Position: Medical Director of Addiction Services and Inpatient Consultation, Brockton Behavioral Health Center
Department: General Internal Medicine
Reports to: Executive Director, Brockton Behavioral Health Campus & Executive Medical Director, Population Health Services
Schedule: Full Time

About the job Boston Medical Center (BMC) is more than a hospital. It's a network of support and care that touches the lives of hundreds of thousands of people in need each year. It is the largest and busiest provider of trauma and emergency services in New England. Emphasizing community-based care, BMC is committed to providing consistently excellent and accessible health services to all and is the largest safety-net hospital in New England. The hospital is also the primary teaching affiliate of the nationally ranked Boston University School of Medicine (BUSM) and a founding partner of Boston HealthNet, an integrated health care delivery system that includes many community health centers. Join BMC today and help us achieve our Vision 2030 which is a long-term goal to make Boston the healthiest urban population in the world.

We have an amazing opportunity for a Medical Director to join a new BMC behavioral healthcare continuum located in Brockton, MA that expands the access to care for our valuable populations. BMC Brockton Behavioral Health Center (BBHC) and CSS includes three inpatient psychiatry units totally 80-beds and a 26-bed Clinical Stabilization Service (CSS). BBHC operates as a behavioral health accountable care organization providing cutting edge inpatient treatment and stabilization for individuals experiencing complex mental health and substance use treatment needs.

Position Summary

The Medical Director of Addiction Services and Inpatient Consultation is a key leader at the BMC BBHC, partnering with leaders in psychiatry, nursing and operations to ensure delivery of high quality, efficient care in coordination with external partners. This individual is responsible for supervising advanced practice providers providing addiction and medical care at the CSS and inpatient psychiatry facilities, as well as leading key quality improvement and workforce development initiatives at the CSS in support of the facility's strategic goals. In addition, the individual provides patient care at the CSS.

This role is designed to be 60% time; we anticipate that the individual could spend the remainder of their time in inpatient hospital, primary care, or addiction medicine role(s) at the BMC main campus, depending on available opportunities; there is also flexibility to explore other opportunities (such as research or teaching roles) based on the candidate's interests and the institution's needs.

CSS Responsibilities

• General medical oversight

• Participate in daily huddles at least three days per week with other BBHC leaders, to review census and other data and discuss any time sensitive clinical, quality, compliance or treatment related events
• Provide clinical direction and expertise to a multidisciplinary care team related to addiction treatment and primary care, including at least weekly attendance of the treatment team meeting
• Participate in on-call rotation as back-up for NPs, to address medical events and medication management issues afterhours.
• Participate in the development and implementation of policies and procedures to improve patient care outcomes.

• Supervise CSS NPs

• Regular meetings to review cases
• Facilitate trainings on basics of patient care and advanced medical topics
• Provide regularly scheduled documented supervision to NPs in accordance with BSAS regulations.

• Partner with BMC pharmacy leadership to continue to improve pharmacy services and optimize formulary
  • Attend monthly pharmacy clinical meetings to review general prescribing practices and formulary issues.
• Collaborate with BMC IT to optimize CSS EMR to reflect any new programs or clinical workflows
• Lead collaboration with Addiction Medicine at BMC Main Campus to optimize patient referral workflows and coordination of care
• Lead quality improvement projects in alignment with CSS strategic objectives, e.g.
  • Psychiatry access for CSS patients with mental health conditions
  • Making CSS accessible to patients who require long term IV antibiotics or have other complex medical conditions such as ESRD
• Provide clinical care (4-8 hours/wk) combining addiction medicine care and any as-needed assessment and management of chronic medical conditions or new medical symptoms to patients on the CSS.

Inpatient Psychiatry Consultation Responsibilities

• Supervise Medical NPs who do medical intakes and support patients with chronic conditions or acute medical concerns in the inpatient psychiatry program, via:
  • Regular supervision meetings
  • Available for NP questions on patient care 5 days a week, with participation in on-call rotation for weekend NP questions.
  • Training on advanced medical concepts (eg. HIV management, end stage liver disease, diabetes management)
• Provide Support and training for Addiction Medicine across BBHC
  • Plan and run monthly addiction medicine trainin:g sessions
  • Support and train medical NPs in addiction care
  • Coordinate with addiction medicine leadership at BMC main and the Grayken Center

• Assist Medical Director in protocols for safe management of medical issues at BBHC, e.g.

• Admission criteria
• ED referrals
• Seizure Management
• Administrative Management of NPs

• Managing required training
• Making schedule, covering days off
• Making sure pay and vacation are correct

Job Requirements

• MD degree required
• Fellowship trained and/or Board Certified in Addiction Medicine preferred
• At least 2 years of post-training clinical addiction medicine and general medicine experience
• At least 1 year of experience with clinical leadership, such as experience in leading quality improvement, clinical program development, or educational leadership

Knowledge and Skills

• Exceptional clinical skills in Addiction Medicine, including expertise in withdrawal management and treatment of opioid use disorder, benzodiazepine use disorder, alcohol use disorder and stimulant use disorder
• Strong skills in triage, diagnosis and management of the acute and chronic general medical conditions that co-occur with substance use disorder and mental health conditions
• Skills and enthusiasm in personnel management, and in teaching and supervising Nurse Practitioners and trainees
• Energized and motivated about quality improvement and clinical program development to optimize our ability to meet our patients' needs
• Creative problem-solver with strong organizational skills, who is able to partner with operations leaders to provide clinical leadership of discrete projects
• Ability to work in a matrixed and multidisciplinary environment with other leaders
• Strong orientation around outcomes and performance

Please contact Karin Laping () if you are interested in discussing this role.

Equal Opportunity Employer/Disabled/Veterans