Website Cascadia Health

Integrated health care

Sign on Bonus may Apply! Certain restrictions apply: Bonus is pro-rated based on a set of hours of work per week (FTE), Bonus is provided in two installments that must meet certain conditions, Bonus does not apply to Per Diem (on-call) positions.


The schedule for this position is typically Monday through Friday, 8:30 a.m. to 5:00 p.m. Exact schedule and number of hours per week to be discussed at time of job offer.

Job Overview

As part of an integrated, whole health strategy, Cascadia Health embeds primary care services within its behavioral health centered programs and services, primarily delivering care at four clinic sites, with additional services throughout the organization. Cascadia is seeking a Program Medical Director, Primary Care to oversee the delivery of medical care across this continuum of care.


The Program Medical Director, Primary Care, in conjunction with the medical team, will provide primary care diagnosis and treatment to clients of all life cycles. The Primary Care Medical Director will provide clinical supervision and leadership to primary care medical staff. This position will assist the Chief Medical Officer and Primary Care Director with design, implementation, and continuous improvement of primary care services, with a customer service approach to Cascadia’s clients and behavioral health services that reflects trauma informed and culturally relevant and specific approaches. The Primary Care Medical Director will further assist the Chief Medical Officer with the scope of service design and quality assurance to overcome the significant health inequities experienced by individuals affected by mental health and substance use disorders.


Under the direction of the Chief Medical Officer (CMO) works in matrixed collaboration with the Patient Care management (PCM), Utilization Management (UM) Management, and the Health Operations teams. The Associate Medical Director is responsible for performing PCM and UM program duties, and other clinical practice improvement initiatives as defined and requested. This position may be assigned to lead medical management and primary care population health initiatives for the organization including clinical quality in coordinated care and the Coordinated Care Organization (CCO) / provider network, as well as utilization, quality, case management, and disease management operations, monitoring, and results. The position will provide ground level clinical direction in support of call clinical programs, transformation, and process improvement efforts.

Essential Duties

This position description is not intended to be an all-inclusive list of responsibilities, skills, or working conditions associated with the position. Management reserves the right to modify, add or remove duties as necessary.


Provide primary care diagnosis and treatment integrated within Cascadia’s behavioral healthcare services, in a manner consistent with best practices and standards of care.
Integrate best practices and/or protocols into the day-to-day clinical and administrative operations, including approaches to culturally relevant and specific services and Trauma Informed Care.
Incorporate principles of equity, diversity, and inclusion in support of clients, colleagues, and the community in which we serve.
Play a leading role in the recruiting and retention of medical staff, including advising the Chief Medical Officer and Primary Care Director in medical staffing requirements and scheduling medical coverage.
Partner with the Primary Care Officer and Chief Medical Officer in the selection and evaluation of provider staff.
Provide formal supervision, consultation, and peer review for all of Cascadia’s primary care providers.
Provide primary care consultation to Cascadia’s psychiatric providers and behavioral health clinicians.
Provide technical advice to the Primary Care Director on matters of medical judgment.
Advise Cascadia’s Integrated Care leadership and staff in the development of wellness programs.
Review quality of care provided by primary care medical personnel through periodic chart review, and quality improvement dashboards.
Determine the need for continuing education opportunities for medical personnel and assist with arrangements.
Evaluate specialist referral activity and assist in the development of referral relationships and arrangements.
Partner with in-house pharmacy for the evaluation and development of a pharmacy formulary, as well as a preferred labs list.
Work with Primary Care Director and senior leadership to define goals and review the progress of integrated primary care operations.
Demonstrate responsibility for the safety of consumers and/or residents, staff, and property; demonstrate familiarity with fire regulations and evacuation procedures.
Adhere to mandatory abuse reporting laws and HIPAA requirements.
Provide input on all relevant documentation and procedural requirements.
Deliver timely, accurate, and professional documentation.
Complete annual employee training requirements on a timely basis per agency requirements. Attend seminars, training, and other educational opportunities in order to develop professional skills and abilities.
Participate in all scheduled staff meetings, supervision sessions, and other departmental and agency meetings.
Perform other job-related duties as assigned.
Supervisory Oversight

Determine staffing requirements, recruit, hire, and train staff in a manner that encourages and maintains diversity and cultural responsiveness.
Demonstrate commitment to continuing professional development.
Establish and manage budgets for assigned programs and monitor monthly expenses.
Strategic Leadership

Provide strategic leadership throughout Cascadia and contribute to strategic initiatives.
Take the initiative in thought leadership, innovation, and creativity.
Create, model, and maintain a work culture that supports and values inclusion, equity, and diversity.
Attend and participate in all meetings as assigned, including but not limited to staff and team meetings, and consultations with staff.
Commitment to Equity, Diversity, and Inclusion

This position must understand, appreciate, and respect the diversity and cultural differences within our Cascadia community. As such, it is expected that this position promotes integrated care, our vision of trauma-informed and person-first approaches and helps create a work environment of inclusion, safety, and acceptance.


Must have either of the following:

Active state medical license as a Family Medicine or Internal Medicine / Primary Care MD or DO, including maintenance requirements and DEA certification.

Five years of post-residency experience required

Experience working in an FQHC is required

Leadership / administrative experience is preferred.

Experience in community health clinics, community mental health setting, or with houseless and special needs populations is highly preferred.

Specialized Knowledge, Skills, and Abilities:

Sufficient computer skills to complete documentation in an electronic medical records system in a timely manner
Provide care in a setting consistent with the principles of collaborative care informed by stages of change models

Ability to perform CPR, First Aid, and properly use AED equipment. CPR/ First Aid certifications are required and must remain current.


Core Competencies

Leadership and Decision Making:

Provide leadership and take responsibility within agency area and site, as well as in the program specific area

Supervise medical providers

Work in concert with other medical leadership staff to help guide medical direction for the agency

High level of interpersonal skill in public relations, supervision, leadership, and conflict resolution

Influence, persuade or coach others into taking safe and effective courses of action when appropriate

Make decisions with little to no guidance and review

Maintain confidentiality of information as appropriate


Excellent verbal and written communication skills

Represent the company effectively in a variety of settings and with diverse communities

Effectively engage with internal providers, external providers, and stakeholders

Work with other Clinical Directors in developing and maintaining agency-wide consistency and best practices

Work independently as well as part of a team

Be eager and able to learn from peers and leaders

Demonstrate a work history of dependability

Honor individual autonomy while promoting a safe and secure environment

Able to empower consumers and engage them as active participants in their recovery process

Demonstrate initiative and creativity in approach to problems and tasks

Work accurately, efficiently, and effectively to control operating expenses

Contribute to cost savings by identifying opportunities to improve methods, systems, and procedures to increase productivity and enhance services

Understand, appreciate, and respect diversity and cultural differences


Working Conditions


Work is performed in a typical clinical setting. As such, the setting is not secure, and the LMP will be responsible for creating a safe environment within the area. In some cases, safety personnel may be available to assist with this goal. Primary care providers will be provided the appropriate tools with which to meet the requirements of their work (e.g.- computer, printer, scale, medical equipment, and supplies, etc.). Meal periods and breaks are subject to interruption. Universal Precautions and remaining alert to the environment are critical to address the potential for violent behavior, exposure to disease, biohazards, noise, and contaminants.

Mental Demands:

This position must be able to handle a variable workflow, manage time effectively, prioritize activities, and help primary care staff with whatever tasks are necessary to establish this new primary care capacity. The work assigned is diverse and involves addressing new and unusual circumstances in which outcomes may negatively affect costs, employee morale or clients. The work regularly involves a degree of unpredictability and disruption of planned tasks requiring a flexible time management approach.

Physical Demands:

The Program Medical Director, Primary Care must have the ability to assist the team in providing safety to all clients and staff in potentially volatile situations. This position must be able to escort clients between waiting areas and their meeting space, before and after the encounter.



We offer generous benefits for our full-time and part-time employees (20 hours + pro-rated) including:

Generous Paid Time Off Package Full-time employees earn 6 weeks of PTO in their first year!
Medical and Dental Coverage (begins 1st of the month following 30 days after hire date)
VSP Vision Discount Plan
403(B) Retirement Savings (Pre and post-tax plans with matching contribution)
Flexible Spending Account (FSA) (Medical, dependent care, and transportation options)
Short-Term Disability, Long-Term Disability, and Life Insurance
Paid Bereavement and Jury Duty Leave
Length of Service Award
Voluntary Life Insurance
Supplemental Insurance

Wellness Benefits:

Employee Assistance Program (EAP)
Bicycle Reimbursement
Discounted Fitness Memberships
Trauma Support Team
Cascadia is an Equal Opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. If you need assistance or an accommodation due to a disability, you may contact us at (503) 963-7654 or

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