Medical Director of Palliative Care
Compensation
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Job Description
Senior Medical Director, Inpatient Palliative Medicine & Hospice
Lower Cape Fear LifeCare, based in coastal Wilmington, NC, is one of the region’s most respected and rapidly growing nonprofit hospice and palliative care organizations. If you’re a physician ready to take the next step from clinical excellence into meaningful leadership, this is an opportunity to help define what comes next as the Senior Medical Director to lead inpatient palliative medicine and hospice services at a pivotal moment of evolution and growth.
You’ll guide a multidisciplinary team, strengthen partnerships with the medical center, and help shape innovative, patient-centered care models that meet the needs of today—and tomorrow. If you’re looking to join a highly engaged team as evidenced by physician satisfaction ranking in the 99th percentile of Press Ganey’s national employee experience survey, we want to hear from you!
Your Impact
As Senior Medical Director, you’ll bring together clinical expertise, leadership, and vision to advance care delivery across inpatient palliative medicine and hospice programs.
Clinical & Program Leadership
- Provide expert palliative care consultation for patients and families facing serious illness
- Lead and coordinate comprehensive care plans in partnership with interdisciplinary teams
- Serve as attending physician for inpatient hospice patients and support care across settings
- Ensure high-quality, patient-centered care aligned with best practices in symptom management and end-of-life care
Team & Physician Leadership
- Supervise and mentor members of the hospice and palliative care teams, including 12 registered nurses, 11 advanced practice providers, 2 social workers, and 2 other physicians.
- Foster a culture of collaboration, accountability, and continuous learning
- Support recruitment, onboarding, and development of team members
- Serve as a trusted liaison between clinical teams, hospital leadership, and community physicians
Strategy, Quality & Growth
- Help drive the strategic direction and continued expansion of palliative care services
- Lead quality improvement initiatives, performance metrics, and patient safety efforts
- Partner with leadership to enhance program visibility, access, and community engagement
- Contribute to operational planning, program development, and service line growth
Education & Advocacy
- Teach and mentor hospice and palliative medicine fellows, residents, and students
- Act as a resource for clinicians and the broader community on best practices in end-of-life care
- Represent Lower Cape Fear LifeCare in key committees, forums, and professional settings
What We’re Looking For
- Physician Training & Board Certification
Doctor of Medicine (MD) or Doctor of Osteopathy (DO) from an accredited program, with the ability to obtain and maintain licensure in North Carolina, along with hospital medical staff privileges. Board Certified in Hospice and Palliative Medicine, or eligible and committed to obtaining certification within the first year.
- Clinical Experience & Leadership
A minimum of five years of experience caring for patients with serious or life-limiting illness, with a strong foundation in hospice and palliative medicine. Experience leading teams, mentoring advanced practice providers, and helping others grow in their practice
- Commitment to Teaching & Growth
An interest in education and mentorship, including working with fellows, residents, and learners as programs continue to expand
- Collaborative Mindset
A physician who thrives in interdisciplinary environments and values partnership, communication, and shared purpose in delivering exceptional care
What We Offer
- Purpose-Driven Work
Be part of a respected, mission-focused nonprofit organization where your work directly impacts patients, families, and the community.
- Growth & Transformation
Join a leadership team that values physician voice, and empowers you to contribute to the continued expansions of palliative care programs and help guide Lower Cape Fear LifeCare through it’s next phase of evolution
- Professional Development & Leadership
Opportunities to expand your leadership influence, mentor future clinicians, and play a key role in education and program development.
- Work-Life Integration
A structured weekday, on-site leadership role supported by generous paid time off and comprehensive benefits.
Key Responsibilities
The Senior Medical Director will lead inpatient palliative medicine and hospice services while supervising a multidisciplinary team of clinicians. They are responsible for driving strategic growth, ensuring high-quality patient-centered care, and mentoring staff and medical learners.
Requirements
Candidates must hold an MD or DO degree and be board certified or eligible in Hospice and Palliative Medicine. A minimum of five years of clinical experience in serious illness care and proven leadership capabilities are required.
Qualifications
- Education
- Doctoral or professional degree (postgraduate degree)
- Experience
- 5+ years of experience
Key Skills
Palliative Care — Physician Career Context
Physician pay on WeekdayDoc is up 1.7% vs. the prior quarter (through Sep 2026).
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).
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