National Medical Director - Occupational Health

Job Description

Position Summary

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We are seeking an experienced National Medical Director – Occupational Health to provide clinical leadership and physician oversight for our occupational health programs nationwide.

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This physician will serve as the senior clinical authority for the program and must maintain an active, unrestricted physician license in all 50 states , or otherwise possess the licensure necessary to provide the required nationwide clinical oversight.

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The National Medical Director will oversee clinical activities performed by nurses, Nurse Practitioners (NPs), Physician Assistants (PAs), and other clinical staff; provide physician oversight for laboratory testing and orders; review clinical documentation; make or oversee pre-employment medical determinations; and serve as the supervising/collaborating physician where required.

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The role will work closely with clinical operations and leadership to ensure services are delivered consistently, efficiently, and in accordance with applicable federal and state requirements.

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Key Responsibilities

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National Clinical Oversight

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• Serve as the senior physician leader for occupational health services nationwide.
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• Provide clinical oversight and guidance to nurses and other clinical team members.
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• Establish and maintain clinical standards, protocols, standing orders, and escalation procedures.
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• Provide clinical consultation for complex or unusual occupational health cases.
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• Support quality assurance and clinical compliance initiatives across the organization.
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Laboratory & Diagnostic Oversight

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• Serve as the ordering or overseeing physician for laboratory testing when physician authorization is required.
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• Review and approve appropriate laboratory orders, protocols, and standing orders.
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• Provide physician review of abnormal, critical, or clinically significant laboratory findings when necessary.
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• Ensure laboratory ordering and review processes comply with applicable clinical and regulatory requirements.
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Pre-Employment & Occupational Health Determinations

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• Review medical histories, examination findings, laboratory results, and supporting medical documentation.
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• Make or oversee pre-employment medical and fitness-for-duty determinations .
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• Provide physician-level review when a candidate or employee requires additional medical clearance.
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• Review cases escalated by nursing or clinical staff.
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• Provide medical determinations and recommendations consistent with the essential functions and medical requirements of the applicable position.
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• Support return-to-work and other occupational health determinations as required.
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Clinical Documentation Review

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• Review physician, NP, PA, and nursing notes for clinical appropriateness, completeness, and quality.
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• Provide secondary physician review of cases requiring escalation.
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• Identify documentation or clinical quality concerns and provide feedback to clinical staff.
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• Assist in developing standardized documentation and clinical review processes.
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NP/PA Supervision

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• Serve as a supervising, collaborating, or oversight physician for Nurse Practitioners and Physician Assistants where required by state law and organizational structure .
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• Review and sign clinical documentation when required.
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• Maintain appropriate supervisory or collaborative agreements.
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• Provide clinical consultation and escalation support to advanced practice providers.
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• Ensure NP/PA practice remains within applicable scope-of-practice and supervisory requirements in each state.
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Nursing Oversight

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• Provide physician-level clinical leadership to occupational health nursing teams.
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• Develop and approve nursing protocols and standing orders.
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• Provide escalation pathways for cases requiring physician review.
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• Support clinical training, competency, and quality standards for nursing staff.
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Compliance & Quality

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• Maintain knowledge of federal and state requirements affecting occupational health services and clinical practice.
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• Partner with compliance, legal, operations, and clinical leadership to maintain appropriate clinical policies and procedures.
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• Participate in clinical audits and quality reviews.
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• Identify clinical risks and implement corrective actions when necessary.
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• Maintain appropriate documentation supporting physician oversight and clinical decision-making.
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Qualifications

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• MD or DO from an accredited medical school.
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• Board certification in Occupational Medicine, Family Medicine, Internal Medicine, Emergency Medicine, or another relevant specialty preferred.
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• Active and unrestricted physician licensure in all 50 U.S. states required , or ability to obtain and maintain the licensure required to perform the responsibilities of the position nationally.
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• Significant experience in occupational health, employee health, urgent care, workforce medicine, or a related clinical environment.
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• Experience supervising or providing clinical oversight to NPs, PAs, nurses, and other clinical professionals .
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• Experience reviewing laboratory results, clinical documentation, and medical clearance cases.
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• Strong understanding of state-specific physician supervision and scope-of-practice requirements.
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• Experience making pre-employment, fitness-for-duty, return-to-work, or similar occupational health determinations preferred.
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• Strong clinical judgment with the ability to make consistent decisions across a high-volume national program.
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• Excellent communication, leadership, and documentation skills.
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Preferred Experience

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Experience with one or more of the following is highly desirable:

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• National occupational health programs
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• Pre-employment physicals and medical clearances
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• Employee health
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• Fitness-for-duty evaluations
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• Drug and alcohol testing programs
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• Laboratory testing and physician orders
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• Vaccination and immunization programs
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• DOT or other regulated examinations
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• OSHA-related medical surveillance
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• Remote or multi-state clinical operations
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• Clinical quality assurance
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• NP/PA supervision across multiple states
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Role Impact

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The National Medical Director will provide the physician leadership necessary to support a consistent, compliant, and scalable national occupational health program . This individual will serve as the primary physician resource for clinical escalations, laboratory oversight, advanced practice provider supervision, nursing protocols, documentation review, and employment-related medical determinations across the organization.