Medical Director of Healthcare Services

According to prescribed policies and procedures of the organization including all applicable state, federal, and accreditation regulations, this role provides clinical leadership, oversight, and strategic direction across primary care, hospice, and Continuing Care Retirement Community/Skilled Nursing Facilities (CCRC/SNF) settings. The Medical Director ensures high-quality, compliant, patient-centered care delivery while supporting interdisciplinary collaboration, value-based care initiatives, and continuous quality improvement.

Responsibilities

Clinical Oversight and Patient Care

• Ensure availability of physician services 24 hours a day for urgent or emergent needs, directly or through appropriate coverage.
• Oversee and review patients’/residents’ overall condition and plan of care, including medications and treatments.
• Provide timely documentation, including signed progress notes and clinical updates.
• Establish appropriate frequency of visits based on patient/resident needs and regulatory requirements.
• Review, sign, and date all required orders, including admissions, re-admissions, and medication orders.
• Review consultant recommendations and ensure appropriate follow-up related to physician services.
• Serve as attending physician for patients/residents when requested and clinically appropriate.

Leadership and Collaboration

• Provide clinical leadership and education to providers, staff, and care teams.
• Participate in interdisciplinary care discussions, including patients/residents, families, and stakeholders.
• Support program development and service enhancements across care settings.
• Engage in quality assurance committees and organizational initiatives.
• Assist with incident reviews, root cause analysis, and response to public health events as needed.

Administrative and Compliance Responsibilities

• Provide on-call coverage and professional services when attending physicians are unavailable.
• Review and periodically update patient care policies and procedures to ensure compliance with applicable laws, current regulatory and professional standards.
• Serve as an active member of quality assurance committees.
• Ensure timely completion of all required documentation to support compliance and reimbursement.

Skilled Nursing Facilities/CCRC Oversight Responsibilities

• Ensure availability of physician services 24 hours a day in case of emergency.
• Provide clinical leadership across SNF/CCRC environments to support resident health and wellness.
• Participate in Quality Assurance and Performance Improvement (QAPI) activities.
• Monitor and improve key SNF quality measures, including falls, pressure ulcers, antipsychotic use, vaccination rates, and rehospitalizations.
• Review and guide clinical policies and procedures to ensure compliance with regulations and standards of care.
• Participate in regulatory survey preparation and response activities.
• Review clinical outcomes and quality indicators to drive improvement.
• Lead initiatives to reduce avoidable hospitalizations, emergency department transfers, and readmissions.
• Oversee physician and advanced practice provider services within the SNF, including stepping in as needed for coordination of medical staff and third-party services.
• Provide medical oversight of the Antibiotic Stewardship Program and review of antimicrobial prescribing practices, as well as psychotropic medication management and behavioral health practices.
• Participate in value-based care initiatives.

Hospice Oversight Responsibilities

• Provide 24/7 availability for hospice-related clinical questions, orders, prescriptions (including controlled substances), and documentation, or ensure appropriate on-call coverage.
• Participate in weekly Interdisciplinary Group (IDG) meetings across service areas.
• Review the clinical information for each agency's patient and provide written certification that it is anticipated the patient’s life expectancy is six months or less if the illness runs its normal course.
• Ensure timely review and approval of hospice-related orders within 30 days, care plans, and documentation to support care delivery and reimbursement.
• Provide oversight for General Inpatient (GIP) care, including order management and discharge summaries.
• Sign death certificates when serving as attending physician.
• Support documentation related to patient competency, guardianship, and family-related needs (e.g., FMLA).

Primary Care / Value-Based Care Oversight Responsibilities

• Perform physician visits as appropriate in support of value-based care initiatives.
• Serve as collaborating physician for Advanced Practice Providers (APPs).
• Review clinical outcomes and quality indicators, conduct chart audits, and provide clinical oversight of APP-delivered care.
• Support care management programs and ensure alignment with population health strategies.
• Participate in business development discussions with potential partners.
• Provide clinical leadership support, staff education, and stakeholder engagement.

Requirements

• Doctor of Medicine (MD, DO) degree.
• Minimum of 7 years of leadership experience, including progressive leadership responsibilities in the healthcare industry, with experience in multispecialty medical groups, integrated healthcare delivery systems, and/or hospitals.
• Knowledge of the content, intent, and application of regulations, policies, standards, operations, and requirements applicable to healthcare and state environments.
• Successful track record of providing effective administrative and clinician leadership, developing clinician engagement, and driving clinical quality outcomes.
• Excellent communication, comprehension, and interpersonal skills.
• Ability to speak, read, write, and understand English, as well as the ability to make self-understood.
• Good working computer skills with basic professional computer software (Microsoft Office suite, Windows, etc.) and the capacity for learning new software systems quickly.
• Self-directed with excellent organizational skills and the ability to manage tasks and assignments concurrently.
• Strong motivational skills and a high emotional intelligence quotient (EQ).
• Frequent travel, up to 74%.
• Licensure must be in good standing in the state in which you are practicing.

Working Conditions

• Office-based with occasional work in long-term care facilities, exposing the role to some disagreeable conditions such as noise, odors, illness, infection, and physical contact with disruptive residents.
• Operates across multiple care settings, including outpatient, hospice, and residential care environments, requiring collaboration with interdisciplinary teams and flexibility in scheduling to meet patient and organization needs.

Consequences of errors in this role carry moderate monetary responsibility. Supervision received is general, with the employee generally operating independently and checking with a supervisor when in doubt.