Medical Director - Hospital at Home Program

UMA - UH Hospitalists; San Antonio (TX); On-site; USD 250,000 - 350,000; Full time

Job summary

University Health in San Antonio leads an innovative Hospital at Home program, seeking a physician leader to provide medical direction and strategic oversight. The Medical Director will supervise clinicians and collaborate with executive teams to expand hospital-level care delivered in home settings.

Allocation is 50% clinical and 50% administrative, with potential for increased clinical responsibilities as the program grows.

Qualifications

• Board-certified in Internal Medicine or Family Medicine.
• Active or eligible Texas medical license.
• Experience leading physicians, APPs, or multidisciplinary teams.
• Experience in hospital medicine or acute care models preferred.

Responsibilities

• Provide clinical leadership and oversight for HaH, ensuring safe, evidence-based home-based acute care.
• Supervise APPs, physicians, paramedics and other clinical staff.
• Lead clinical strategy, program development, and expansion with executive leadership.
• Establish clinical protocols, admission/discharge criteria, and escalation processes.
• Monitor quality metrics, patient safety, and regulatory compliance; drive improvements.
• Collaborate with multidisciplinary teams to coordinate referrals and continuity of care.

Skills

Clinical leadership

Strategic leadership

Program development

Team supervision

Communication

Education

Board cert IM/FM

Texas medical license

Job description

University Health | San Antonio, Texas

Schedule: Monday–Friday, 8:00 a.m.–5:00 p.m.
Clinical/Administrative Allocation: 50% Clinical / 50% Administrative
Program Capacity: Up to 36 patients

Position Overview

University Health is seeking an experienced physician leader to serve as Medical Director of its Hospital at Home (HaH) program. This individual will provide clinical leadership, medical oversight, and strategic direction for an innovative model of acute care delivery, helping expand access to hospital-level services in the home setting.

The Medical Director will oversee physicians, advanced practice providers (APPs), paramedics, and other clinical team members while partnering with executive and operational leadership to advance program development, quality, patient safety, and sustainable growth.

The anticipated allocation is 50% clinical and 50% administrative, with the potential for greater clinical responsibilities initially as the program develops.

Key Responsibilities

• Provide clinical leadership and oversight, ensuring safe, effective, evidence-based acute care delivery in the home setting.


• Supervise and support APPs, physicians, paramedics, and other clinical team members.


• Lead clinical strategy, program development, and expansion in collaboration with executive and operational leadership.


• Establish and maintain clinical protocols, care pathways, admission and discharge criteria, and escalation processes.


• Monitor quality metrics, patient outcomes, patient safety, and regulatory compliance; identify opportunities for improvement.


• Collaborate with multidisciplinary teams and referring physicians to facilitate patient identification, referrals, coordinated care, and continuity of services.


• Partner with operational leadership on staffing models, resource utilization, clinical productivity, and program sustainability.


• Participate in or oversee 24/7 clinical coverage and escalation processes.


• Support education, research, and quality improvement initiatives related to innovative acute care delivery.

Qualifications

• Board certification in Internal Medicine, Family Medicine, or a related specialty.


• Active or eligible Texas medical license.


• Demonstrated clinical leadership and experience overseeing physicians, APPs, or multidisciplinary teams.


• Experience in hospital medicine, acute care, or innovative care delivery models preferred.


• Strong communication, collaboration, and strategic leadership skills.

Why University Health?

Join University Health and help shape the future of acute care delivery. This is an opportunity to lead an innovative program, influence clinical strategy, expand access to care, and make a meaningful impact on the patients and communities we serve.

Life in San Antonio

• Unique blend of culture, history, and modern amenities:

• Year-round warm climate


• One of the fastest-growing cities in the United States


• Close proximity to Austin, Houston, and the Texas Gulf Coast


• Excellent public and private schools


• Affordable cost of living


• No state income tax

University Health is an Equal Opportunity/Affirmative Action employer. We welcome H1B visa candidates.