System Medical Director – Lead Emergency Medicine Across 14 Hospitals in WV & KY

As a physician-founded, owned, and led physician services company, we offer the personalized care of a local group with the support and resources of a national company––while staying debt-free, allowing us to stay true to our mission. We actively engage and empower our clinicians, and our localized approach ensures the needs of each clinician, hospital, and community are met.

Your expertise is valued, your voice is heard, and your impact is real. Together, we’re not just providing care—we’re redefining it.

System Medical Director – Appalachian Regional Healthcare (ARH)
Emergency Medicine | West Virginia & Kentucky

Core Clinical Partners is seeking an experienced and visionary System Medical Director to lead Emergency Medicine services across Appalachian Regional Healthcare (ARH), a 14-hospital, non-profit system serving rural communities throughout West Virginia and Kentucky. With oversight of more than 100 EM physicians and 40 advanced practice providers, this is a rare and rewarding opportunity to drive strategic and clinical impact at a scale, while maintaining hands-on clinical practice.

This hybrid leadership and clinical role is ideal for a physician passionate about elevating care quality, building strong clinical teams, and advancing operational performance across multiple sites. The role reports directly to Dr. Rachel Thompson, Chief Medical Officer, and partners with a dedicated Director of Operations and Regional Practice Manager to ensure success.

Why Lead at ARH?

• System-Level Influence – Lead EM services across 14 hospitals and serve as the face of Core within the ARH system
• Clinical Leadership at Scale – Guide 100+ physicians and 40+ APPs with the support of a seasoned operations team
• Hybrid Role – Maintain clinical relevancy with ~6 shifts/month while driving administrative strategy during weekday hours
• Dedicated Support – Partner closely with Core’s CMO, DOO, and internal quality/analytics infrastructure

Key Responsibilities

Leadership & Strategy

• Serve as clinical dyad partner to the ARH Director of Operations
• Mentor and oversee a network of physicians and APPs across all emergency departments
• Promote a culture of collaboration, engagement, and clinical excellence
• Standardize and disseminate best practices across sites

Operational Oversight

• Regularly visit hospitals across the 14-facility system
• Establish a designated “home base” ED for consistency in clinical practice
• Ensure operational consistency and workflow optimization
• Participate in the recruitment, onboarding, and development of site-level clinical leaders

Quality & Performance

• Drive quality improvement and data-informed decision-making
• Align site-level metrics with system priorities in collaboration with hospital leadership
• Champion Core’s quality and safety initiatives system-wide

Stakeholder Engagement

• Represent Core and the EM team with ARH hospital CEOs and system leaders
• Actively participate in regional strategy and planning discussions
• Serve as a trusted advisor to both internal teams and external clinical stakeholders

What We Offer

• System Director Stipend & Competitive Compensation
• 1099 Independent Contractor Status
• Travel & Administrative Support
• Flexible Scheduling
• No Non-Compete Agreements – Your Career, Your Choice!

Take the next step in your leadership journey. To explore this opportunity further, send your CV to Lynn Osborne at Lynn.Osborne@coreclinicalpartners.com or schedule a confidential discussion.

The Healthcare System of Appalachia

This expansive health system is stronger than ever. With 14 hospitals, a network of primary and specialty care clinics, home health services, comprehensive rehabilitation programs, pharmacies, and a reference lab, it serves over 400,000 patients across southeastern Kentucky and southern West Virginia. 

The system employs nearly 6,000 individuals and more than 600 medical staff members, making it the largest private employer in the region. It has also been recognized by Forbes as one of the “Top 10 Employers” in Kentucky.

Spanning the scenic landscapes of southeastern Kentucky and southern West Virginia, the communities served by this health system are deeply rooted in the heart of Appalachia. Known for their rich cultural heritage, strong sense of community, and breathtaking natural beauty, these regions offer a welcoming environment for residents and healthcare professionals alike.

From charming small towns to vibrant regional hubs, the area provides a unique blend of outdoor recreation, family-friendly living, and a cost of living well below the national average. Residents enjoy access to stunning mountain trails, state parks, and outdoor activities such as hiking, fishing, and kayaking, making it an ideal destination for those who appreciate nature and adventure.

With a strong commitment to healthcare access, education, and economic development, these communities continue to grow while maintaining the warmth and resilience that define Appalachia.