High Country Community Health logo
High Country Community Health
Elkin, North Carolina

Family Medicine/Primary Care Physician

Family MedicineIncludes weekendsFull-Time

Compensation

Pay not listed

The week · per this posting · weekdays assumed

Ask the employer about the pay range, the work setting, call expectations and time off.

Posted 1h ago · Verified live

Job Description

High Country Community Health (HCCH) is a federally funded Community and Migrant Health Center with medical locations in Watauga, Avery, Burke, and Surry Counties. The mission of HCCH is to provide comprehensive and culturally sensitive primary health care services that may include dental, mental and substance abuse services to the medically under-served populations.

This position requires medical training for family practice, general practice or other primary care practice orientation, with understanding and interest in preventive and community health.

II. Responsibilities

A. Examine and treat patients in the office.

B. Refer patients for specialist services, as required.

C. Provider will answer telephone calls from HCCH’s Nurse Triage when scheduled.

D. Maintain electronic medical records.

E. Review lab, x-ray, and emergency reports daily and supervise medical support personnel.

F. Provide back-up, supervision and development of standing orders for provider extender.

G. Participate in special screening, training, and community outreach activities as determined.

H. Develop cooperative arrangements with other health providers in the area.

I. Participate in the drafting of medical policies in conjunction with HCCH Medical Director, C.E.O., and board representatives.

J. Ensure appropriate coding for billing purposes

K. Perform all other medically related assigned duties.

L. Maintain ability to order testing with a local hospital.

  • M. Promote goodwill among and between HCCH employees
  • N. Maintain respectful and open dialogue with HCCH leadership

Role on Care Team: The physician oversees all aspects of patient care. They will work closely with the other members of the care team to ensure the best care possible.

The physician will complete health assessments, make and/or confirm diagnoses, provide referrals to specialists as necessary and may write or refill prescriptions for medications.

The physician works closely with the Patient Health Specialist, Patient Resource Specialist and other support and nursing staff to stay informed about your treatment progress and collaborate on care.

Supervisory Relationships

  • Responsible for medical support personnel (NP and PA) regarding patient care.
  • Responsible to HCCH's Medical Director

Requirements

Professional Standards

The Provider shall devote their best professional skill and services in practicing medicine in accordance with the customary rules of ethics and conduct set forth by the North Carolina Board of Medical Examiners. The Provider will comply with the bylaws, rules, and regulations of HCCH.

Mental Requirements: Must be able to make sound judgment based on assessment and data available and act accordingly. Must be able to be flexible, innovative, and work independently. Must possess good interpersonal skills and ability to prioritize multiple functions or tasks.

Hours

Must be able to work a flexible work schedule including week days, some weekends, evenings, and holidays if needed.

Physical Requirements: Requires considerable physical effort most of the day. Requires squatting, kneeling, reaching, twisting, walking, and sitting for long periods of time.

Key Responsibilities

The physician is responsible for examining and treating patients, maintaining electronic medical records, and overseeing the care team. They also participate in community outreach, medical policy drafting, and the supervision of medical support personnel.

Qualifications

Experience
2+ years of experience

Key Skills

Family medicinePatient examinationClinical supervisionPreventive healthMedical codingHealth assessmentDiagnosisReferral managementMedical ethicsStanding orders development

Family Medicine — Physician Career Context

The cost-of-living index for North Carolina is 94.3 (US average = 100; BEA Regional Price Parities (2024)). 59.2% of North Carolina clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Of the 50 active Family Medicine listings this role was benchmarked against, 6% are remote, 50% have no call, 64% require no weekends.

What does the Family Medicine market look like in North Carolina?
MeasureThis jobMarket
Listed paynot listedFamily Medicine median $275k (middle half $247k–$311k)155 comparable listings, Nov 2026
Cost of livingNorth Carolina index 94.3US average = 100BEA Regional Price Parities (2024)
Family Medicine listings in North Carolina53 active2,627 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 6% remote · 50% no call · 64% no weekends50 benchmarked listings
Sign-on & loan repaymentnot statedNorth Carolina Physician listings: 30% state a sign-on bonus (median $30k) · 18% offer loan repayment510 active listings, Nov 2026
Family Medicine hiring demand#10 of 28 specialtiespostings stay open a median 38 days · 31% state a sign-on bonusWeekdayDoc Hiring Index, October 2026 · 857 postings, 907 closed
New Family Medicine listings1,841 in the last 30 days1,356 the 30 days before (+36%)U.S., first seen on WeekdayDoc, Nov 2026
Family Medicine pay trend+1.9% vs prior quarter—through Oct 2026
Sources: WeekdayDoc live listing index, BEA Regional Price Parities (2024), WeekdayDoc Hiring Index; as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page.

Top Family Medicine Jobs

44 matches · ranked by pay

Salary Distribution

44 jobs · 35 employers
11
<$270k
10
$270k-305k
5
$305k-340k
17
$340k-375k
1
$385k

Annual compensation range

Benefits & Perks

37 jobs · 35 employers
401k / retirement match
86%
CME allowance
54%
Sign-on bonus
49%
Relocation assistance
32%
Loan repayment
22%

Share of similar jobs offering each benefit

#1

Physician

Innov Age · Not specified

$341k-$385k
#2

Primary Care Physician

Akicita Federal · White Earth, Minnesota

$364k-$374k
#3

Family Medicine Physician - Sign-On Bonus Available - 4 days in clinic, 1 day (Remote)

$309k-$369k
#4

Family Medicine Physician (Cow Hollow) - Sign-On Bonus Available - Remote flexibility

$309k-$369k
+ 42 more · ranked by pay

Work-life snapshot

median 6.0this job 4.8
Better work-life than 40% of Family Medicine listings

Listing-based score, 0–10, across 2,598 comparable listings. Shaded area = the share scoring below this one.

  • Includes weekends
High Country Community Health logo

About High Country Community Health

Medical Practices
Boone, North Carolina
51-200 employees

Living in Elkin

Typical 3-bedroom home value
$255k
Median resident rent
$807/mo
Residents’ average commute
26 min
State income tax
Up to 4.8%
Sources & methodology

Sources: Zillow home values (Sep 2026), U.S. Census ACS 2024 five-year.

City-level figures. Not a cost-of-living guarantee.