Clinical Director

The City offers a competitive comprehensive benefits package, including 2 weeks paid vacation, 3 weeks of sick leave, and 11 paid holidays. Health, dental, and vision insurance (employee and family) are effective the first day of employment. The City offers two contributory Defined Benefit pension plans. Hybrid telework arrangements may be available.

At The City of Frederick, we value diversity and the respect, engagement, and productivity an inclusive environment produces. We seek to consistently improve internal and external customer satisfaction, innovate, and expand capability of services, and be a government that practices equality, equity, and fairness. We invite you to bring your skills, abilities, and knowledge to The City of Frederick and be a valued addition to a workforce that we know is our greatest asset.

Frederick is a progressive, richly diverse, and authentically charming city. Recognized as one of the best places to live in Maryland, Frederick is surrounded by mountain views and centrally located about 45 miles north of Washington D.C. and 45 miles west of Baltimore, MD.

JOB SUMMARY:

The Clinical Director serves as both a primary care provider and the clinical leader of the City of Frederick's Federally Qualified Health Center (FQHC). This 50/50 hybrid role dedicates approximately half of the time to direct patient care and half to clinical leadership, oversight, and compliance.

The Clinical Director delivers high-quality primary care to low-income and homeless patients eligible for services through the Department of Housing and Human Services. Care is provided in an outpatient, ambulatory setting and includes preventive screenings, chronic disease management, patient education, diagnosis and treatment, medical documentation, referrals, and care coordination.

In a leadership capacity, the Clinical Director provides clinical supervision (if MD/DO) to nurse practitioners and physician assistants, develops and implements clinical protocols and policies, and ensures compliance with HRSA Health Center Program requirements. They lead quality improvement efforts, consult on complex cases, and help integrate services across the Health Center. This position also supports the day-to-day operation of the clinic and advances the Health Center's mission to deliver trauma-informed, equitable, and community-based care to Frederick's most vulnerable residents.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Clinical Responsibilities (Approx. 50%)

• Provides direct patient care including primary care, health assessments, intake and medical history, medical screening, preventive services, first aid, and health education, with a focus on low-income and homeless populations.
• Delivers care in an outpatient, ambulatory setting and through outreach-based services for individuals who are unable or unwilling to access care at the Health Center.
• Implements health care screening programs targeting chronic conditions, infectious disease, and common issues associated with homelessness and poverty.
• Provides referrals to appropriate medical, behavioral health, and addiction treatment services.
• Develops and delivers targeted health education sessions in clinical and community settings.
• Maintains comprehensive and timely documentation in electronic health records (EHR) and paper files, in compliance with all clinical and regulatory standards.
• Provides medical on-call services on a rotating basis.
• Supports and guides the clinical experience of nursing and medical students on site at the Health Center.
• Conducts home visits, street outreach, and shelter-based care as needed to engage vulnerable individuals in services.
• Facilitates communication and coordination with external outreach sites, shelters, and partnering agencies.
• Responds to environmental or clinical safety incidents and assists in maintaining the cleanliness and clinical readiness of the Health Center.

Leadership, Oversight & Administrative Responsibilities (Approx. 50%)

• Provides clinical supervision and support to mid-level practitioners (NPs/PAs), ensuring compliance with standards of care, licensure, and scope of practice.
• Develops, implements, and periodically reviews medical protocols, policies, and procedures in alignment with HRSA Health Center Program requirements.
• Leads quality improvement initiatives, peer review activities, and efforts to improve patient outcomes and clinical efficiency.
• Serves as a medical consultant to other providers and oversees coordination of care for complex patients.
• Collaborates with the Assistant Director of Community Health Services on clinic operations, provider productivity, and patient flow.
• Participates in strategic planning, budget discussions, and staffing model development to support long-term growth of the Health Center.
• Represents the Health Center in local and regional health partnerships, including with hospitals, behavioral health providers, and public health agencies.
• Supports recruitment, credentialing, and onboarding of clinical staff.
• Maintains all required State licensure and Board certification relevant to the scope of practice.
• Provides in-service education to clinical and interdisciplinary staff on relevant public health topics or best practices.
• Perform other duties as assigned to support the Health Center's mission and programs.

QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

REQUIRED EDUCATION AND/OR EXPERIENCE:

• Medical Doctor (MD/DO) or Advanced Practice Registered Nurse (APRN/NP) with a graduate degree in a primary care discipline is required.
• For MD/DO: Graduation from an accredited medical school and successful completion of a residency in a primary care field (e.g., Family Medicine, Internal Medicine, Pediatrics, OB/GYN, or Psychiatry).
• For Nurse Practitioners: Graduation from an accredited nurse practitioner program with national board certification in a primary care specialty.

REQUIRED CERTIFICATES AND/OR LICENSES:

• Current licensure to practice medicine in Maryland.
• Current licensure and Board-certification as required by the State of Maryland, Board of Physicians to practice Internal Medicine, Family Practice, Pediatrics, OB/GYN or Psychiatry.
• Vehicle Operator's license with satisfactory driving record that meets insurability standards of the City's insurance carrier is required. The employee must maintain the license for the duration of their employment.

REQUIRED SKILLS (Communication/Language; Mathematical; Computer; etc.):

• Good clinical skills in the areas of patient assessment, history taking, health education, and treatment.
• Ability to read and interpret documents using the English language.
• Strong interpersonal communication skills and an ability to provide services to people who are low-income and/or homeless.
• Good written and oral communication skills.
• Ability to use basic computer programs such as Microsoft Word and Access.
• Ability to use or learn to use the Electronic Medical Records programs used by the Department of Housing and Human Services

OTHER DESIRABLES:

• Ability to communicate using the Spanish Language.
• Ability to communicate using American Sign Language.
• Background in primary care to underserved populations.

PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by the incumbent to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this position, the employee may be required to remain in a stationary position and/or to move about for long periods of time, and position self to reach items above or below their reach. The employee must occasionally ascend and descend levels, but rarely ladders. The employee is occasionally required to lift and/or move up to 20 lbs. Specific vision abilities required by this job include the ability to observe and inspect items directly in front or to either side of self, to assess items at a distance, to distinguish colors, depth perception, and ability to adjust focus. The employee is subject to the use of Universal Precautions as required by the Bloodborne Pathogens Exposure Control Plan, and to annual Tuberculosis (TB) Testing as required by the Tuberculosis Prevention Plan.

WORK ENVIRONMENT/CONDITION: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The employee is exposed periodically to outside weather conditions, but most work is performed in a typical office setting. The employee regularly encounters clients who are intoxicated, under the influence of unknown substances, may be affected Equal Opportunity Employer 3 by communicable diseases, and/or appear affected by serious mental health problems. Open- toed shoes and sandals are prohibited in the work setting; steel-toed work boots and other personal protective equipment may be required.