Physician – Clinical Governance & Health Program Oversight

Scope of Work & Key Responsibilities

Clinical Validation & Referral Support

• Referral Review and Validation: Support the clinical assessment of pediatric cases communicated to the MOPH  , ensuring that referrals and admissions under ACWA meet approved medical criteria.
• ACWA Case Oversight: Verify that pediatric admissions align with ACWA eligibility criteria and clinical pathways, flagging any deviations or non-compliant cases.
• Displaced Population Cases: Review and validate admissions related to displaced populations to ensure medical necessity and alignment with MoPH policies.
• System Utilization: Use relevant platforms (e.g., PHENICS and ACWA systems) to document, validate, and track referrals and approvals in a timely manner.

Operational Coverage & Responsiveness

• Continuous Support to PHEOC: Provide timely clinical input to support urgent referral and admission decisions, including during peak emergency periods.
• Night Shift Coverage: Ensure availability for assigned night shifts to support real-time case validation and urgent referrals as required.
• Remote and On-Site Flexibility: While some tasks may be conducted remotely, the physician must remain responsive and available, with the ability to attend in-person duties when required.

Coordination & Quality Assurance

• Stakeholder Coordination: Maintain close collaboration with MoPH departments, PHEOC, and relevant partners to ensure smooth referral pathways and case management.
• Quality Assurance: Identify and report patterns of inappropriate referrals, duplication, or misuse of services.
• Process Strengthening: Contribute to the development and refinement of SOPs and workflows to improve the efficiency and clarity of referral and admission processes under ACWA.

Monitoring & Reporting

• Prepare periodic reports summarizing cases reviewed, referral decisions supported, and key trends or gaps identified.
• Provide clinical input on complex or borderline cases to inform decision-making by the Department of Hospitals and Dispensaries.