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.