Medical Director - Skilled Nursing / Long-Term Care

Founded in 2018, Vitae is a growing multi-specialty provider group dedicated to delivering high-quality care to residents in skilled nursing and long-term care communities. Our clinicians provide integrated services across internal medicine, psychiatry, psychotherapy, and podiatry, working closely with facility leadership and a collaborative, multidisciplinary team to address complex medical and behavioral health needs.

About the role

Vitae Health is seeking an experienced physician to serve as Medical Director across a portfolio of skilled nursing and long-term care facilities. In this role, you will serve as the physician leader for Vitae's Nurse Practitioners, providing clinical oversight, mentorship, and collaboration to ensure high-quality, coordinated, patient-centered care. The Medical Director is typically on-site at each building once every week or every other week, with the Nurse Practitioner delivering day-to-day care in between visits. This is a leadership role combining direct clinical practice, physician oversight, and facility-level medical direction across multiple buildings.

Responsibilities

• Serve as the attending and/or supervising physician for assigned residents across your portfolio, rotating on-site to each building weekly or bi-weekly and managing acute and chronic conditions in the skilled nursing and long-term care setting.
• Provide physician leadership and clinical supervision to Vitae's Nurse Practitioners across your portfolio of buildings, serving as their primary collaborating physician and clinical resource.
• Collaborate and communicate regularly with your Nurse Practitioners on individualized patient care plans, changes in condition, escalations, and complex or high-acuity cases.
• Review, co-sign, and provide oversight of care delivered by the Nurse Practitioner between physician visits, consistent with state scope-of-practice and collaborative practice requirements.
• Provide on-call physician coverage from 7:00 PM to 7:00 AM each day. Nurse Practitioners cover on-call from 7:00 AM to 7:00 PM on weekdays, and on weekends when there is on-site coverage on those days.
• Deliver timely clinical direction in response to changes in patient status, ensuring high-quality, patient-centered care that improves outcomes and supports functional well-being.
• Serve as Medical Director for each facility in your portfolio, fulfilling the regulatory and administrative responsibilities of the role, including participation in and guidance of facility clinical governance.
• Partner with facility leadership and the interdisciplinary team at each building on quality assurance and performance improvement (QAPI), infection control, and clinical policy and procedure development.
• Support value-based care initiatives by focusing on quality outcomes, reducing avoidable hospital readmissions, optimizing cost of care, and utilizing data to guide clinical decision-making and performance improvement.
• Serve as the physician of record and clinical lead for a panel of residents aligned to Vitae's Accountable Care Organization (ACO), effectively managing the total cost and quality of care for these attributed patients through proactive, coordinated, in-place care.
• Promote adherence to evidence-based clinical standards, regulatory requirements, and Vitae clinical protocols across the care team.
• Participate in care plan meetings, interdisciplinary rounds, and quality improvement activities, and help mentor and develop clinical staff.

Requirements

• Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) from an accredited program.
• Active and unrestricted physician license in the state(s) of practice.
• Current DEA registration and prescriptive authority.
• Board certification in Internal Medicine, Family Medicine, Geriatrics, or a related specialty (geriatric or post-acute experience strongly preferred).
• Prior experience in skilled nursing, long-term care, or post-acute settings; prior medical directorship experience preferred.

Skills

• Demonstrated ability to lead, supervise, and collaborate with advanced practice providers and interdisciplinary teams.
• Strong clinical assessment, diagnostic, and treatment planning skills, with knowledge of chronic disease management and geriatric care principles.
• Ability to deliver high-quality, value-based care focused on outcomes, cost-efficiency, and reduced hospitalizations.
• Excellent communication and interpersonal skills with clinicians, residents, families, facility staff, and leadership.
• Familiarity with electronic health records (EHR) systems.

Benefits

• Malpractice insurance with tail coverage.
• 401(k) with company match.
• CEU / CME allowance and paid licensure renewals.
• Consistent, reliable referral flow and a supportive clinical infrastructure so you can focus on patient care and clinical leadership.
• Flexible schedule and compensation structure to fit full-time or part-time directorship arrangements.

Schedule

On-site rotation across a portfolio of assigned facilities, weekly or bi-weekly per building; on-call coverage 7:00 PM - 7:00 AM daily and holidays. FLSA classification: Full-Time or Part-Time, Exempt (schedule and structure negotiable).