Associate Medical Director, Med-Psych

Job description

Accompany Health is on a mission to give patients with complex needs the dignified, high-quality care they deserve but rarely receive. A primary, behavioral, and social care provider, Accompany Health walks alongside patients for their entire care journey, offering at-home and virtual care, as well as 24/7 support. Partnering with innovative payors, Accompany Health is powered by remarkable care teams, elegant technology, and a commitment to evidence-based practice. We build long-term relationships with our patients so they know, without question, that our team is here for them day or night, year after year. We focus on the health outcomes most important to our patients to make it clear that they lead the way. To achieve our mission, we collaborate with community-based organizations, local providers, and health plans. Led by our empathetic care teams, guided by proven care models, and powered by our own technology, we deliver a level of service that our communities rightfully deserve but rarely receive. While our headquarters is in Bethesda, MD, our teams are distributed across the country. If you’re eager to make a tangible difference in people’s lives, to help correct long-standing disparities in health care, join us. **About the role:** Accompany Health Med-Psych Associate Medical Directors (AMDs) are key clinical leaders supporting patients and care teams across our Standard and Complex Care models. You will work with health advocates, physicians, nurses, behavioral health clinicians, and pharmacists to deliver coordinated, whole-person care for patients with complex medical, behavioral, and social needs. As a Med-Psych AMD, you will clinically supervise Med-Psych and Psych APCs and their care pods in partnership with APC Managers, the Executive Medical Director of Integrated Clinical Services, and BH Managers. You will also provide virtual mental and physical health care via video, phone, and text. In the Standard Model, you will lead integrated behavioral health services for patients with mild to moderate mental health and substance use needs, using the evidence-based Collaborative Care Model. You will act as the psychiatric consultant, supported by Med-Psych APCs and behavioral health clinicians, and collaborate with primary care and APCs to deliver patient-centered, measurement-based, treatment-to-target care. You will also supervise med-psychiatric APCs providing e-consults for diagnostic clarity and medication management. In the High-Risk Advanced Behavioral Health Model, you will provide direct and consultative care for a small panel of patients with serious mental illness and/or severe substance use disorders. You will supervise and support Med-Psychiatric APCs delivering both primary medical and behavioral health care, ensuring multidisciplinary care plans that reduce avoidable utilization and increase patients’ healthy days at home. ### Responsibilities will include: **Clinical Supervision and Oversight for Collaborative Care and Bridge Care Programs** - Serve as the psychiatric consultant for Psych APCs and Behavioral Health Clinicians (LCSWs/LPCs) within the Collaborative Care and Bridge Care models, including clinical supervision and participation in BH Case Conferences - Provide psychiatric diagnostic evaluations for select BH referrals - Oversee evidence-based medication management for a full range of DSM-5 conditions, including prescribing controlled substances per the Collaborative Practice Agreement - Partner with the BH Manager and psychiatric APCs to ensure effective panel management, timely follow-ups, treatment-to-target adjustments, and safe program graduation - Support urgent behavioral health triage as needed - Ensure timely, accurate documentation and coordinate with external PCPs and psychiatrists to align treatment plans **Clinical Supervision and Oversight for High-Risk Advanced Behavioral Health Program** - Conduct in-depth chart reviews and data analysis to ensure: - Appropriate clinical care plans addressing root causes of avoidable IP/ED utilization and total cost of care - Accurate diagnosis, coding, and evidence-based treatment aligned with AH guidelines - Completion of preventive care and closure of HEDIS quality gaps through orders, outreach, and patient education - Regularly review high-risk patients and recent IP/ED utilizers to optimize care plans and reduce avoidable utilization - Ensure creation and maintenance of Complex Care Plans for highest-needs patients in partnership with BH leadership - Review daily escalations from Med-Psych APCs and APC Managers regarding urgent clinical concerns, diagnoses, and quality gaps - Collaborate with external psychiatrists, PCPs, specialists, and inpatient teams to maintain aligned, patient-centered care plans - Identify improvement opportunities and coach Med-Psych APCs on clinical care and panel management through observation, documentation review, and huddles - Partner with APC Managers on hiring, onboarding, and ongoing training of clinical team members - Contribute to educational content development and strengthen relationships/workflows with network providers and community partners **Clinical Care and Delivery** - Provide direct medical and psychiatric care for patients in the Bridge and Advanced Behavioral Health programs - Deliver indirect care through BH Case Conferences and treatment recommendations to APCs - Provide visit coverage for APCs as needed - For completed visits, ensure appropriate ordering and follow-up of labs/imaging, and maintain timely, accurate documentation across EMR and internal platforms - Participate in a rotating after-hours on-call schedule, including weekends and holidays **Clinical Design and Innovation** - Lead or support pilots to enhance the care model and guide broader implementation when successful - Contribute to product and technology tool development, including design, testing, and implementation - Model organizational values and foster a culture of accountability - Travel off-site quarterly for clinical shared services or operations meetings as needed - Perform other duties as assigned ### What makes you a fit for the team: - Holistic Care: Committed to serving patients with behavioral and medical needs, delivering high-quality, compassionate care to complex, historically underserved populations - Mission-Driven: Motivated by caring for patients with co-occurring chronic and behavioral health conditions within an integrated, multidisciplinary, home- and virtually-enabled care model - People Leader: Strong communicator who can inspire, guide, and develop multidisciplinary teams; passionate about coaching both clinicians and non-clinicians - Team Player: Collaborative, hands-on, and effective across diverse functions and roles - Creative Problem-Solver: Thrives in fast-paced environments, able to think innovatively, multitask, and prioritize across competing needs - Innovator: Energized by shaping and advancing new care delivery models for vulnerable populations ### Desired skills and experience: **Required** - MD or DO in Psychiatry with dual Board Certification in Psychiatry and Internal Medicine / Family Medicine - Fellowship in consult liaison Psychiatry a plus - Fellowship/additional training or experience in addiction medicine a plus - Comfort and experience in managing both psychiatric and medical needs for patients - Active Medical License in state of employment and willingness to obtain additional licensure as requested - Experience building and leading multi-disciplinary teams, supervising clinical team members, and have held leadership and/or administrative roles in clinical organizations or other innovative care models - Experience with change management and process improvement theory, techniques and practical application - Experience using a metrics-driven approach to analyze cost, quality, and satisfaction data to drive clinical strategy and program redesign - Comfort with working in an electronic medical record - Valid unrestricted driver's license and access to an insured vehicle for daily use **Preferred** - 3+ years in an outpatient mental health practice and/or primary care setting - Experience / additional training in Collaborative Care models - Experience supervising Advanced Practice Clinicians - Experience working in value-based care setting and/or managed care, including how to appropriately assess STARS/HEDIS measures, accurately and appropriately diagnose and code clinical comorbidities, and identify clinical care gaps