Medical Director - Physiatry

Puzzle Healthcare • Fort Worth, TX

8d • Hybrid

About The Position

Puzzle Healthcare is seeking a Physiatrist (PM&R) to serve as Medical Director, providing clinical oversight and leadership across our post-acute and long-term care network. This role blends remote medical direction with periodic on-site support for complex rehabilitation procedures, making it ideal for an experienced physiatrist who values both flexibility and hands-on clinical engagement. As Medical Director, you will guide physiatric care standards, ensure documentation quality and compliance, and collaborate closely with facility teams to elevate rehabilitation outcomes. You will serve as the clinical authority for PM&R across assigned regions, shaping care delivery at scale.

Requirements

• Physiatrist (PM&R)
• Experienced physiatrist
• Ability to provide clinical oversight and leadership
• Ability to conduct remote chart reviews, documentation oversight, and compliance audits
• Ability to review and co-sign clinical encounters per state and payer requirements
• Ability to establish and maintain physiatric care standards, documentation expectations, and clinical protocols
• Ability to offer remote guidance and feedback to therapy teams, APPs, and facility leadership
• Ability to identify trends in documentation, care quality, and training needs and lead targeted improvement initiatives
• Ability to participate in regular virtual check-ins with clinical operations, compliance, and quality teams
• Ability to support onboarding of new clinicians and facilities
• Knowledge of PM&R guidelines, PDPM requirements, and post-acute regulatory updates
• Ability to provide occasional on-site support for complex procedures, advanced assessments, or facility needs

Nice To Haves

• Values flexibility and hands-on clinical engagement

Responsibilities

• Provide clinical leadership as the physician-of-record for PM&R services across assigned facilities.
• Conduct structured remote chart reviews, documentation oversight, and compliance audits.
• Review and co-sign clinical encounters per state and payer requirements.
• Establish and maintain physiatric care standards, documentation expectations, and clinical protocols.
• Offer remote guidance and feedback to therapy teams, APPs, and facility leadership.
• Identify trends in documentation, care quality, and training needs; lead targeted improvement initiatives.
• Participate in regular virtual check-ins with clinical operations, compliance, and quality teams.
• Support onboarding of new clinicians and facilities.
• Stay current with PM&R guidelines, PDPM requirements, and post-acute regulatory updates.
• Provide occasional on-site support for complex procedures, advanced assessments, or facility needs.

Benefits

• Flexible Schedule: Full-time and part-time opportunities are available!
• A flexible, remote-first position with meaningful opportunities for hands-on clinical involvement.
• Collaboration with multidisciplinary clinical and operational leaders.
• A platform to shape care quality, documentation standards, and rehabilitation outcomes at scale.
• Compensation is structured as a percentage of collections plus a collaborative stipend.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager