Behavioral Health Regional Medical Director/Psychiatrist

CHI Franciscan
Facility: CHI Franciscan 
Tacoma, WA  
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Opportunity Criteria
Specialty: Psychiatry 
Candidate Type: MD, DO 
Visas Accepted: No J1 or H1
Loan Repayment: No
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Job Summary

The Regional Medical Director (RMD) is responsible for the overall medical direction and management of the professional staff of the Behavioral Health Service line by representing, advising and consulting in accordance with all requirements imposed by statue, regulations, Franciscan Medical Group (FMG) and Franciscan Health System bylaws, Medical Staff bylaws, and rules, regulations and all recommendations of the Joint Commission.


The RMD will ensure that medical services conform to FMG standards of quality and care and that physicians and professional providers adhere to all applicable FMG guidelines. Oversee the development and implementation of strategic plans with the Service line Vice President and regional Franciscan leadership. Responsible for the attainment of financial performance targets and for compliance with accreditation standards and organizational requirements, such as medical management strategies and service improvement initiatives. Share joint accountability with the Vice President of Behavioral Health Services for customer satisfaction and complaint resolution and for meeting organizational goals and adhering to all compliance programs applicable to the delivery of Behavioral Health Services.


CHI Franciscan’s Behavioral Health Services include a team of Consult-Liaison physicians and psychiatric ARNPs who respond to requests for consultation by attending inpatient providers and clinic based primary care providers. The inpatient requests for consultation are reviewed and prioritized by the Psych Assessment Team (comprised of Psych RNs and Social workers) and psychiatrists are dispatched to one of the eight hospitals in our system to perform a patient evaluation and provision of clinical notes in the Electronic Health Record (EPIC). The Consult-Liaison (CL) physician performs either in-person or tele-psych patient evaluations. For clinic requested consultations, the CL physicians mentor the embedded Behavioral Health specialists with weekly conferences and communicate directly with primary care providers when appropriate.


Essential Job Functions


Understand, support and implement the mission of FMG, Franciscan Health System and Catholic Health Initiatives to deliver health care to those in need of Behavioral Health Services at one of the locations where such care is provided. Ensure compliance with policies and procedures including the recording of community benefit services and costs. The RMD shall maintain a clinical practice, preferably performing Consult-Liaison in any of our hospitals.   Clinical time shall be balanced with administrative time performing RMD duties.

With the Vice President (VP), prepare and recommend program budget(s), goals and objectives. Determine resources needed to accomplish the performance objectives of the service line and oversee activities and resources in a manner that is fiscally responsible and in accordance with FMG policies. Identify, align and optimize resources to positively impact organizational strategies toward achievement of goals.


Together with the Vice President Behavioral Health service line, monitor and adjust expenses as needed to stay within budget; ensure administrative infrastructure is in place to maximize revenue capture; approve expenditures within defined scope of responsibility; identify negative variances and develop action plans to document, address and effectively resolve in a timely manner. Keep VP apprised of all issues with potential for budgetary impact.


Recommend employment decisions related to Provider Recruitment to ensure appropriate staffing levels including physicians and professional providers.


Establish performance standards and evaluate employee performance. Educate, guide, counsel and develop staff and address performance management concerns and technical issues elevated by subordinates as beyond the scope to authority.


Provide effective leadership and staff management for the service line. Motivate staff, physicians and professional providers to produce excellence in their work and to regularly display teamwork. Create positive work environment for all staff.


Plan, direct and evaluate the programs, systems, operations and resources of the assigned clinical areas to assure the safe and appropriate delivery of diagnostic and therapeutic patient care, achievement of clinical core measurement scores to ensure that all activities are conducted in a cost-effective manner and in compliance with organizational values, professional standards, internal policies/standards/procedures and applicable regulatory requirements. Be responsible for producing and presenting reports on key performance indicators and other significant benchmarking metrics.


Direct all aspects of patient care within the clinical area to ensure the application of consistent practices relating to clinical/administrative operations, customer service, human resources activities and FMG standards. Collaborate with medical staff to develop and implement new clinical systems/programs to enhance existing services and raise the standard of care for the patient population served.


Collaborate with other leadership/staff in the common goal of standardization, integration and enhancement of the continuum for services available within related clinical areas; participate in the company-wide evaluation of processes and practices to determine the need for change to accommodate shifting business priorities, conditions and objectives.


Ensure compliance with internal/external legal and regulatory standards and requirements, and that effective control procedures are in place and fully functioning.


Keep informed of changing regulatory requirements and regulations, clinical and professional standards, changing customer demographics and competitive industry practices impacting assigned functions, as well as organization initiatives and changes.


Cultivate and maintain professional relationships with primary customers of the service program including medical directors, physicians, physician groups, patients, supply vendors and external entities to foster opportunities for revenue enhancement; enhance customer service and to positively impact core clinical measures and outcomes.


Develop, implement, monitor and evalute systems, initiatives and programs to facilitate performance and quality improvements in keeping with strategic objectives and regulatory requirements.


Conduct chart audits, case reviews and other such activities under the direction of the health system Chief Medical Officer or other person whom a Hospital President appoints, to evaluate the practice patterns of members of the service line where there is a reasonable concern for complying with national or community standards of care.


Provide direct interactions, under the direction of the health system CMO, with any members of the Department who fail to comply with the provisions of the Medical Staff bylaws, rules and regulations and other related documents and manuals including adherence by department physicians to on call responsibilities.


Assist in the design, implementation, maintenance, and coordination of comprehensive credentialing, quality assurance, risk management and utilization review programs and initiate the development of performance improvement/clinical effectiveness projects to enhance the quality of professional and clinical services working with individual physicians to improve their quality of care.


Participate in the development and evaluation of the Department's policies and procedures on an annual basis, and propose changes as necessary in order to assure that Department meets the qualifications of state and federal law, standards of the Joint Commission, and applicable state licensing requirements regarding Behavioral Health services. Implement recommendation of the Joint Commission and other licensing agencies that pertain to Behavioral Health.


In conjunction with the VP, advise Hospital Presidents, or the respective designee, in writing of recommended capital improvements which would better serve patient needs.


Assist in the coordination and marketing of Behavioral Health Services in the local community, and act as the Department’s medical representative in the community.


Participate in the coordination of continuing education programs for Behavioral Health staff and participate in the coordination of in-services and trainings for primary care providers and other service providers across the region as identified.


Actively participate on committees, as requested by a Hospital or the Medical Staff, and be available at reasonable times for consultation.


Advise and assist any Hospital in such other special projects as Hospital may reasonably request, including, but not limited to, investigating trends and developments in Behavioral Health Services, introducing innovative approaches that will lead to improved quality of care, participation in affiliation or other teaching agreements between Hospital and educational institutions.


Consult with each Hospital's leadership and the regional CMO, and appropriate Medical Staff committees on an ongoing basis to define other responsibilities as needed.

Evaluate and answer, in cooperation with service line and Hospital leadership, all complaints or inquiries of patients concerning Behavioral Health Services, by providing an analysis of all complaints with recommendations for correcting any identified deficiencies.


Develop well-defined review criteria for Behavioral Health patients, in order to assure appropriateness of treatment in adherence with evidence-based processes and to prevent over-utilization of services.


Attend, organize, and participate in conferences and such other activities as mutually agreed in order to maintain and improve the quality of care in the Hospital or health system.


Perform such teaching functions as may be appropriate with respect to the recommendations of relevant professional organizations.


Participate and develop, as necessary, lines of communication between the service line, the Medical Staff, and other departments to ensure harmonious interaction between Behavioral Health Services and other Hospital and clinic operations.

About Franciscan Health

CHI Franciscan Health is a nonprofit health system based in Tacoma, Washington with $2.6 billion in net revenue and a team of nearly 12,000 doctors, nurses and staff that provide expert, compassionate medical care at eight acute care hospitals and approximately 200 primary and specialty care clinics in Pierce, King and Kitsap counties. This includes St. Anthony Hospital, Gig Harbor; St. Clare Hospital, Lakewood; St. Elizabeth Hospital, Enumclaw; St. Francis Hospital, Federal Way; St. Joseph Medical Center, Tacoma; Harrison Medical Center, Bremerton and Silverdale; Highline Medical Center, Burien; and Regional Hospital, Burien.

Started in 1891 by the Sisters of St. Francis of Philadelphia, today CHI Franciscan Health is one of the largest health systems in Washington state. The system spans more than 1,100 acute care beds, a credentialed medical staff of more than 1,500 including more than 800 employed physicians providing specialties in cardiovascular care, cancer care, orthopedics and sports medicine, neurosciences and women’s care. CHI Franciscan’s mission focuses on creating healthier communities, including caring for the poor and underserved. In 2015, the organization provided $141 million in community benefit, including $10 million in charity care.


Community Information

Clear views of Mount Rainier and the beautiful waters of Puget Sound offer a dramatic backdrop for life in Tacoma. As Washington’s third-largest city, Tacoma continues to grow as an economic and cultural core of Pierce County.

Tacoma is located just 35 miles south of Seattle. It offers all the advantages of a major metropolitan area while living in a mid-size city with easy access to some of the finest outdoor recreational areas.

Who is Catholic Health Initiatives?

Catholic Health Initiatives, a nonprofit, faith-based health system formed in 1996 through the consolidation of four Catholic health systems, expresses its mission each day by creating and nurturing healthy communities in the hundreds of sites across the nation where we provide care. One of the nation’s largest nonprofit health systems, Englewood, Colorado-based CHI operates in 18 states and comprises 100 hospitals, including two academic health centers and major teaching hospitals as well as 30 critical-access facilities; community health-services organizations; accredited nursing colleges; home-health agencies; living communities; and other facilities and services that span the inpatient and outpatient continuum of care.

In fiscal year 2018, CHI provided more than $1.14 billion in financial assistance and community benefit for programs and services for the poor, free clinics, education and research. Financial assistance and community benefit totaled approximately $2.1 billion with the inclusion of the unpaid costs of Medicare. The health system, which generated operating revenues of $15 billion in fiscal year 2018, has total assets of approximately $20.5 billion. Learn more at

Catholic Health Initiatives and its organizations are Equal Opportunity Employers and support a drug-free work environment.

Contact Information
Contact: Julie Johnson 
Phone: 253-779-6239
E-mail: Click here to e-mail.
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