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HomeCompaniesLrboiMedical Director / Physician

Medical Director / Physician

Lrboi · Manistee, Michigan, 49660, United States · Active · BambooHR

Job facts

FieldValue
CompanyLrboi
TitleMedical Director / Physician
Normalized title-
Department / teamHealth Clinic
LocationManistee, United States
Work model-
Employment typeFull Time
Salary-
Statusactive
ATS providerBambooHR
Posted / first seen2026-01-23 / 2026-05-30
Changed / last seen2026-05-30 / 2026-06-06

Related slices

PageWhat it containsOpen
Company jobsActive postings from Lrboi.Open
Company breakdownsRole, location, ATS, and work model facets for this company.Open
ATS provider jobsActive postings observed through BambooHR.Open
Provider filtered searchThe same provider as a filtered job collection.Open
City jobsActive postings in Manistee.Open
Department jobsActive postings in Health Clinic.Open
Lifecycle eventsOpen, update, close, and reopen events for this posting.Open
Original postingCanonical source or apply URL captured from the ATS.Open

Linked records

CompanyLrboi
Source4a0a59f7-22de-4295-acc3-1b6788af7e5c
ATS providerBambooHR

Description

LITTLE RIVER BAND OF OTTAWA INDIANS POSITION VACANCY ANNOUNCEMENT Position :  Medical Director / Physician - FT – Regular Pay Grade : Negotiable Hiring Range : Contractual, set by Resolution -  Commensurate with Verified Qualifications Status : Exempt - Bi-weekly Pay          Background Check : Extensive   Indian Preference applies in accordance with Ordinance #15-600-02 SUMMARY This position will oversee the medical services provided by the Little River Band of Ottawa Indians Tribal Health Services from their two clinic locations.   This oversight function requires the Medical Director to oversee the medical practice of the mid-level providers and clinic physicians, implement quality assurance initiatives, function as the Clinical Laboratory Director and collaborate with the Clinic Supervisor to coordinate the medical services provided.   The Medical Director will also be required to provide direct patient care.  In addition, this position will provide medical consultation to the Health Services Director and assist with strategic planning of health services. EMPLOYMENT QUALIFICATIONS - Minimum Necessary Qualifications A current and unrestricted license to practice medicine as a Physician in the State of Michigan; and Enrollment as a Provider in Medicare and Medicaid programs (or obtain within 90 days); and Possess Drug Enforcement Agency certification/licensing; and Board Certification in family practice or internal medicine. Working knowledge of sensitivity communication practices and interview techniques in order to speak with and for the patient. Physician with at least 5 years of family practice experience with at least 2 years of Medical Director experience preferably in a Tribal Clinic. DUTIES AND RESPONSIBILITIES Establish a compassionate and therapeutic clinical environment for patients, family, community and the medical team. Assess patient health by interviewing, performing physical examinations, and obtaining, updating, and studying medical histories. Administer and prescribe treatments and medications. Determine conditions and health status by ordering or executing diagnostic tests such as X-rays, Electrocardiograms, and laboratory procedures; interprets test results. Refer patients to medical specialists for consultative services as necessary. Coordinate care with local hospitals, reviewing pertinent records from hospitalists or other physicians and specialist associated with patient care. Promote integrated holistic healthcare, referring patients to other programs and services internal and external to LRBOI. Document patient care thoroughly and accurately by charting patient in Electronic Medical Records and any other required recordkeeping systems within organization’s requirements. Educate patients on wellness, diet, hygiene, methods for disease prevention, early detection, guiding patients to available resources. Study and remain apprised of target population health trend data and communicate those trends to the Health Services Director and the medical team. Review on a regular basis and provide follow-up for chronically ill, or long-term cases that require on-going medical attention. Develop and or update medical standing orders, clinical policies and guidelines, and treatment protocols as required. Provide services and advice in the capacity of Medical Director including case management, supervision of mid-level, nursing and allied health services personnel. Provide as required managed care counseling in matters involving Tribal Employee Health related benefits, Contract Health Services, and Extended Health Assistance Program medical necessity determinations for payment of benefits. Contribute to the evaluation of clinic programs and quality improvement through participation, development, and implementation of quality improvement initiatives. Maintains professionalism and confidentiality in all aspects of work and complies with all applicable tribal, federal, or state laws and procedures. All other position related duties as assigned by Health Services Directors. OTHER SKILLS AND ABILITIES During the course of employment, the employee will consistently utilize and demonstrate strong verbal and written communication skills, strong organizational skills, strong interpersonal and teamwork skills, a heightened attention to detail and accuracy, the ability to work independently as well as work cooperatively with other departments, and a commitment to confidentiality. Knowledge of and the ability to maintain strict confidentiality of medical and administrative records adhering to the standards for health record-keeping under HIPAA and Privacy Act guidelines. SUPERVISORY RESPONSIBILITIES Provides collaborative and supervisory assistance with mid-level healthcare providers. Assists in the resolution of complaints, requests, and inquiries from patients. PHYSICAL DEMANDS Sitting or standing for long periods of time, frequent walking, and occasional lifting, reaching, bending, kneeling, or stretching is to be expected. The nature of the work also involves manual dexterity to operate office equipment and while keyboarding. An employee will need normal or corrected to normal range of sight and hearing and will routinely carry work related materials up to twenty-five (25) pounds. Work may involve exposure to infections, communicable diseases, contaminated materials, bodily fluids, and radiation resulting in the need to wear protective equipment such as masks, eye protection, rubber gloves, and gowns. WORKING ENVIRONMENT Work is performed in a climate controlled medical office environment. The employee’s work schedule may frequently need to be flexible and adjusted according to business need. The employee must be able to effectively handle stressful and compromising situations while remaining focused and professional, as well as be able to deal with difficult people without losing perspective.  Occasional overnight travel may be necessary to attend meetings or trainings. DISCLAIMER AND CONDITIONS OF EMPLOYMENT The above statements are intended to describe the nature and level of work being performed by people assigned to this job title. It shall govern Full Time, Part Time, Temporary or Permanent positions. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills. Conditions of employment with Little River Band of Ottawa Indians Tribal Government includes superior performance in the selection process, including but not limited to all of the following; any pre-employment interviews, skills testing, credentialing, reference checks and previous work history, passing a pre-employment drug test and background investigation, possession of a valid Driver’s License throughout employment and being insurable under the Tribe’s insurance policy, and successfully completing a ninety (90) day introductory period. Application Instructions All submissions for employment must be made via electronic submission through our on-line application. Visit the LRBOI website to complete and submit an application, cover letter, resume, and  copy of Tribal ID Front/back (if applicable) as well as any supporting documentation such as educational transcripts or certifications (website www.lrboi-nsn.gov) All applications and supporting documents are required to be submitted electronically . For further information, please contact the LRBOI HR Department at:      LRBOI HR Department, 2608 Government Center Dr., Manistee, MI 49660                                                       Phone: 231.723.8288 Posted – 01/23/2026                                                                  Open Until Filled Dear Applicant : Boozhoo (Hello), Miigwetch (Thank You) for your interest in job opportunities with the LRBOI. We look forward to reviewing your application and qualifications. Please take a few moments to carefully read through the following instructions and notices. If you have any questions or concerns, please do not hesitate to contact the Human Resources Department at 231-723-8288 Special Note : If you are interested in temporary assignments, please check the temporary box, and write “temp pool” in the position desired area. Notice of Indian Preference in Employment : In accordance with the Little River Band of Ottawa Indians' Ordinance #15-600-02, the Tribe applies Indian Preference in hiring activities. When claiming Indian Preference, an applicant must identify oneself in the proper category on the application and provide the documentation noted below. Following is the order in which preference is applied during the hiring process, as well as the customary documentation used to verify. 1 .  Tribal Members of the Little River Band of Ottawa Indians – Tribal identification card. 2.  Members of Federally Recognized Indian Tribes – Tribal identification card. 3.  Tribal Spouse of a Little River Band of Ottawa Indians Tribal Member – Current and valid marriage license and a copy of spouse’s tribal       Identification card, or Tribal Parent – Same documentation required for tribal spouse 4.  Tribal Descendant (1st generation, biological parent must be a Little River Band of Ottawa Indians Tribal Member) – Birth certificate and a copy of parent’s tribal identification card. 5.  Non-preference – If not claiming Indian Preference, or if not applicable, please continue onto the application.

Full job record

Job ID52cd5ab7ad5679446b3bcdffe9baafe1c4050abc
Org ID4d0686ab-741f-4193-b7c7-522fdbf24d96
Source ID4a0a59f7-22de-4295-acc3-1b6788af7e5c
Board ID4a0a59f7-22de-4295-acc3-1b6788af7e5c
Providerbamboohr
Provider Job Key94
TitleMedical Director / Physician
Normalized Title
Statusactive
Activeyes
Location TextManistee, Michigan, 49660, United States
DepartmentHealth Clinic
Team
Employment Typefull_time
Workplace Type
Remote Policy
CountryUnited States
Region
CityManistee
Salary Raw
Salary Min
Salary Max
Salary Currency
Salary Period
Source URLhttps://lrboi.bamboohr.com/careers/94
Apply URLhttps://lrboi.bamboohr.com/careers/94
First Seen At2026-05-30 05:47:51Z
Last Seen At2026-06-06 09:41:24Z
Last Checked At2026-06-06 09:41:24Z
Last Changed At2026-05-30 05:47:51Z
Inactive At
Source Posted At2026-01-23 00:00:00Z
Source Updated At
Raw Payload Uris3://job-postings-prod-raw-590183727216/raw/provider=bamboohr/board=lrboi/date=2026-06-06/2026-06-06T09-41-23-700Z-ab32f8563d612eb3b5d8cc537d36d62be6a552ba9b43b09ee50964d999e447f4.json
Event Fields
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}
Parsed Structured
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}
Extensions
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Native Structured
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\" alt=\"image\"></span>                        </p>\n<p><br></p>\n<p><span style=\"font-family: Inter, sans-serif; font-size: 18pt; font-weight: bold\">LITTLE RIVER BAND OF OTTAWA INDIANS</span></p>\n<p><span style=\"font-family: Inter, sans-serif; font-size: 14pt; font-weight: bold\">POSITION VACANCY ANNOUNCEMENT</span></p>\n<p><br></p>\n<p><span style=\"font-weight: bold\">Position</span>: <span style=\"color: rgb(224, 62, 45); font-size: 14pt; font-weight: bold\">Medical Director / Physician - FT – Regular</span></p>\n<p><br><span style=\"font-weight: bold\">Pay Grade</span>: Negotiable</p>\n<p><span style=\"font-weight: bold\">Hiring Range</span>: Contractual, set by Resolution - <span style=\"font-weight: bold\">Commensurate with Verified Qualifications</span><br><span style=\"font-weight: bold\">Status</span>: Exempt - Bi-weekly Pay          <span style=\"font-weight: bold\">Background Check</span>: Extensive<br></p>\n<p> </p>\n<p><span style=\"color: rgb(224, 62, 45); font-size: 14pt\"> <span style=\"font-weight: bold\">Indian Preference applies in accordance with Ordinance #15-600-02</span></span><br><br></p>\n<p><span style=\"font-weight: bold\">SUMMARY</span></p>\n<p>This position will oversee the medical services provided by the Little River Band of Ottawa Indians Tribal Health Services from their two clinic locations.   This oversight function requires the Medical Director to oversee the medical practice of the mid-level providers and clinic physicians, implement quality assurance initiatives, function as the Clinical Laboratory Director and collaborate with the Clinic Supervisor to coordinate the medical services provided.   The Medical Director will also be required to provide direct patient care.  In addition, this position will provide medical consultation to the Health Services Director and assist with strategic planning of health services.</p>\n<p><br></p>\n<p><span style=\"font-weight: bold\">EMPLOYMENT QUALIFICATIONS - Minimum Necessary Qualifications</span></p>\n<ul>\n<li>A current and unrestricted license to practice medicine as a Physician in the State of Michigan; and</li>\n<li>Enrollment as a Provider in Medicare and Medicaid programs (or obtain within 90 days); and</li>\n<li>Possess Drug Enforcement Agency certification/licensing; and</li>\n<li>Board Certification in family practice or internal medicine.</li>\n<li>Working knowledge of sensitivity communication practices and interview techniques in order to speak with and for the patient.</li>\n<li>Physician with at least 5 years of family practice experience with at least 2 years of Medical Director experience preferably in a Tribal Clinic.<br></li>\n</ul>\n<p><br></p>\n<p><span style=\"font-weight: bold\">DUTIES AND RESPONSIBILITIES</span></p>\n<ol>\n<li>Establish a compassionate and therapeutic clinical environment for patients, family, community and the medical team.</li>\n<li>Assess patient health by interviewing, performing physical examinations, and obtaining, updating, and studying medical histories.</li>\n<li>Administer and prescribe treatments and medications.</li>\n<li>Determine conditions and health status by ordering or executing diagnostic tests such as X-rays, Electrocardiograms, and laboratory procedures; interprets test results.</li>\n<li>Refer patients to medical specialists for consultative services as necessary.</li>\n<li>Coordinate care with local hospitals, reviewing pertinent records from hospitalists or other physicians and specialist associated with patient care.</li>\n<li>Promote integrated holistic healthcare, referring patients to other programs and services internal and external to LRBOI.</li>\n<li>Document patient care thoroughly and accurately by charting patient in Electronic Medical Records and any other required recordkeeping systems within organization’s requirements.</li>\n<li>Educate patients on wellness, diet, hygiene, methods for disease prevention, early detection, guiding patients to available resources.</li>\n<li>Study and remain apprised of target population health trend data and communicate those trends to the Health Services Director and the medical team.</li>\n<li>Review on a regular basis and provide follow-up for chronically ill, or long-term cases that require on-going medical attention.</li>\n<li>Develop and or update medical standing orders, clinical policies and guidelines, and treatment protocols as required.</li>\n<li>Provide services and advice in the capacity of Medical Director including case management, supervision of mid-level, nursing and allied health services personnel.</li>\n<li>Provide as required managed care counseling in matters involving Tribal Employee Health related benefits, Contract Health Services, and Extended Health Assistance Program medical necessity determinations for payment of benefits.</li>\n<li>Contribute to the evaluation of clinic programs and quality improvement through participation, development, and implementation of quality improvement initiatives.</li>\n<li>Maintains professionalism and confidentiality in all aspects of work and complies with all applicable tribal, federal, or state laws and procedures.</li>\n<li>All other position related duties as assigned by Health Services Directors.<br></li>\n</ol>\n<p><br></p>\n<p><span style=\"font-weight: bold\">OTHER SKILLS AND ABILITIES</span></p>\n<p>During the course of employment, the employee will consistently utilize and demonstrate strong verbal and written communication skills, strong organizational skills, strong interpersonal and teamwork skills, a heightened attention to detail and accuracy, the ability to work independently as well as work cooperatively with other departments, and a commitment to confidentiality. Knowledge of and the ability to maintain strict confidentiality of medical and administrative records adhering to the standards for health record-keeping under HIPAA and Privacy Act guidelines.</p>\n<p><br></p>\n<p><span style=\"font-weight: bold\">SUPERVISORY RESPONSIBILITIES</span></p>\n<p>Provides collaborative and supervisory assistance with mid-level healthcare providers. Assists in the resolution of complaints, requests, and inquiries from patients.</p>\n<p><br></p>\n<p><span style=\"font-weight: bold\">PHYSICAL DEMANDS</span></p>\n<p>Sitting or standing for long periods of time, frequent walking, and occasional lifting, reaching, bending, kneeling, or stretching is to be expected. The nature of the work also involves manual dexterity to operate office equipment and while keyboarding. An employee will need normal or corrected to normal range of sight and hearing and will routinely carry work related materials up to twenty-five (25) pounds. Work may involve exposure to infections, communicable diseases, contaminated materials, bodily fluids, and radiation resulting in the need to wear protective equipment such as masks, eye protection, rubber gloves, and gowns.</p>\n<p><br></p>\n<p><span style=\"font-weight: bold\">WORKING ENVIRONMENT</span></p>\n<p>Work is performed in a climate controlled medical office environment. The employee’s work schedule may frequently need to be flexible and adjusted according to business need. The employee must be able to effectively handle stressful and compromising situations while remaining focused and professional, as well as be able to deal with difficult people without losing perspective.  Occasional overnight travel may be necessary to attend meetings or trainings.</p>\n<p><br></p>\n<p><span style=\"font-weight: bold\">DISCLAIMER AND CONDITIONS OF EMPLOYMENT</span></p>\n<p>The above statements are intended to describe the nature and level of work being performed by people assigned to this job title. It shall govern Full Time, Part Time, Temporary or Permanent positions. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills.</p>\n<p> </p>\n<p>Conditions of employment with Little River Band of Ottawa Indians Tribal Government includes superior performance in the selection process, including but not limited to all of the following; <span style=\"font-weight: bold\"><em>any pre-employment interviews, skills testing, credentialing, reference checks and previous work history, passing a pre-employment drug test and background investigation, possession of a valid Driver’s License throughout employment and being insurable under the Tribe’s insurance policy, and successfully completing a ninety (90) day introductory period.</em></span><br></p>\n<p><br></p>\n<p><span style=\"font-family: Inter, sans-serif; font-size: 10pt\"><span style=\"font-size: 12pt; font-weight: bold\">Application Instructions</span></span><br></p>\n<p><span style=\"font-family: Arial, sans-serif; font-size: 10pt\">All submissions for employment must be made via electronic submission through our on-line application. </span><span style=\"font-family: Inter, sans-serif\"><span style=\"font-size: 10pt\">Visit the LRBOI website to complete and submit an application, cover letter, resume, and </span></span><span style=\"font-size: 10pt\">copy of Tribal ID Front/back (if applicable) as well as any supporting documentation such as educational transcripts or certifications (website </span><span style=\"color: rgb(0, 112, 192); font-size: 10pt\"><a href=\"https://www.lrboi-nsn.gov\" target=\"_blank\" rel=\"noopener noreferrer\">www.lrboi-nsn.gov)</a></span></p>\n<p><span style=\"color: rgb(0, 112, 192); font-family: Inter, sans-serif; font-size: 10pt\"><br></span></p>\n<p><span style=\"color: rgb(0, 112, 192); font-family: Inter, sans-serif; font-size: 10pt\"><a href=\"https://www.lrboi-nsn.gov\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: bold\">All applications and supporting documents are required to be submitted electronically<span>.</span></span></a></span></p>\n<p><br><span style=\"font-family: Inter, sans-serif; font-size: 10pt\">For further information, please contact the LRBOI HR Department at: </span></p>\n<p><span style=\"font-family: Inter, sans-serif; font-size: 10pt; font-weight: bold\">     LRBOI HR Department, 2608 Government Center Dr., Manistee, MI 49660 </span><br></p>\n<p><span style=\"font-family: Inter, sans-serif; font-size: 10pt; font-weight: bold\">                                                      Phone: 231.723.8288</span><br></p>\n<p><br></p>\n<p><span style=\"color: windowtext; font-family: Inter, sans-serif; font-size: 10pt; font-weight: bold\">Posted – 01/23/2026                                                                  Open Until Filled</span></p>\n<p><br></p>\n<p><br></p>\n<p><span style=\"font-family: Arial, sans-serif\"><span style=\"font-weight: bold\">Dear Applicant</span>:</span></p>\n<p><span style=\"font-family: Arial, sans-serif; font-size: 10pt\">Boozhoo (Hello), Miigwetch (Thank You) for your interest in job opportunities with the LRBOI. We look forward to reviewing your application and qualifications. Please take a few moments to carefully read through the following instructions and notices. If you have any questions or concerns, please do not hesitate to contact the Human Resources Department at 231-723-8288</span></p>\n<p><span style=\"font-family: Arial, sans-serif; font-size: 10pt\"><br></span></p>\n<p><span style=\"font-family: Arial, sans-serif; font-size: 10pt\"><span style=\"font-weight: bold\">Special Note</span>: If you are interested in temporary assignments, please check the temporary box, and write “temp pool” in the position desired area.</span></p>\n<p><br></p>\n<p><span style=\"font-family: Arial, sans-serif\"><span style=\"font-weight: bold\">Notice of Indian Preference in Employment</span>:</span></p>\n<p><span style=\"font-family: Arial, sans-serif; font-size: 10pt\">In accordance with the Little River Band of Ottawa Indians' Ordinance #15-600-02, the Tribe applies Indian Preference in hiring activities. When claiming Indian Preference, an applicant must identify oneself in the proper category on the application and provide the documentation noted below. Following is the order in which preference is applied during the hiring process, as well as the customary documentation used to verify.</span></p>\n<p><br></p>\n<p><em><span style=\"font-family: 'Arial',sans-serif\">1</span></em><em><span style=\"font-family: Arial, sans-serif; font-size: 10pt\">.  </span></em><span style=\"font-family: Arial, sans-serif; font-size: 10pt; font-weight: bold\">Tribal Members of the Little River Band of Ottawa Indians </span><span style=\"font-family: Arial, sans-serif; font-size: 10pt\"><em><span style=\"font-family: 'Arial',sans-serif\">– Tribal identification card.</span></em></span></p>\n<p><em><span style=\"font-family: Arial, sans-serif; font-size: 10pt\">2.  </span></em><span style=\"font-family: Arial, sans-serif; font-size: 10pt; font-weight: bold\">Members of Federally Recognized Indian Tribes </span><span style=\"font-family: Arial, sans-serif; font-size: 10pt\"><em><span style=\"font-family: 'Arial',sans-serif\">– Tribal identification card.</span></em></span></p>\n<p><em><span style=\"font-family: Arial, sans-serif; font-size: 10pt\">3.  </span></em><span style=\"font-family: Arial, sans-serif; font-size: 10pt; font-weight: bold\">Tribal Spouse of a Little River Band of Ottawa Indians Tribal Member</span><span style=\"font-family: Arial, sans-serif; font-size: 10pt\"> <em><span style=\"font-family: 'Arial',sans-serif\">– Current and valid marriage license and a copy of spouse’s tribal       Identification card, or Tribal Parent – Same documentation required for tribal spouse</span></em></span></p>\n<p><span style=\"font-family: Arial, sans-serif; font-size: 10pt\">4.  <span style=\"font-weight: bold\">Tribal Descendant</span> (1st generation, biological parent must be a Little River Band of Ottawa Indians Tribal Member) – Birth certificate and a copy of parent’s tribal identification card.</span></p>\n<p><span style=\"font-family: Arial, sans-serif; font-size: 10pt\">5.  <span style=\"font-weight: bold\">Non-preference</span> – If not claiming Indian Preference, or if not applicable, please continue onto the application.</span></p>\n<p><br></p>\n<p><br></p>",
    "compensation": "Contractual",
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    "locationType": "0",
    "seekPromoted": false,
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    "jobOpeningName": "Medical Director / Physician",
    "departmentLabel": "Health Clinic",
    "jobOpeningStatus": "Open",
    "minimumExperience": "Experienced",
    "jobOpeningShareUrl": "https://lrboi.bamboohr.com/careers/94",
    "employmentStatusLabel": "Full-Time"
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