Fractional Psychiatric Medical Director

Description

ABOUT THE POSITION & ITS IMPACT

This is not a traditional Medical Director role. This is for a physician who believes that presence matters as much as protocol.

At Milestones, our clients are navigating profound trauma, complexity, and vulnerability. 

The Medical Director is not just overseeing care. They are woven into the therapeutic experience, partnering closely with clinicians, guiding nuanced medical decisions, and helping shape a treatment environment where clients feel deeply seen, safe, and supported.

As our Fractional Medical Director, you will bring high-level psychiatric and medical expertise into a high-touch, highly relational treatment model, working 10–15 hours per week in close collaboration with our clinical and therapeutic teams.

Your impact will be felt in the moments that matter most:

• When a client is in crisis and needs thoughtful, grounded medical leadership 
• When a therapist needs a collaborative partner to navigate complexity 
• When the team needs alignment around safe, effective, and human-centered care 

This role is ideal for a physician who wants to stay deeply engaged in meaningful clinical work, without the demands of a full-time administrative structure, while still playing a critical leadership role in client outcomes and program integrity.

What You’ll Do

 

Clinical Leadership & Oversight

· Provide medical oversight for a high-acuity adult trauma treatment program 

· Serve as a key clinical thought partner for therapists, psychiatrists, and nursing staff 

· Support complex case consultation, risk assessment, and clinical decision-making 

• Guide medical best practices in alignment with evolving psychiatric and trauma-informed care      standards 

Relational Collaboration

• Actively engage with the multidisciplinary team in a highly collaborative, non-siloed model of care      
• Build trust and credibility with clinicians through accessibility, humility, and partnership 
• Participate in case reviews, team consultations, and clinical discussions 

Client-Centered Care

• Maintain a high-touch presence with clients as needed for assessments, medication oversight, and clinical support 
• Contribute to a treatment environment that prioritizes dignity, emotional safety, and whole-person care 
• Support crisis situations, including higher-risk or complex psychiatric presentations 

Program & Quality Contribution

• Partner in the evolution of clinical programming and medical integration 
• Ensure alignment with regulatory, accreditation, and best-practice standards (CARF, HIPAA, etc.)      
• Help maintain a consistent, high-quality standard of care across the program

Requirements

Who You Are

• Board-certified Physician (Psychiatrist strongly preferred) with an active Tennessee      license 
• Experienced in trauma, behavioral health, or residential treatment settings 
• Clinically sharp and comfortable navigating high-acuity, complex cases 
• Highly relational, collaborative, and emotionally intelligent 
• Able to balance clinical authority with humility and partnership 
• Drawn to mission-driven work where client transformation is the priority

ABOUT ONSITE WELLNESS GROUP

Our collective vision is to create an emotionally well world, to reconnect humanity to themselves, to one another and to the world around all of us. Our team members, guides, clinicians and practitioners all work together to serve clients from places near and far all operating under the guidance of our company values, our ANCHOR values. The principes of authenticity, nurturing, courage, humility, openness and resilience steer our decision-making, the norms within our organization and how we gut check our future. 

Onsite Wellness Group is a family of brands that provide emotional wellness and hospitality initiatives, in-person and digitally, including Onsite Workshops, Milestones, Onsite Adventures, Onsite Entertainment, The Onsite Foundation, Onsite Digital, Miles Adcox, Human School, Orchard Hill, and The Oaks. The Onsite family of brands provides services to an international client base through the company's transformational emotional wellness experiences that combine some of the country's best therapeutic, wellness, and personal-development minds with its signature healing hospitality. Onsite's mission is to design and deliver transformational experiences that optimize life and build meaning and value into the human experience. Onsite's work has been featured on 20/20, Good Morning America, New York Times, Wall Street Journal, Marie Claire, People, The Doctors, and more.

For more information, we encourage you to visit our website at experienceonsite.com. For more information about Milestones, we encourage you to visit our website at experiencemilestones.com