Regional Chief Medical Officer

Job Summary

The Regional Chief Medical Officer (RCMO) – Kidney Care Centers is a part-time nephrologist role with overall responsibility for the medical component of Ennoble Care's primary care to patients in kidney care centers, across approximately 50 clinics.

The RCMO ensures high‑quality, evidence-based care; owns clinical quality and total cost of care performance; partners closely with regional operational leaders; and maintains accountability for clinical outcomes, quality, compliance, and patient safety. The RCMO provides clinical oversight and performance input for an interdisciplinary team of Nurse Practitioners (NPs), Physician Assistants (PAs), care coordinators, and other team members delivering primary care at kidney care centers. The RCMO will also partner closely with our kidney care center partner to ensure alignment on care protocols and take corrective actions on metrics not meeting goals.

This is a part-time role of approximately 2 days per week, designed for a practicing nephrologist. The RCMO does not carry a dedicated patient panel. The role is compatible with continued independent nephrology practice, joint venture participation, and medical director roles, subject to conflict-of-interest disclosure and compliance review. As the kidney care partnership and joint venture footprint grows, this role is expected to expand toward full-time.

Regional Scope 

The RCMO will provide medical leadership and oversight across approximately 50 kidney care centers within their designated region. The RCMO will maintain appropriate medical licensure in all states where they conduct patient visits or clinical oversight, specifically in Oklahoma, Arkansas, Mississippi, and Florida.

Core Responsibilities 

1. Clinical Quality and Performance Ownership

• Own regional clinical, quality, and total cost of care metrics established with our kidney care center partner; monitor performance and drive improvement through targeted action plans.
• Conduct regular review of provider notes, structured chart audits, and documentation feedback; provide coaching to NPs and PAs based on findings.
• Lead complex case reviews and serve as trusted clinical consultant for providers requiring clinical escalation.
• Lead performance improvement and quality initiatives, including regular review of partner quality and cost of care dashboards with regional operations and clinical leadership.
• Assist Company in developing clinical guidelines, protocols, and best practices for care delivered at kidney care centers.

1. Clinic Visits and Nephrology Engagement

• Conduct quarterly on-site clinic visits, including patient visits, on a rotating basis across the region.
• Meet with nephrologists practicing at the kidney care centers as needed to align on shared patients, care plans, and quality priorities.
• Serve as Ennoble Care's physician point of contact for partner nephrologists and clinical leadership.
• Fill in for providers as last resort due to prolonged PTO or absences

1. Provider Performance

• Participate in interviewing and selection of NPs and PAs for kidney care center roles.
• Provide clinical performance input on providers and as needed, support for new or underperforming providers.
• Develop and conduct initial and ongoing training for providers, especially related to dialysis and kidney care, in conjunction with dialysis center partner
• Hold regular office hours and 1:1s with 10-15 providers

1. Compliance

• Ensure compliance with Medicare/Medicaid requirements, Stark Law, Anti-Kickback Statute, and other applicable healthcare regulations.
• Disclose and manage outside roles (including joint ventures and medical directorships) in accordance with Company conflict-of-interest and compliance policies.

Qualifications 

Required:

• Doctor of Medicine (MD) or Doctor of Osteopathy (DO) degree from an accredited institution
• Board Certification in Nephrology by the American Board of Internal Medicine (or equivalent)
• Active, unrestricted medical license in good standing in all states where the RCMO will conduct patient visits or clinical oversight (or ability to obtain within 90 days)
• Current Drug Enforcement Administration (DEA) controlled substances registration
• Minimum of 5 years of clinical experience as a practicing nephrologist
• Minimum of 3 years of medical leadership or director-level experience
• Experience caring for patients with chronic kidney disease and end-stage renal disease, including patients receiving in-center dialysis
• Experience working within a business setting and demonstrated ability to work towards both business and clinical goals
• Not excluded from participation in Medicare or other Federal Health Care Programs
• Demonstrated ability to communicate effectively, both verbally and in writing
• Valid driver's license and ability to travel to kidney care centers within the region
• Ability to disclose and manage outside professional roles in compliance with conflict-of-interest requirements

Preferred:

• Experience with value-based care models and quality metrics
• Experience as a dialysis facility medical director or participation in nephrology joint ventures
• Experience with home-based or facility-based medical care
• Prior experience in multi-site or multi-state healthcare leadership

Job Conditions 

• Position requires meeting deadlines and timelines required by governing and regulatory organizations
• Primarily remote, with quarterly travel to kidney care centers across the assigned region
• Requires moderate physical activity including sitting, standing, stooping, walking, and travel by car
• Face-to-face patient visits required during clinic visits, which may entail moderate physical exertion
• Travel required by car or airplane to regional locations, seminars, conferences, and meetings
• Hearing, eyesight, and physical dexterity must be sufficient to perform physical assessments of patient conditions and demonstrate patient care
• Position may require occasional availability outside scheduled days for urgent clinical escalations

Equipment Operation 

Utilization of computer, electronic health record (EHR) systems, multi-line telephone, mobile devices, copy machine, and other office and basic medical equipment.

Company Information 

Has access to assigned patient medical records and personnel records of regional physicians and practitioners. Subject to Company's Confidentiality Policy and all HIPAA legal requirements.

Compensation and Benefits 

Competitive part-time compensation commensurate with experience and prorated to an approximately 2 days/week schedule, including performance bonus opportunities tied to regional clinical quality and total cost of care metrics. Eligible for participation in value-based shared savings program. CME reimbursement provided. Malpractice insurance coverage provided by Ennoble Care for services performed under this role. Benefits eligibility per Company policy for part-time roles. Opportunity to expand to a full-time role as the partnership grows. Full details provided in offer letter and employment agreement.

FLSA Status 

Exempt, Part-Time (approx. 2 days/week)