Medical Director- California

Silver State Management Inc.; San Francisco (CA); Remote; USD 17,000 - 28,000; Part time

Job summary

Dermacore Wound Care in California seeks an experienced Medical Director (MD or DO) to provide clinical oversight, consultation, and quality assurance for its wound care operations. This part-time, independent contractor role demands 5–10 hours monthly for admin and chart reviews, with physician availability as required by practice arrangements.

The Medical Director will collaborate with clinical leadership, review documentation for accuracy and medical necessity, supervise NPs and PAs, and help

Qualifications

• Doctor of Medicine or Doctor of Osteopathic Medicine from an accredited medical school.
• Active California physician license.
• Supervision eligibility for NPs/PAs under CA requirements.
• Current professional liability insurance.
• Experience in clinical oversight and medical documentation.
• Strong communication and organizational skills.
• Ability to participate in monthly reviews and provide timely consultation.

Responsibilities

• Provide physician-level clinical oversight for wound care services by NPs and PAs.
• Review treatment plans and documentation for quality and medical necessity.
• Identify clinical risks and opportunities for improvement.
• Collaborate with leadership on quality assurance initiatives and corrective actions.
• Review patient charts monthly and sign/co-sign notes as appropriate.
• Supervise and consult with NPs and PAs per CA law and practice agreements.
• Review and recommend updates to wound care policies and protocols.
• Participate in quarterly clinical meetings and cross-functional collaboration.
• Support regulatory compliance and audits with clinical input.

Skills

Clinical oversight

Documentation

Collaboration

Communication

Decision-making

Organizational skills

Education

MD/DO

Tools

EMR systems

Job description

DERMACORE WOUND CARE

Medical Director – California

Position Type: Independent Contractor (1099), subject to legal approval

Location: California | Primarily Remote

Time Commitment: Approximately 5–10 Hours Per Month

Compensation: Fixed Monthly Stipend

Reports To: VP of Clinical Operations & Services

Position Summary

Dermacore Wound Care is seeking an experienced and qualified Medical Director (MD or DO) to provide clinical oversight, physician consultation, and quality assurance support for its California wound care operations.

The Medical Director will work closely with the VP of Clinical Operations & Services and clinical leadership to promote high-quality, evidence-based patient care, ensure appropriate clinical documentation, and support compliance with applicable healthcare regulations.

This is a part-time, independent contractor opportunity requiring approximately 5–10 hours per month for scheduled administrative and clinical review activities, along with consultation availability as required by applicable practice arrangements.

Key Responsibilities

Clinical Oversight & Quality Assurance

• Provide physician-level clinical oversight and guidance for wound care services delivered by Nurse Practitioners (NPs) and Physician Assistants (PAs).
• Review clinical practices, treatment plans, and documentation to support quality patient outcomes.
• Identify clinical risks, documentation concerns, and opportunities for improvement.
• Collaborate with clinical leadership on quality assurance initiatives and corrective actions.

Medical Record Review & Authentication

• Participate in one scheduled monthly session to review assigned patient charts and clinical documentation.
• Review and sign or co-sign clinical notes when appropriate, legally authorized, and consistent with actual physician involvement.
• Evaluate documentation for accuracy, completeness, medical necessity, and adherence to clinical standards.
• Communicate documentation deficiencies or recommended corrections to clinical leadership.

NP & PA Supervision and Consultation

• Serve as a designated supervising or collaborating physician for assigned NPs and PAs, as applicable under California law.
• Participate in the development, review, and approval of applicable standardized procedures and PA practice agreements.
• Provide consultation regarding complex wounds, changes in patient conditions, treatment decisions, and clinical concerns.
• Maintain appropriate availability for physician consultation during business hours, consistent with applicable legal and contractual requirements.
• Support appropriate escalation and referral of patients requiring additional physician evaluation or specialized care.

Clinical Policies & Protocols

• Review and provide recommendations regarding wound care policies, clinical protocols, and standardized procedures.
• Assist clinical leadership in maintaining evidence-based treatment guidelines.
• Support updates to clinical protocols in response to regulatory changes, clinical findings, or operational needs.

Clinical Meetings & Collaboration

• Participate in quarterly clinical meetings with Dermacore leadership.
• Collaborate with the VP of Clinical Operations & Services, Director of Clinical Services, and Clinical Manager.
• Provide input regarding clinical quality trends, documentation concerns, and patient safety initiatives.
• Offer physician-level recommendations to support continuous clinical improvement.

Regulatory Compliance & Audit Support

• Support compliance with applicable California healthcare regulations and professional practice requirements.
• Participate in internal clinical audits, documentation reviews, and quality assurance activities.
• Provide clinical input regarding payer documentation requirements and medical necessity.
• Assist with clinical responses to regulatory inquiries or audits when appropriate.

Required Qualifications

• Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) from an accredited medical school.
• Active, unrestricted California physician license.
• Appropriate professional qualifications and eligibility to supervise NPs and PAs under applicable California requirements.
• Current professional liability insurance meeting contractual requirements.
• Experience in clinical oversight, medical documentation, and interdisciplinary collaboration.
• Strong communication, organizational, and clinical decision-making skills.
• Ability to participate in scheduled monthly reviews and provide timely clinical consultation.

Preferred Qualifications

• Experience in wound care, chronic wound management, or related clinical specialties.
• Previous experience serving as a Medical Director or supervising physician.
• Familiarity with Medicare documentation standards and medical necessity requirements.
• Experience with mobile healthcare, home health, hospice, or post-acute care services.
• Proficiency with electronic medical record systems and remote chart review.

Schedule & Availability

• Approximately 5–10 hours per month dedicated to scheduled administrative and clinical review responsibilities.
• One scheduled monthly chart review and appropriate documentation authentication session.
• Participation in quarterly clinical leadership meetings.
• Availability for clinical consultation during regular business hours as required by assigned supervisory arrangements.
• Additional services or time commitments may be mutually agreed upon based on clinical needs.

Independent Contractor Arrangement

This position is intended to be structured as an independent contractor engagement compensated through a fixed monthly stipend.

The Medical Director will provide services under a written professional services agreement with the appropriate authorized Dermacore clinical entity, subject to completion of applicable organizational and legal requirements.

The physician will maintain independent professional judgment in all medical decisions. The final engagement structure, compensation terms, and contractor classification will be established in accordance with applicable laws and contractual requirements.

Professional Expectations

The Medical Director is expected to demonstrate professionalism, sound clinical judgment, timely communication, and a commitment to patient safety and high-quality wound care.

The physician will collaborate with Dermacore's clinical leadership while maintaining professional accountability for medical decisions and applicable physician oversight responsibilities.

Dermacore Wound Care

Healing at the Core. Care is Connected.