Medical Director – Outpatient Psychiatry

About the Opportunity

A rapidly expanding outpatient behavioral health organization serving the New York metropolitan area is seeking an accomplished psychiatrist to join its executive leadership team as Medical Director.

The organization delivers outpatient psychiatry, therapy, telepsychiatry, interventional psychiatry, and psychiatric services within skilled nursing environments. Its multidisciplinary clinical team includes psychiatrists, psychiatric nurse practitioners, therapists, and behavioral health professionals supporting a diverse patient population.

The Medical Director will serve as the organization’s senior clinical authority, establishing standards of care, strengthening clinical quality, developing providers, and helping shape the continued growth of the practice.

This is not a purely administrative position. The successful physician will combine strategic leadership with practical clinical involvement and will maintain a negotiable caseload based on the overall leadership responsibilities of the position.

For the right candidate, this opportunity may offer a meaningful pathway toward long-term partnership, equity participation, or expanded executive leadership.

Key Responsibilities

Executive Clinical Leadership

• Serve as the senior clinical authority across outpatient, telehealth, and affiliated care programs.
• Establish, maintain, and enforce clinical standards, treatment protocols, and quality-of-care benchmarks.
• Represent the clinical perspective in executive planning, operational decisions, and organizational growth initiatives.
• Advise senior leadership regarding clinical strategy, provider capacity, patient access, service delivery, and clinical risk.
• Champion a patient-centered culture focused on clinical excellence, provider accountability, and continuity of care.

Clinical Quality and Compliance

• Lead clinical quality-assurance, peer-review, chart-review, and documentation-improvement processes.
• Monitor clinical outcomes, prescribing practices, treatment consistency, and provider performance.
• Ensure compliance with applicable New York State and federal healthcare regulations.
• Support audit readiness, clinical risk management, credentialing standards, and internal quality controls.
• Develop corrective-action plans and clinical improvement initiatives when performance or compliance concerns arise.

Provider Supervision and Development

• Provide clinical leadership, mentorship, and support to psychiatrists, psychiatric nurse practitioners, and other clinical professionals.
• Provide collaborative-practice coverage, supervision, and precepting for psychiatric nurse practitioners in accordance with New York State requirements.
• Establish clear clinical expectations and support ongoing provider education and professional development.
• Participate in provider recruitment, interviewing, onboarding, performance management, and retention.
• Build a culture of clinical accountability, collaboration, sound judgment, and continuous learning.

Outpatient and Telepsychiatry Oversight

• Oversee the quality and consistency of psychiatric evaluations, medication management, follow-up care, and telepsychiatry services.
• Help optimize workflows across in-person and virtual clinical programs.
• Support the development of scalable, patient-centered care models.
• Partner with operational leadership to improve scheduling, documentation, patient engagement, and continuity of care.
• Evaluate clinical metrics and service data to identify performance and growth opportunities.

Skilled Nursing Facility Programs

• Provide clinical oversight for psychiatric services delivered within skilled nursing facilities and other affiliated care environments.
• Support providers managing medically and psychiatrically complex patient populations.
• Help establish appropriate standards for documentation, communication, prescribing, escalation, and care coordination.
• Collaborate with facility leadership and internal clinical teams to improve psychiatric access and outcomes.

Interventional Psychiatry

• Provide clinical leadership and oversight for interventional psychiatry services, which may include TMS and Spravato/esketamine programs.
• Help ensure appropriate patient selection, treatment protocols, monitoring, documentation, and regulatory compliance.
• Support the responsible expansion of interventional psychiatry services as organizational demand grows.
• Prior direct experience with TMS or Spravato is preferred but may not be required for an otherwise highly qualified candidate.

Clinical Practice

• Maintain a clinical caseload consisting primarily of psychiatric evaluations and medication-management appointments.
• The proportion of clinical practice will be negotiated based on the physician’s leadership scope, experience, and organizational needs.
• Provide clinical consultation on complex cases and support escalation when providers require senior physician input.
• Remain actively engaged in patient care to maintain visibility into clinical workflows and provider challenges.

Growth and Program Development

• Partner with executive and operational leadership on the development of new clinical programs and service lines.
• Support geographic expansion, specialty-program development, telehealth growth, and strategic partnerships.
• Help design scalable clinical systems that maintain quality as the organization grows.
• Participate in long-range workforce planning and provider-capacity development.

Required Qualifications

• MD or DO degree from an accredited medical school.
• Completion of an accredited Psychiatry residency program.
• Board certification or board eligibility in Psychiatry through the American Board of Psychiatry and Neurology.
• Active, unrestricted New York State medical license, or eligibility to obtain one promptly.
• Active DEA registration.
• Demonstrated clinical excellence, sound psychiatric judgment, and a strong commitment to ethical patient care.
• Strong communication skills and the ability to lead physicians, advanced-practice providers, and multidisciplinary clinical teams.
• Ability to balance executive leadership, clinical quality, provider development, and direct patient care.

Preferred Qualifications

• Previous experience as a Medical Director, Clinical Director, Department Chair, or senior physician leader.
• Experience supervising psychiatric nurse practitioners or supporting collaborative-practice arrangements.
• Experience within a high-volume outpatient behavioral health environment.
• Experience working across multi-site, telehealth, or hybrid care-delivery models.
• Experience providing psychiatric care within skilled nursing facilities.
• Familiarity with TMS, Spravato/esketamine, or other interventional psychiatry programs.
• Experience leading peer review, chart review, clinical quality assurance, or regulatory-compliance initiatives.
• A builder’s mindset and genuine interest in helping shape a growing clinical organization.

Compensation and Benefits

• Base Salary: $280,000–$325,000 annually, depending on experience and overall scope.
• Performance Incentives: Based on clinical quality, leadership effectiveness, organizational performance, and strategic execution.
• Potential partnership, equity, or long-term leadership pathway for the right physician.
• Comprehensive medical, dental, and vision benefits.
• 401(k) retirement plan with employer contribution or match.
• Generous paid time off.
• CME allowance and dedicated CME time.
• Professional liability coverage.
• Administrative and operational support.
• Hybrid flexibility across the organization’s Westbury office, telehealth platform, and affiliated clinical programs.

Why Consider This Role?

• Serve as the senior clinical leader of a growing outpatient psychiatric organization.
• Shape the organization’s clinical standards, provider culture, and long-term care-delivery model.
• Lead and mentor a multidisciplinary team of psychiatrists, nurse practitioners, therapists, and behavioral health professionals.
• Help expand outpatient, telehealth, skilled nursing, and interventional psychiatry services.
• Maintain meaningful clinical involvement without being limited to a purely administrative position.
• Join a growth-oriented organization that values physician leadership, clinical autonomy, accountability, and patient-centered care.
• Pursue a potential partnership or equity pathway based on long-term alignment and performance.

Application Process

Qualified physicians are invited to submit a CV for confidential consideration.

All applications and inquiries will be handled with strict discretion. Additional information regarding the organization, leadership team, clinical structure, and partnership pathway will be shared with qualified candidates during the interview process.

Axe Recruiting is managing this search on behalf of its client. The hiring organization is an equal opportunity employer and considers qualified applicants without regard to race, colour, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other characteristic protected by applicable law.