Associate Medical Director

Job Overview

North County Serenity House, A Program of HealthRIGHT 360 was founded in 1966 to provide substance use disorder services in the community.  North County Serenity House provides a gender-responsive and trauma-informed environment, using evidence-based and best practices that recognize and account for the role that trauma frequently plays in substance use and criminal histories of women. For clients with co-occurring mental illness, we provide integrated substance use and mental health services which treat both conditions as primary. Our Escondido residential facility serves up to 120 women (with capacity for up to 20 children under 5 years of age) seeking recovery from substance use disorders.  Our North County Serenity House Outpatient Program in Oceanside offers outpatient and intensive outpatient substance use treatment to women and pregnant or parenting female teenagers. 

The associate medical director is responsible for clinical oversight of the assigned program(s), working closely with clinical leadership to ensure the quality of care and service provided to HealthRIGHT 360 participants including pregnant and parenting women.  In addition, the associate medical director acts as attending physician, providing direct participant care, providing assessment, essential medication and monitoring functions and consultation to staff and clinicians. Supervises licensed vocational nurses and other psychiatric technicians along with providing guidance to other staff who assist with the medication room.

Key Responsibilities

Clinical Service Responsibilities: Provides medication evaluation of participants. Assesses, prescribes, and monitors participants for psychiatric medication. May provide admitting and hospital privileges and follow-up during hospitalizations. Provides psychiatric consultations and collaboration to staff and student interns. Conducts and/or participates in meetings with treatment team. Maintains up-to-date files and documentation on medications. Provides 24 hour 7 day per week coverage. Participates in treatment and discharge planning for participants. Acts as attending physician, providing direct participant care. Is available to staff for consultation on urgent or emergent issues. Participates in concurrent reviews and appeals as needed for participant treatment authorization.

Administrative Responsibilities: Participates in Peer Reviews to improve quality of clinical services. Provides clinical leadership to the program in collaboration with the divisional director and managing director. Monitors the performance of the program and works with the divisional director and managing director to improve the quality and efficiency of care and service provided to participants. Provides training and consultation to treatment staff. Attends required training and meetings.  Supervises nurse practitioners and licensed vocational nurse or licensed psychiatric technicians. Responsible for all performance management including, performance improvement plans, formal written warning notices and terminations of all direct reports as needed and in consultation with Divisional Director and/or Managing Director. Ensure that program’s physicians are adequately trained to perform other physician duties, if applicable.

Compliance responsibilities: Compliance responsibilities include co-signing treatment plans and medical necessity determinations as required by funder requirements. Understands and ensures compliance with policies and procedures to manage risk.  Ensures compliance with HIPAA, 42CFR regulations and all other funding mandates and licensing requirements.  Ensures program staff, management, and other senior management are informed on quality of care concerns through regular reporting and/or team discussions. Develop protocols and work in collaboration with Quality Assurance and management team to develop policies regarding medication assisted treatment.

Training responsibilities:  Training responsibilities include developing and conducting trainings in clinical topics related to the delivery of medication services.  Ensures all direct reports are properly trained and updated on HIPAA regulations and compliance as well as any other ongoing compliance and regulatory requirements.

Documentation Responsibilities: Collaborates with each caseload participant and other available internal and external resources to develop/maintain treatment plans, transition plans, progress notes and appropriate updates in support of the health and recovery needs of the participant. Maintain documentation in compliance with agency, HIPAA, 42CFR, and funder standards. Properly documents all services provided and completes admission and discharge paperwork/process and required agency assessments in timely manner and ensure that the golden thread is documented throughout the chart. Develop and assess effectiveness of individualized treatment plans and participant progress.  Assist in ongoing maintenance of participants’ charts and other related documentation.  Ensure that all clinical documentation is completed in a timely and accurate manner, and entered into the various electronic systems.

And, other duties as assigned.

Education and Knowledge, Skills and Abilities

Education and Experience Required:

  • A valid and unrestricted California Physician’s License (MD or DO) with a specialty in psychiatry and / or addiction medicine
  • Valid DEA certificate
  • Experience serving adults with chronic medical conditions and co-occurring severe mentally illness and substance use challenges.
  • A minimum 5 years post-licensure experience in direct participant care in intensive psychiatric and substance use treatment settings 


  • Board Certification in Psychiatry and/or Addiction Medicine
  • A minimum of 2 years experience as medical director to a psychiatric or substance use treatment program

Knowledge Required:

  • Culturally competent and able to work with a diverse population
  • Strong proficiency with Microsoft Office applications, specifically Word Outlook and internet applications
  • Experience working successfully with issues of substance abuse, mental health, and other potential barriers to economic self sufficiency
  • Knowledge and respect of all confidentiality issues.
  • Knowledge of and experience with providing culturally competent and trauma informed services

Skills and Abilities Required:

  • Ability to enter data into various electronic systems while maintaining the integrity and accuracy of the data
  • Professionalism, punctuality, flexibility and reliability are imperative
  • Excellent verbal, written, and interpersonal skills
  • Integrity to handle sensitive information in a confidential manner
  • Proven organizational and time management skills.
  • Openness to and comfort with change.
  • High degree of self-awareness and self-regulation.
  • Acts with a sense of urgency to ensure the highest quality of care possible for our participants.
  • Action oriented
  • Strong problem-solving skills
  • Outstanding ability to follow-through with tasks
  • Ability to work cooperatively and effectively as part of interdisciplinary team and independently assume responsibility
  • Strong initiative and enthusiasm and willingness to pitch in whenever needed
  • Able to communicate well at all levels of the organization including working with organization leadership and high-level representatives of partner organizations
  •  Able to work within a frequently changing project scope while maintaining overall direction and structured priorities
Compensation: $220,000.00-$250,000.00
Type: Salary/ Exempt
Benefits: HealthRIGHT 360 offers a competitive benefits package.
City: Escondido, CA
Hours/wk: 40

Job Location