Mohs Micrographic Surgeon

Description

Department: Providers

Classification: Full-Time

Schedule: Per assigned clinic provider template, Monday–Friday

Location: Assigned Clear Choice Dermatology clinic(s), Oregon

Reports To: Chief Medical Officer / Medical Director (clinical); Regional Manager (administrative)

FLSA Status: Exempt

POSITION SUMMARY

The Board Certified Dermatologist & Mohs Surgeon is a board-certified dermatologist with expertise in Mohs micrographic surgery who provides skin cancer surgery and general dermatology care at Clear Choice Dermatology Oregon clinics. The physician performs Mohs surgery and reconstruction, reads and interprets Mohs frozen sections, oversees the quality of the Mohs laboratory, and serves as a clinical leader for the care team, including supervising or collaborating with Physician Assistants and Nurse Practitioners as required by Oregon law.

CORE RESPONSIBILITIES

Mohs Micrographic Surgery

• Evaluate patients referred for skin cancer surgery and determine whether Mohs surgery or another treatment is appropriate, using appropriate use criteria
• Perform Mohs micrographic surgery for basal cell carcinoma, squamous cell carcinoma, melanoma in situ, and other cutaneous malignancies
• Read and interpret Mohs frozen-section slides, map tumor margins, and document each stage
• Perform reconstruction after tumor removal, including layered closures, flaps, and grafts, and coordinate referrals to plastic or oculoplastic surgery when needed
• Manage post-operative care, wound healing, and surgical complications, and educate patients on wound care
• Work with the Mohs Lab Manager and histotechnicians to maintain slide quality, lab safety, and CLIA compliance
• Coordinate care for advanced or high-risk skin cancers with dermatopathology, medical oncology, radiation oncology, and tumor boards as needed

Medical Dermatology

• Conduct thorough examinations of the skin, hair, and nails, including full-body skin cancer screenings
• Diagnose and treat a wide range of dermatologic conditions, including acne, eczema, psoriasis, rosacea, infections, and benign, premalignant, and malignant lesions
• Order and interpret diagnostic tests, including biopsies, cultures, labs, and pathology reports
• Develop individualized treatment plans and prescribe topical, oral, systemic, and biologic therapies
• Perform in-office dermatologic procedures, such as shave and punch biopsies, excisions, cryotherapy, ED&C, and intralesional injections
• Provide cosmetic services as trained and credentialed, if offered at the assigned clinic

Clinical Leadership & Collaboration

• Serve as supervising or collaborating physician for assigned Physician Assistants and Nurse Practitioners, as required by Oregon law, including chart review and case consultation
• Provide clinical guidance to Medical Assistants and clinic staff, and support training on procedures and clinical protocols
• Work closely with Mohs surgeons, dermatopathologists, and outside specialists, and refer patients as needed
• Participate in provider meetings, peer review, and quality improvement activities

Patient Education, Documentation & Compliance

• Educate patients on diagnoses, treatment options, skin care, sun protection, and prevention
• Ensure biopsy and pathology results are reviewed, communicated to patients, and acted on within practice timelines, and that patients with melanoma are placed on the correct recall schedule
• Document all patient encounters accurately and completely in the EHR (EMA / Modernizing Medicine) and close charts within CCD timelines
• Select accurate diagnosis and procedure codes to support compliant billing, and respond promptly to coding queries
• Support MIPS/quality measures, including biopsy follow-up, melanoma recall, and referral loop closure
• Follow HIPAA, OSHA, CLIA, and CCD clinical policies and protocols at all times

Professional Development

• Stay current with advances in Mohs surgery and dermatology and complete continuing medical education required for licensure and board certification

WHY JOIN CLEAR CHOICE DERMATOLOGY

Join our team dedicated to advancing dermatological health. We offer opportunities for professional growth, ongoing education, and a collaborative work environment focused on excellence in patient care.

Requirements

POSITION REQUIREMENTS

Education & Licensure

• Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) from an accredited institution
• Completion of an accredited dermatology residency
• Board certification in dermatology (American Board of Dermatology or American Osteopathic Board of Dermatology); active board certification required
• Active, unrestricted Oregon medical license (MD or DO) issued by the Oregon Medical Board (or ability to obtain prior to start date)
• Active DEA registration for Oregon (or ability to obtain prior to start date)
• Current BLS certification
• Ability to be credentialed with CCD's contracted insurance plans

Mohs Training & Experience

• Completion of an ACMS-recognized Mohs micrographic surgery fellowship, or American Board of Dermatology certification in Micrographic Dermatologic Surgery (MDS), preferred
• Substantial, documented experience performing Mohs surgery and reading Mohs frozen sections required if fellowship training has not been completed
• Experience with complex reconstruction preferred

Skills & Competencies

• Strong clinical judgment and knowledge of dermatologic conditions and treatments, with expertise in skin cancer diagnosis and surgical management
• Excellent communication and patient education skills
• Ability to lead and collaborate within a multidisciplinary team, including supervising advanced practice providers
• Proficiency with EHR documentation; EMA / Modernizing Medicine preferred
• Commitment to providing compassionate, patient-centered care

PHYSICAL DEMANDS

• Standing, walking, bending, and reaching for extended periods during the clinic day, including extended periods of standing or sitting during surgery
• Fine motor skills and manual dexterity sufficient to perform surgical and dermatologic procedures
• Visual acuity (correctable) sufficient for close examination of skin, use of a dermatoscope, and microscope review of slides
• Occasional lifting of up to 25 lbs

WORKING CONDITIONS

• Work is performed in an outpatient dermatology clinic and Mohs surgical suite / laboratory setting
• Potential exposure to bloodborne pathogens, infectious materials, sharps, and laboratory chemicals; PPE and OSHA protocols are required
• May be assigned to, or asked to cover, more than one CCD clinic location in Oregon; occasional travel between clinics may be required
• Occasional extended hours based on patient needs

WORK STANDARDS

• Arrive prepared to begin the scheduled clinic template on time
• Complete and sign all documentation within practice-established timelines
• Maintain active Oregon medical licensure, board certification, and DEA registration, and notify HR / Credentialing of any change in status
• Complete all required CCD trainings (including HIPAA and OSHA) by assigned due dates
• Represent Clear Choice Dermatology with professionalism, integrity, and a genuine commitment to patient satisfaction

COMPENSATION & BENEFITS

• Competitive base salary + productivity model (collections based)
• Sign-on bonus and relocation assistance
• Partnership/equity opportunity (if applicable)
• CME allowance and professional development support