedicine.org/coronavirus/covid-19-vaccine/ and all other JHU applicants should visit https://covidinfo.jhu.edu/health-safety/covid-vaccination-information/.

The following additional provisions may apply, depending upon campus. Your recruiter will advise accordingly. The pre-employment physical for positions in clinical areas, laboratories, working with research subjects, or involving community contact requires documentation of immune status against Rubella (German measles), Rubeola (Measles), Mumps, Varicella (chickenpox), Hepatitis B and documentation of having received the Tdap (Tetanus, diphtheria, pertussis) vaccination. This may include documentation of having two (2) MMR vaccines; two (2) Varicella vaccines; or antibody status to these diseases from laboratory testing. Blood tests for immunities to these diseases are ordinarily included in the pre-employment physical exam except for those employees who provide results of blood tests or immunization documentation from their own health care providers. Any vaccinations required for these diseases will be given at no cost in our Occupational Health office.