Medical Director / On-Site Physician

Medical Director / On-Site Physician

To provide medical oversight and occupational health services. The selected physician will deliver employer-directed medical care including evaluations and treatment of work-related injuries/illnesses, medical oversight of clinic operations, and performance of required safety-sensitive physical exams for City employees. This role also serves as the Medical Review Officer (MRO) for drug and alcohol testing programs and supports Workers' Compensation, ADA accommodation guidance, and return-to-work recommendations.

Key Responsibilities

The selected physician will:

Medical Oversight & Clinical Leadership

• Provide medical oversight and direction for Employee Health Center (EHC) operations
• Oversee staff clinical workflow, medical documentation practices, and quality standards
• Ensure compliance with medical and regulatory requirements

Occupational Health Services

• Evaluate and treat work-related injuries and illnesses
• Provide return-to-work recommendations
• Support case management, follow-up care, and occupational health determinations

Required Physicals & Exams

Perform occupational medical exams including:

• Pre-employment physicals
• DOT / CDL physicals (must be conducted by an FMCSA-certified examiner)
• Police physicals
• Firefighter & safety-sensitive physicals
  • Must align with NFPA 1582, NCDOJ, and FMCSA compliance where applicable

Medical Review Officer (MRO)

• Serve as MRO for drug and alcohol testing
• Provide interpretation and review of test results
• Ensure proper documentation, confidentiality, and compliance

Clinic Support Services

• Oversight of:
  • Laboratory testing
  • Vaccines / immunizations
  • Medical records management
• Support Workers' Compensation programs including reporting and coordination
• Provide guidance on:
  • ADA accommodation reviews
  • Fitness-for-duty determinations

Compliance Requirements

The physician must ensure compliance with all applicable standards and regulations, including:

• HIPAA
• OSHA
• NCDHHS
• NCDOT
• FHWA
• NCDOJ
• DOT/Federal compliance for CDL-related exams

Minimum Qualifications

Education:

Medical Doctor (MD) or Doctor of Osteopathy (DO)

Licensing:

• Active North Carolina physician license
• Must be in good standing with no disciplinary history

Certifications:

• Medical Review Officer (MRO) certification Required
• FMCSA Certified Medical Examiner Required for DOT/CDL exams (or must have access to an FMCSA-certified examiner if a medical group is proposed)

Experience:

• Minimum 5 years physician experience
• Occupational Health experience strongly preferred
• Experience conducting Police & Fire physicals strongly preferred