Chief Medical Officer (CMO)

Position Summary:

The Chief Medical Officer (CMO) is the senior physician executive responsible for enterprise clinical governance, physician strategy, resident safety, quality, regulatory excellence, physician services, and clinical innovation across a growing skilled nursing enterprise. Reporting to the Chief Executive Officer, the CMO initially oversees four facilities before expanding to enterprise responsibility across a 40-facility portfolio while preserving the statutory responsibilities of each facility Medical Director, Administrator, Governing Body, Director of Nursing, and Compliance Officer.

Reporting Relationships:

• Reports directly to the Chief Executive Officer.


• Partners with the COO, CNO, CFO, Chief Ethics & Compliance Officer and Governing Body.


• Provides executive oversight of Facility Medical Directors, attending physicians, and advanced practice providers.

Executive Responsibilities:

• Lead enterprise clinical strategy.


• Standardize evidence-based care.


• Oversee physician recruitment, credentialing, privileging, peer review and succession.


• Lead QAPI, infection prevention, resident safety and emergency preparedness.


• Improve quality, survey readiness and value-based performance.


• Represent the organization with hospitals, payers and regulators.

Clinical Governance:

• Establish enterprise medical policies.


• Maintain Medical Director governance model.


• Lead serious event review and root-cause analysis.

Compliance & Risk:

• Partner with Compliance while preserving independence.


• Promote documentation integrity and medical necessity.


• Support CMS, NYDOH, Medicare and Medicaid compliance.

Authority:

• Issue interim clinical directives.


• Require physician performance review.


• Recommend privilege restriction through governance.


• Escalate unresolved risks to CEO and Board.

Qualifications:

• MD/DO with unrestricted NY license.


• Board Certified; CMD preferred.


• Executive multi-site SNF leadership.


• Expertise in CMS, NY regulations, QAPI and value-based care.

First-Year Deliverables:

• 90 days: enterprise assessment.


• 180 days: physician scorecards and dashboards.


• 365 days: measurable quality and physician improvements.

Executive KPIs:

• Resident outcomes.


• Risk-adjusted readmissions.


• CMS Five-Star trends.


• Survey performance.


• Physician engagement.


• Strategic initiative execution.

Executive Competencies:

Visionary leadership; executive communication; systems thinking; physician engagement; strategic partnerships; financial stewardship; innovation; change management; Governing Body communication.