Medical Director & Attending Physician

Medical Director / Attending Physician to oversee clinical care across partner facilities in Missouri. This role offers flexible delivery models, including a mix of in-person visits and telemedicine, fully supported by a dedicated Nurse Practitioner (NP) and administrative team. Compensation, Benefits, & Allowances Offer flexible, high-earning potential with multiple compensation structures tailored to your practice style. Positions can be structured under a 1099 independent contractor agreement for tax optimization. Pay Models & Compensation Option 1.

Clinic Model Base Stipend :

Fixed monthly stipend based on Part-Time or Full-Time status.

Visit Revenue :

Receive a fixed rate of 60% of all collected insurance payments for both telemedicine and in-person visits.

Cash-Pay Clients :

Receive a flat, guaranteed amount per client, paid out during the active pay period. 2. Long-Term Care (LTC) Division — Option 1 (Facility Percentage)

Facility Stipend Share :

Earn 60% of the facility's monthly stipend (e.g., earn $1,200/month on a $2,000/month SNF contract).

Note:

Facility stipends range from $150 to $2,000/month depending on facility type and budget; some facilities do not offer a stipend.

Medical Director Visits :

Earn 55% of collected insurance claims for in-person and telemedicine visits.

Attending Physician Visits :

Earn 60% of collected insurance claims (higher percentage balanced by the exclusion of facility or collaboration stipends). 3. Long-Term Care (LTC) Division — Option 2 (Collaboration Stipend)

Flat Collaboration Fee :

A steady, monthly flat fee paid per assigned Advanced Practice Provider (NP).

Tiered Flex Structure :

Scale your earnings as the practice grows (e.g., localized flat rates that dynamically adjust based on your specific ratio of buildings to collaborating NPs).

Medical Director Visits :

Earn 55% of collected insurance claims for all visits.

Attending Physician Visits :

Earn 60% of collected insurance claims for all visits.

Professional Benefits & Practice Allowances Malpractice Insurance :

100% company-paid and maintained professional liability coverage ($1,000,000 per claim / $3,000,000 aggregate). Continuing Education (CME) : Annual allowance up to $3,500 plus 5 paid days off (compensated at $50/hour, 8-hour days), scaled to your collaboration volume and facility count.

Licensure & Credentialing :

Full financial coverage for state licenses, BNDD, and DEA tracking as we expand. Benefit from our dedicated third-party credentialing and contracting agency.

Flexible Paid Time Off :

6 paid days per year to utilize for vacation, sick time, or holidays, compensated at $50/hour ($400/day), complementing a highly customizable schedule. Full-Time Health Savings Account (HSA) : For physicians utilizing us as their primary company, we offer a dedicated HSA to fund your choice of medical, dental, and vision coverage. Travel & Lodging Support (Assignments >2 Hours Away)

Seamless Lodging :

Direct booking through the Navan platform using a corporate credit card. No out-of-pocket room costs; simply present your ID and badge at check-in.

Fuel Reimbursement :

Direct reimbursement up to $40 per day for gas expenses with valid receipts.

Per Diem :

A flat $50 daily food allowance while traveling.

Frequent Traveler Bonus :

A specialized vehicle maintenance stipend paid out every 4 months to cover oil changes and wiper replacements. (

Note:

Active full-coverage auto insurance is required). Position Overview You will serve as either an Attending Physician or Medical Director (based on facility assignment) across Residential Care Facilities (RCF), Assisted Living Facilities (ALF), and Skilled Nursing/Long-Term Care Facilities (SNF/LTC). An optional outpatient clinic component is also available. Key Responsibilities Residential & Assisted Living Care (RCF/ALF)

Annual Visits :

Ensure each assigned resident receives at least one clinical visit per year (delivered via telemedicine or in-person).

Collaborative Oversight :

Review and sign state-restricted clinical documentation that Missouri law prohibits APRNs from signing independently.

Prescription Control :

Manage electronic prescribing and review of controlled substances that exceed Missouri APRN statutory limits. Skilled Nursing & Long-Term Care (SNF/LTC)

On-Site Visits :

Conduct physical, on-site visits to assigned SNF/LTC facilities every two weeks.

Patient Prioritization :

Focus visits on Medicare Part A and Managed Care Skilled patients first, followed by long-term care residents. Practice Support & WorkflowWe provide a highly structured support system to minimize your administrative burden:

Clinical Support :

Dedicated NPs (Medical and Psych) handle routine rounds based on facility needs (ranging from twice weekly to bi-weekly).

Administrative Relief :

Support staff and NPs manage the majority of background tasks, including prior authorizations, therapy signatures, compliance paperwork, care plan updates, medication reconciliation, and note preparation.

Streamlined Logistics :

Documents requiring your signature are sent directly to your secure company email or managed via our physical on-site Provider Books.

On-Call Coverage :

A full-time, 24/7 provider is on staff to handle all routine medical and psychiatric on-call duties. Qualifications Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) degree. Active, unrestricted medical license in the State of Missouri. Board certification or eligibility in Family Medicine, Internal Medicine, Geriatrics, or a related specialty. Active DEA registration and Missouri BNDD registration.

Pay:

$200,000.00 - $350,000.00 per year

Benefits:

Employee assistance program Employee discount Flexible schedule Flexible spending account Health savings account Paid time off Professional development assistance Application Question(s): We offer multiple 1099 pay structures (Clinic Model, LTC Facility Percentage, or flat NP Collaboration Stipends). Based on the job description, which model or combination best aligns with your practice goals? Some of our facility assignments require travel over two hours away (fully covered via corporate card, fuel, and meal stipends). Are you open to travel assignments, or do you strictly prefer local/telemedicine work? This role involves working closely with and signing off on documentation for Advanced Practice Registered Nurses (APRNs). Briefly describe your experience collaborating with or supervising Nurse Practitioners.

Work Location:

In person