Job Description

The Chief Medical Officer (CMO) reports to the Medical Center President (or designee) and is the HMH administrative leader responsible for planning, organizing and directing the daily clinical activities of the medical staff and advanced practice providers. The CMO oversees improvement of all aspects of clinical quality and performance improvement. The CMO serves as the key administrative liaison to the medical staff and advocates on their behalf. S/he works collaboratively with department chairs, medical school leadership and faculty, hospital administration, and nursing leaders to drive the organization to higher levels of performance and innovation.

1. Directs and participates in the development and implementation of the HMH strategic plan and quality improvement program, particularly as it relates to the organized medical staff.
2. Interprets, communicates and assures implementation of the HMH mission, vision, and values.
3. Represents HMH and hospital leadership to the medical staff.
4. Implements critical liaison functions with the organized medical staff leadership, the medical and dental staff, the department of nursing, and the medical school.
5. Supports the organized medical staff in governance, leadership, medical education and quality improvement activities.
6. Develops and maintains written policies, procedures, rules and regulations and bylaws (corporate) that govern medical staff operations. Assures compliance with federal, state, and local standards, guidelines and regulations.
7. Adjudicates and responds to issues of conflicts of interest applicable to physicians.
8. Supports a culture of dignity and respect throughout the organization by leading through example and training the Chairs in the management of disruptive physicians in their departments.
9. Facilitates professional and leadership development concerning medical staff governance
10. Supports and advises the medical staff in credentialing, peer review (including OPPE and FPPE), medical staff citizenship and delineation of clinical privileges.
11. Directs functions of the medical staff office and oversees all medical support services (utilization review, discharge planning, social services, clinical documentation improvement and case management).
12. Collaborates with administrative and nursing leadership within the hospital and with clinical transformation service leaders outside the hospital to develop and maintain high quality clinical programs.
13. Oversees physician leadership of clinical departments (chairs), faculty practices, medical directors, and employed physicians.
14. Acts as a role model for all medical center standards of behavior and managerial competencies.

1. Participates in leadership of regulatory compliance efforts and preparation for such reviews by federal, state, and Joint Commission and other regulatory agencies that monitor the provision of medical care.
2. Participates in hospital emergency management.
3. Collaborates with the President of the Physician Enterprise and other hospital leaders to recruit and strengthen the medical staff.
4. Leads clinical transformation efforts including process improvement, elimination of waste, clinical redesign, care transitions, and evidence-based clinical protocols.
5. Leads or oversees through a designee, all multi-disciplinary quality improvement efforts and staff, as well as efforts to attain the highest levels of performance related to publically reported metrics.
6. Participates in assessment of patient concerns and complaints related to medical care. Leads efforts to attain the highest physician satisfaction scores.
7. Enlists physicians in information systems initiatives; advocates for physicians in optimization of the electronic medical record to serve clinical care. Leads decision support efforts among the medical staff to facilitate clinical care that is consistent with the best available evidence.
8. Participates in development and execution of annual operating and capital budgets, technology assessment, and the hospital's capital and operating budgets.
9. Liaisons with Physician Enterprise and Population Health Management in development of clinically integrated network and quality improvement among physicians across the entire continuum of care.
10. Other duties and/or projects as assigned.
11. Adheres to HMH Organizational competencies and standards of behavior.

The following hospital departments generally report locally through the CMO:

• Care Management (corporate)
• Clinical Documentation (corporate)
• Health Information Management (HIM) (corporate)
• Department Chairs at academic medical centers (direct)
• Medical Director of Quality and Outcomes (direct)
• Disease specific improvement efforts (direct), e.g. stroke, chest pain centers
• Infection Prevention and Control (direct)

• Medical Staff Office (direct)
• Patient Safety & Quality (direct)

1. Medical Degree (MD)
2. At least 10 years management experience in managing a clinical department or division
3. Prior experience as a Department/Division Chief/Chair
4. Strong leadership skills
5. Strong financial management skills
6. Strong strategic planning skills
7. Must possess the ability to deal tactfully with colleagues, Board of Governors, team members, residents, family members, visitors and the general public and possess an understanding of people and a sense of accountability, fairness and consistency
8. Excellent written and verbal communication skills.
9. Proficient computer skills that may include but are not limited to Microsoft Office and/or Google Suite platforms.

Education, Knowledge, Skills and Abilities Preferred :

1. Management certification or Masters degree that includes training in finance, communication, marketing, quality and patient safety, informatics, leadership and negotiations

Licenses and Certifications Required :

1. Medical Doctor license
2. Drug Enforcement Agency Certificate
3. Controlled Dangerous Substances Physician Certification
4. MD degree from accredited medical school licensed to practice in NJBoard certified MD in an ABMS approved specialty

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