Medical Director & Skilled Nursing Facility Primary Care Physician (MD/DO)

Location: Hayesville, NC 28904

Position Type: W2 | Part‑Time or Full‑Time | Flexible Schedule

Specialties: Internal Medicine, Family Medicine, Geriatrics, Emergency Medicine

Practice Setting: Skilled Nursing Facilities (Post‑Acute & Long‑Term Care)

Compensation

• Offering a $20,000 sign‑on bonus
• Uncapped wRVU potential at $32 per wRVU (average visit is 2.3 wRVU)
• $1,910 Medical Director monthly stipend per covered facility (10‑hour commitment per month per facility)
• Annualized earnings estimate:
  • $89 K/year for covering the smallest facility (76 beds)
  • Up to $422 K/year for covering all four facilities in the region (375 beds)

Position Overview

We are seeking a compassionate and motivated Physician (MD/DO) to join our team in a dual‑role position providing on‑site primary care services within skilled nursing facilities while serving as Medical Director. The role includes fully funded participation in Certified Medical Director (CMD) training, offering an excellent pathway into clinical leadership. This opportunity is ideal for physicians seeking a flexible and predictable schedule while continuing their existing practice. Providers benefit from strong clinical support, manageable patient volume, and meaningful leadership development opportunities within post‑acute and long‑term care medicine.

Why Join Us

• Uncapped RVU‑based compensation for clinical services
• Separate fixed Medical Director stipend
• Predictable and manageable patient volume
• Strong NP/PA support for routine and regulatory care
• Billable telehealth encounters performed by physicians or APPs
• Fully funded Certified Medical Director (CMD) training
• No administrative overhead or practice management burden
• Opportunity to maintain your current practice while expanding locally
• Structured workflows designed to support provider efficiency and work‑life balance

Clinical Responsibilities

• Provide on‑site primary care services to residents in skilled nursing facilities
• Assess and manage acute and chronic medical conditions
• Evaluate residents experiencing significant changes in condition
• Collaborate with interdisciplinary care teams and facility leadership
• Supervise and support NP/PA clinicians delivering routine and regulatory visits
• Participate in quality improvement and patient care initiatives

After‑Hours Coverage

• Participate in a structured and predictable after‑hours call schedule
• Manage urgent clinical issues through telehealth coverage
• Telehealth encounters are provider‑delivered and billable
• Call volume is well‑supported and designed to remain manageable

Medical Director Responsibilities & CMD Training

• Function as Medical Director for assigned skilled nursing facilities
• Receive sponsored Certified Medical Director (CMD) training (fully funded)
• Leadership development areas:
  • Quality Assurance & Performance Improvement (QAPI)
  • Regulatory compliance and survey readiness
  • Interdisciplinary team leadership
  • Skilled nursing facility operations and best practices
• CMD certification is not required to begin

Additional Support

• No overhead expenses
• EHR platform, telehealth tools, and administrative support provided
• Dedicated NP/PA clinical support team
• Administrative coordination and scheduling assistance
• Company‑provided EHR and telehealth platforms
• Streamlined workflows to minimize provider burden

Qualifications

• MD or DO degree required
• Board Certified or Board Eligible in Internal Medicine, Family Medicine, Geriatrics, or Emergency Medicine
• Active Kentucky medical license (or ability to obtain)
• Interest in post‑acute care, leadership development, and community‑based medicine

Benefits & Perks

• Flexible scheduling and work‑life balance
• Hybrid model combining in‑person care with virtual charting
• Company‑provided equipment, including a Microsoft Surface Pro tablet with accessories
• Mileage reimbursement in accordance with company travel policy
• Company‑branded merchandise
• Occurrence‑based malpractice coverage with $1M/$3M limits
• Annual $1,000 allowance for CEUs, licensure, and professional development
• Additional professional growth and leadership support
• Full‑time benefits (30+ hours/week after eligibility period):
  • Health, medical, and prescription coverage (Blue Cross Blue Shield)
  • Dental and vision insurance (UnitedHealthcare)
  • 401(k) retirement plan through Nationwide
  • Voluntary benefits (Aflac) – life, AD&D, short‑term disability, accident, hospital indemnity, critical illness, voluntary life
  • PTO starting at 15 days annually plus six paid holidays (New Year’s Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, Christmas Day)