Medical director – psychiatry | clinical leadership + patient care (pmhnp or psychiatrist)

Why Compass of Hope

Compass of Hope is a growing multidisciplinary mental health practice committed to expanding access to innovative, evidence-based behavioral healthcare. Our services bring together therapy, psychiatric care, interventional treatments, and specialty programs within a collaborative clinical environment. For the right provider, this position offers the opportunity to have a meaningful influence not only on individual patient care, but on the quality, development, and direction of an entire medical department.

Medical Director (Psychiatry) PMHNP-BC or Psychiatrist (MD/DO)

Compass of Hope is seeking a highly experienced, ethical, and clinically strong psychiatric provider to serve as our Medical Director. This is a hands-on leadership position for an experienced PMHNP-BC or Psychiatrist (MD/DO) who is passionate about maintaining high standards of psychiatric care while mentoring providers and strengthening clinical systems. The Medical Director will maintain a patient caseload while providing leadership and quality oversight across Compass of Hope’s medical services, including psychiatric medication management, Spravato® and ketamine services, GLP-1 treatment, and clinical review of FMLA and Emotional Support Animal (ESA) documentation requests. This position requires regular presence at both our Hooksett and Hampton, NH offices to ensure providers and medical staff have accessible, consistent leadership and support.

Key Responsibilities

• Medical & Clinical Leadership
  • Provide clinical leadership and quality oversight for Compass of Hope’s medical department.
  • Maintain a direct patient caseload and provide high-quality psychiatric evaluation and medication management.
  • Establish and uphold clear standards for safe, ethical, evidence-based prescribing.
  • Provide oversight of psychiatric medication management, Spravato®, ketamine, GLP-1 services, and other medical programs offered by the practice.
  • Review and provide clinical guidance regarding FMLA, ESA, and other medically related documentation requests.
  • Identify clinical, prescribing, documentation, or workflow concerns and intervene proactively when standards are not being met.
• Provider Development & Support
  • Provide mentorship, consultation, and clinical guidance to PMHNPs, with particular attention to supporting newly licensed providers as they develop confidence, judgment, and independence.
  • Be available to providers for consultation regarding complex cases, medication decisions, risk management, and other clinical concerns.
  • Promote a culture in which providers can seek consultation while remaining accountable to high standards of practice.
  • Assist leadership with evaluating provider performance and identifying opportunities for additional training, supervision, or corrective action when appropriate.
• Medication & Quality Oversight
  • Oversee systems for monitoring prescribing practices, including controlled substances and other higher-risk medications.
  • Support appropriate tracking and accountability related to medication inventory, receipt, storage, administration, and documentation when applicable.
  • Conduct or oversee periodic reviews of prescribing patterns, documentation, follow-up practices, and adherence to established clinical protocols.
  • Ensure medical services are delivered in accordance with applicable professional standards, regulations, payer requirements, and organizational policies.
• Policy, Compliance & Operations
  • Partner with executive leadership to develop, review, implement, and enforce medical policies and procedures.
  • Help translate clinical standards and regulatory requirements into clear, practical workflows for providers and medical staff.
  • Participate in quality improvement initiatives and assist in addressing clinical or operational concerns within the medical department.
  • Collaborate with administrative and clinical leadership to continuously improve patient safety, provider performance, and quality of care.

Who We’re Looking For

The ideal Medical Director is someone who combines excellent clinical judgment with approachable leadership. We are looking for a provider who understands that medical leadership is more than reviewing charts—it means being present, identifying concerns early, developing providers, strengthening systems, and maintaining a consistently high standard of care. You should be comfortable making difficult clinical decisions, providing constructive feedback, developing policies, and holding providers accountable while also creating an environment where clinicians feel supported in asking questions and continuing to grow.

Qualifications

• Active and unrestricted PMHNP-BC or Psychiatrist (MD/DO) license with eligibility to practice in New Hampshire.
• Significant psychiatric prescribing experience; this position is intended for a seasoned provider with demonstrated clinical judgment and leadership ability.
• Ability/willingness to become licensed in MA and ME.
• Strong knowledge of psychopharmacology, safe prescribing practices, controlled-substance management, documentation, and psychiatric risk assessment.
• Demonstrated commitment to ethical, evidence-based, patient-centered care.
• Experience mentoring, supervising, or providing clinical consultation to other psychiatric providers strongly preferred.
• Experience with Spravato®, ketamine treatment, interventional psychiatry, or specialty psychiatric programs is preferred.
• Strong communication skills and the ability to address performance or clinical concerns directly, professionally, and constructively.
• Ability and willingness to work regularly from both the Hooksett and Hampton offices.