POSITION TITLE: Medical Doctor
DEPARTMENT: Health and Human Services (HHS) - Clinic
LOCATION: Longview, WA
REPORTS TO: Medical Clinic Manager
FLSA STATUS: Exempt,fulltime
SALARY RANGE: $242,218.00 - $302,772.51

Review Date: March 21, 2024

***If you are an American Indian/Alaska Native and/or a Veteran and would like this to be considered for hiring, please note this on your cover letter and/or resume***

Position Summary:

Works with a multi-disciplinary team in providing quality, comprehensive primary care to patients in an ambulatory care clinic. Adheres to HIPAA and confidentiality requirements. Honors and represents the mission, vision, values of CIT and of the HHS department.

***If you are an American Indian/Alaska Native and/or a Veteran and would like this to be considered for hiring, please note this on your cover letter and/or resume***

This list of duties and responsibilities is illustrative only of the tasks performed by this position and is not all-inclusive.

Essential Duties & Responsibilities:

• Provides comprehensive, diagnostic, preventative, and therapeutic medical care to patients in an ambulatory care clinic.
• Orders and/or performs screening, diagnostic tests and procedures. Interprets results and analyzes data to recognize early stages of serious physical, emotional or mental health problems.
• Works in an independent and interdependent relationship with members of the medical staff, which allows for consultation, collaboration, or referral.
• Performs medical procedures as appropriate based on credentials.
• Provides a full range of emergency services and crisis intervention procedures in order to stabilize a patient sufficiently to transport to a hospital facility.
• Documents all medical evaluations, diagnoses, procedures, treatment, outcomes, education, referrals and consultations; maintains accurate records in accordance with professional standards and established clinic guidelines.
• Educates patients and/or families about preventive care, medical issues, and use of prescribed medical treatments and/or medications.
• Orders medications to be dispensed from the pharmacy following current prescriptive authority.
• Participates in and conducts quarterly general and focused peer reviews of select patient records for quality assurance.
• Evaluates total health care needs of patients and develop or maintain plans to meet these needs.
• Refers to outside specialty practices/services those patients requiring care who are unable to be treated in the clinic. Provides follow-up care as recommended by specialist.
• Participates in quality improvement and assurance processes and studies to improve patient services and care. Complies and follows standards as set forth by the accreditation organization.
• Attends and participates in meetings and professional staff conferences as well as other appropriate professional activities such as, but not limited to: Quality Improvement meetings, professional staff meetings, safety or other committees per request of Clinic Manager or Medical Director.
• Abides by all regulations and requirements with regard to utilization review and quality improvement directives including but not limited to: in-service training, peer review, performance improvement, record maintenance.
• Maintains professional and technical knowledge by conducting research, attending seminars, educational workshops, classes and conferences; reviewing professional publications; establishing networks; participating in professional societies; conferring with representatives of contracting agencies and related organizations.
• Adapts to changes in safety protocols and procedures.
• Contributes to a team effort and accomplishes related results as required.
• Performs other duties as assigned.

Knowledge, Skills, and Abilities:

• Knowledge of traditional form of government and tribal customs and traditions.
• Knowledge of principles, practices, and procedures in providing comprehensive health program in clinic environments.
• Knowledge and skills necessary to assist in providing care appropriate to the age of the patients served.
• Knowledge and skills necessary in making physical and psychosocial assessments of communities, families and individuals, recognizing the range of "normal" and the manifestations of common abnormalities, and selects, plans and implements necessary therapeutic actions based on the assessments.
• Knowledge of drugs and biological effects, and the desired effect on treatment of disease.
• Knowledge and ability to interview and provide counseling in preventive health care on nutrition, common illnesses, child growth and development patterns, mental health, etc.
• Knowledge and familiarity with the mandatory reporting requirements under the Indian Child Protection Act, with regards to suspected incidence of child abuse or child neglect.
• Knowledge of related accreditation and certification requirements.
• Skill in treating patients with tact, courtesy, and respect.
• Ability to assess and treat minor illnesses such as colds, cuts, etc.
• Ability to take medical histories, conduct physical examinations and communicate results of laboratory tests.
• Ability to maintain quality, safety, and/or infection control standards.
• Ability to work both independently and in a team environment.
• Ability to communicate effectively both verbally and in writing.
• Ability to establish and maintain professional relationships with individuals of varying social and cultural backgrounds and with co-workers at all levels.
• Ability to maintain confidentiality.
• Ability to observe, assess, and record symptoms, reactions, and progress.

Minimum Qualifications:

• Doctor of Medicine, Doctor of Osteopathic Medicine or equivalent.
• License and Registration as a Physician.
• DEA Licensure.
• Two years experience working in an ambulatory clinic setting preferred.
• BLS/CPR and AED certifications.
• Experience working within American Indian and/or Alaska Native communities preferred.
• Valid driver’s license is required when driving vehicles for work-related purposes.
• Must be able to successfully pass a background screening / investigation according to the established requirements below.

Tribal preference in accordance with Cowlitz Indian Tribe Code and CIT Employee Policies and Procedures Handbook shall apply to all positions. All positions are required to adhere to CIT’s established safety policies regarding vaccine requirements and personal protective equipment (PPE).

Background Investigation Requirements:

• Pre-employment drug screen.
• Reference checks, education and employment verification.
• Federal, state, and/or tribal criminal history and sanction checks including fingerprint verification.
• Has not been found guilty of, charged with, received a deferred sentence, received a conditional discharge of, or entered a plea of not contest to, or entered a plea of guilty to any one felony or misdemeanor crimes of violence, sexual assault, molestation, exploitation or sexual contact; prostitution; or crimes committed against person(s) or children.

Physical Demands:

While performing the duties of this job, the employee regularly is required to sit; use hands to finger, handle, or feel; and talk or hear. The employee occasionally is required to stand; walk; and reach with hands and arms. The employee is occasionally required to lift up to 20lbs. Specific vision abilities required by this job include close vision and clarity of vision at long distance.

Work Environment:

Work is performed in a clinic environment. Employee may be exposed to unpleasant odors, bodily fluids, and infectious disease and frequent exposure to dust, fumes, airborne particles and/or allergens. Situations occur where PPE (personal protective equipment) is needed. . Overnight travel, weekend, and/or evening work is occasionally required. Tight time constraints and multiple demands are common.

The Cowlitz Indian Tribe is an Equal Opportunity Employer, and a Drug & Alcohol-Free workplace.

Except as provided by Title 25 CFR, Section 472 which allows for Indian preference in hiring, the Cowlitz Indian Tribe does not discriminate on the basis of race, color, creed, age, sex, national origin, physical handicap, marital status, politics, or membership or non-membership in an employee organization.