Fractional Medical Director
About The Position
This is not a traditional Medical Director role, but rather for a physician who values presence as much as protocol. At Milestones, clients are dealing with profound trauma, complexity, and vulnerability. The Medical Director is deeply integrated into the therapeutic experience, collaborating with clinicians, guiding medical decisions, and fostering a safe and supportive treatment environment. As a Fractional Medical Director, you will provide high-level psychiatric and medical expertise within a high-touch, highly relational treatment model, working 10–15 hours per week in close collaboration with clinical and therapeutic teams. This role offers critical leadership in client outcomes and program integrity for a physician seeking meaningful clinical work without full-time administrative demands.
Requirements
- Board-certified Physician
- Active Tennessee license
- Experienced in trauma, behavioral health, or residential treatment settings
- Clinically sharp and comfortable navigating high-acuity, complex cases
- Highly relational, collaborative, and emotionally intelligent
- Able to balance clinical authority with humility and partnership
- Drawn to mission-driven work where client transformation is the priority
Nice To Haves
- Psychiatrist strongly preferred
Responsibilities
- Provide medical oversight for a high-acuity adult trauma treatment program
- Serve as a key clinical thought partner for therapists, psychiatrists, and nursing staff
- Support complex case consultation, risk assessment, and clinical decision-making
- Guide medical best practices in alignment with evolving psychiatric and trauma-informed care standards
- Actively engage with the multidisciplinary team in a highly collaborative, non-siloed model of care
- Build trust and credibility with clinicians through accessibility, humility, and partnership
- Participate in case reviews, team consultations, and clinical discussions
- Maintain a high-touch presence with clients as needed for assessments, medication oversight, and clinical support
- Contribute to a treatment environment that prioritizes dignity, emotional safety, and whole-person care
- Support crisis situations, including higher-risk or complex psychiatric presentations
- Partner in the evolution of clinical programming and medical integration
- Ensure alignment with regulatory, accreditation, and best-practice standards (CARF, HIPAA, etc.)
- Help maintain a consistent, high-quality standard of care across the program
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What This Job Offers
Job Type
Part-time
Career Level
Director
Education Level
Ph.D. or professional degree
Number of Employees
11-50 employees
