Medical Director - Skilled Nursing / Long-Term Care

WORK 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

Compensation: $100,000 - $130,000 base salary

FLSA CLASSIFICATION: Full-Time or Part-Time, Exempt (schedule and structure negotiable)

Company Overview

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. Today, Vitae supports more than 300 facilities across the Midwest and East Coast, offering providers the opportunity to practice in a team-based environment while making a meaningful impact on an often-underserved population. At Vitae, you’ll find a strong clinical network, experienced leadership, and the opportunity to do work that directly improves patient outcomes.

Position Summary

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 across your portfolio, 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. The physician and NP work as a team – collaborating and communicating on patient care plans, escalations, and complex cases – to keep residents healthy in place and reduce avoidable hospitalizations. This is a leadership role combining direct clinical practice, physician oversight, and facility-level medical direction across multiple buildings.

Key Responsibilities

Clinical Care & Physician Leadership

• 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.

Medical Direction & Quality

• 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.

Qualifications

• 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.

• 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.

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.

Vitae Health is an Equal Opportunity Employer and does not discriminate based on race, color, religion, sex, national origin, age, disability, or any other protected status.