Director of Clinical Practice & Performance

MedvidiSan Jose, CA
3h$185,000 - $215,000Remote

About The Position

MEDvidi is a national telehealth platform delivering evidence-based care for ADHD, anxiety, and related psychiatric conditions, with expansion into medical weight loss and additional service lines. We operate in a regulated healthcare environment where clinical quality, prescribing integrity, documentation defensibility, and patient safety are non-negotiable. As we scale nationally, we are building the clinical systems required to deliver consistent, compliant, high-quality care across a multi-state footprint. We are seeking a Director of Clinical Practice & Performance to build and enforce MEDvidi’s clinical operating system. Reporting directly to the Chief Medical Officer, this role translates clinical strategy into standardized SOPs, documentation architecture, quality systems, and provider performance oversight. This is an executive-level builder role — not a traditional clinical manager position. You will design the infrastructure that ensures safe, defensible, and consistent care delivery across psychiatric nurse practitioners and physicians. The role includes 10–20% clinical practice to remain embedded in workflows and model documentation excellence. You will operate under delegated authority from the CMO to monitor adherence to standards, address prescribing variance, and initiate remediation when necessary.

Requirements

  • Board-Certified Psychiatric Nurse Practitioner (PMHNP-BC)
  • 5+ years psychiatric clinical experience
  • Strong experience with stimulant prescribing and/or medical weight loss management
  • Experience in telehealth or multi-state practice preferred
  • Experience building SOPs, quality systems, or provider performance programs
  • Comfortable enforcing standards and leading remediation conversations
  • Systems-oriented and process-driven
  • Data-fluent and metrics-focused
  • Confident influencing physicians and senior clinicians
  • High integrity and sound clinical judgment
  • Comfortable operating in a scaling, high-accountability environment
  • Executive mindset beyond purely clinical practice

Responsibilities

  • Build Scalable Clinical Infrastructure
  • Develop and operationalize condition-specific SOPs (ADHD, anxiety, depression, PTSD, medical weight loss)
  • Establish structured prescribing frameworks, titration pathways, and monitoring standards
  • Define inclusion/exclusion criteria and clinical guardrails
  • Reduce variability across providers and service lines
  • Own Quality & Provider Performance
  • Design and lead structured chart audit programs and peer review systems
  • Monitor prescribing patterns and documentation quality
  • Define measurable clinical KPIs and maintain performance dashboards
  • Lead remediation processes and performance improvement plans when needed
  • Escalate complex or high-risk cases to the CMO
  • Strengthen Documentation & Compliance Systems
  • Standardize EMR templates and intake/follow-up workflows
  • Embed structured documentation fields to improve defensibility and audit readiness
  • Operationalize stimulant safeguards and GLP-1 safety monitoring protocols
  • Establish adverse event review and escalation pathways
  • Partner Cross-Functionally
  • Collaborate with Product & Engineering to translate SOPs into scalable workflows
  • Review AI-assisted documentation tools and establish guardrails
  • Validate clinical accuracy of patient-facing and marketing materials
  • Ensure operational alignment between growth initiatives and clinical safety
  • Clinical Practice (10–20%)
  • Maintain a limited patient panel within core service lines
  • Model SOP adherence and documentation standards
  • Identify workflow friction and system improvement opportunities

Benefits

  • Remote flexibility
  • Competitive compensation and equity aligned with impact
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