Regional Chief Medical Officer (DMV)

JOB SUMMARY

The Chief Regional Medical Officer (CRMO) will have overall responsibility for the medical
component of Ennoble Care's home-based primary and palliative care programs within their
designated multi-state region.

The CRMO ensures high-quality, evidence-based care; supports clinical operations; partners closely
with regional operational leaders; and maintains accountability for clinical outcomes, quality,
compliance, patient safety, and provider experience. This role provides oversight, mentorship, and
performance management for an interdisciplinary team of Nurse Practitioners (NPs), Physician
Assistants (PAs), collaborating physicians, care coordinators, and other team members, in the
delivery of primary care to homebound and medically complex patients.

This executive leadership role combines clinical practice with strategic medical oversight, serving
as the primary medical resource for interdisciplinary teams across the region, and ensures the
provision of high quality, effective, and patient-centered care.

This position constitutes a full-time (1.0 FTE) salaried role comprising three integrated functions:
(1) independent clinical physician; (2) House Calls medical director (mobile primary care &
palliative); and (3) Regional Leadership and Administration. Clinical practice will constitute
approximately 60% of the CRMO's time, with medical director and administrative duties
comprising approximately 40%, balanced to not exceed a full-time work schedule in any given
week.
REGIONAL SCOPE

The CRMO will provide medical leadership and oversight across multiple states within their
designated region. The CRMO will maintain appropriate medical licensure in all states within their
region of responsibility.

CORE RESPONSIBILITIES

1. Clinical Practice (Approximately 60% of Time)

• Lead by example through providing high-quality, evidence-based, patient-centered care to a
small panel of patients.
• Function as an independent medical provider in their capacity as a physician (internal
medicine, family medicine, or related specialty such as geriatrics, palliative medicine) across all
states within the designated region
• Provide house calls (primary care in patient homes) and palliative care services for Ennoble
patients in a designated geography near RCMO's home
• Deliver direct patient care including collection of medical histories, physical examination,
differential diagnosis and clinical assessments, establishment of treatment regimens, and
ongoing chronic disease management.
• Effectively communicate with office staff and clinical operations across various internal
platforms
• Ensure timely completion of clinical documentation, diagnostic review, signing of home health
orders, etc.

2. House call Medical Director Services

• Clinical Direction: Oversee the provision of medical and administrative services by Company
practitioners, including physicians, nurse practitioners, and physician assistants; provide
clinical direction including regular review of medical charts; assist with development of
guidelines and best practices for clinical activities
• Supervision: Serve as collaborating or supervising physician for nurse practitioners and/or
physician assistants as needed, pursuant to state regulatory requirements across the region
• Clinical escalation: Serve as trusted consultant for providers requiring clinical escalation to
review cases
• Ensure continuity of care: during periods of provider vacancy, serve as the interim clinical point
of accountability for unassigned patients, including oversight of safety checks, urgent issues,
care coordination tasks, and alignment with organizational clinical standards.
• Field Training / Clinical Assessments: Periodically provide direct clinical oversight in the form
of field training and clinical assessments for new and/or underperforming providers
• System Improvement: Assist Company to improve care delivery operational and clinical
processes, including development of protocols and operating guidelines, training for clinical
staff, and quality assurance activities
• Backup Call Coverage: Be reasonably available for after-hours backup call coverage for
escalations when primary call coverage is unresponsive or unavailable, as well as for clinical
escalations for complex cases
• Information Technology Product Guidance: Assist Company in suggesting, designing, and
testing needs and features in Company's technology assets, including electronic health record
(EHR) software.

3. Regional Leadership and Administration

• Provide strategic medical leadership across assigned multi-state region
• Coordinate with local clinical leadership to ensure consistent standards of care
• Participate in performance improvement programs and quality initiatives
• Support market growth initiatives including patient panel expansion and operational
profitability targets
• Collaborate with regional administrators and executive leadership on business development
• Champion and support continuous improvement of core Ennoble programs such as BHI,
Remote Patient Monitoring, GUIDE and ACO programs
• Ensure compliance with Medicare/Medicaid requirements, Stark Law, Anti-Kickback Statute,
and other applicable healthcare regulations across all regional jurisdictions
• Represent Ennoble Care at regional professional conferences, meetings, and community events

QUALIFICATIONS

Required:

• Doctor of Medicine (MD) or Doctor of Osteopathy (DO) degree from an accredited institution
• Board Certification by the American Board of Internal Medicine, American Board of Family
Medicine, or equivalent specialty board
• Active, unrestricted medical license in good standing in all states within the designated region
(or ability to obtain within 90 days)
• Current Drug Enforcement Administration (DEA) controlled substances registration
• Minimum of 5 years of clinical experience in primary care, geriatric medicine, palliative care, or
hospice medicine
• Minimum of 3 years of medical leadership or director-level experience
• Training and experience in the psychological and medical needs of homebound older adults
living with chronic illness
• 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 within the region

Preferred:

• Board certification in Geriatrics or Palliative Medicine
• Experience with value-based care models and quality metrics
• Experience with home-based primary care delivery models
• Prior experience in multi-site or multi-state healthcare leadership
• Fellowship training in geriatric medicine or palliative care

JOB CONDITIONS

• Position requires meeting deadlines and timelines required by governing and regulatory
organizations
• Combination of office-based, home-visit, and remote work across multiple states
• Requires moderate physical activity including sitting, standing, stooping, walking, and travel by
car
• Face-to-face patient visits required, 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 after-hours availability for clinical escalations and emergencies

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 compensation package commensurate with experience, including base salary,
performance bonus opportunities tied to regional KPIs (patient panel growth and profitability), and
comprehensive benefits. Additional compensation opportunities may include productivity
incentives, Remote Patient Monitoring participation, and Behavioral Health Integration. CME
reimbursement provided. Malpractice insurance coverage provided by Ennoble Care. Eligible for
participation in value-based shared savings program. Full details provided in offer letter and
employment agreement.

ABOUT ENNOBLE CARE

Ennoble Care provides home-based primary care, behavioral health, hospice, and related health
care services to patients. Our mission is to bring comprehensive, compassionate healthcare directly
to patients in their homes, improving access and outcomes for those who face barriers to traditional
office-based care. We operate across multiple states with a focus on delivering high-quality, patient centered
care through our team of dedicated healthcare professionals.