Medical Director- Psychiatry/Addiction Medicine

Terra Behavioral Health

Role Title

Medical Director

Location

Temecula

Reports to

VP of Operations

Position

Part-time, Exempt

About Terra

Terra Behavioral Health is building something different — a modern behavioral health platform grounded in integrity, human connection, and operational excellence. We’re clinician-led and founder-driven, combining deep clinical roots with disciplined, scalable systems that honor both people and performance.

We are in a period of purposeful expansion, designing programs that are safe, clinically excellent, and built to scale. Every role here shapes the foundation of who we become.

The Opportunity

We are seeking aforward-thinking, collaborative, and systems-minded psychiatrist leader to serve as Medical Director for multiple residential and outpatient sites serving individuals with mental health, substance use, and co-occurring conditions.

This is not a passive oversight role. The Medical Director will help design and steward Terra’s medical and psychiatric model of care, ensuring clinical excellence, regulatory compliance, and thoughtful integration between medical, nursing, and therapeutic services.

You will partner closely with Operations, Clinical leadership, Nursing, and Outreach to build programs that are safe, ethical, evidence-based, and human-centered — from day one.

If you are a psychiatrist who values integrity, interdisciplinary collaboration, and the opportunity to shape something meaningful from the ground up, this role offers both purpose and impact.

If you are a clinical leader who cares deeply about people AND performance, who thrives in start-up environments, and who builds teams rooted in accountability, clarity, and compassion, this role is an excellent fit.

What You’ll Do

Medical & Psychiatric Oversight:

• Provide medical and psychiatric leadership across two residential treatment programs and one outpatient site including all LOC from detox to outpatient.
• Establish and oversee medical policies, protocols, and standards of care.
• Ensure safe, evidence-based prescribing practices and medication management.
• Support assessment, diagnosis, and treatment planning for complex and co-occurring presentations

Clinical Quality & Governance

• Serve as the physician leader responsible for medical quality, safety, and clinical integrity.
• Participate in case reviews, high-risk case consultation, and clinical decision support.
• Guide clinical standards related to detox, withdrawal management, psychiatric stabilization, and medical comorbidities.

Interdisciplinary Leadership & Collaboration

• Partner closely with Nursing, Therapy, and Operations leadership to ensure integrated care.
• Support and supervise prescribing providers (e.g., Psychiatric NPs/PAs) and medical staff (RN, LVN’s) as applicable.
• Participate in leadership meetings and contribute medical perspective to program development and growth.

Compliance & Regulatory Oversight

• Ensure medical services comply with DHCS, Joint Commission, and applicable state and federal regulations.
• Support audits, licensing surveys, and accreditation readiness.
• Review incidents, adverse events, and medical risk concerns, providing guidance and corrective recommendations

Crisis & Risk Support

• Serve as a medical escalation resource for complex clinical situations or emergencies.
• Be available for 24/7 consultation during critical incidents, including medication-related or medical safety concerns.

Program Development & Growth

• Contribute to the design of new programs, services, and levels of care as Terra expands.
• Help define Terra’s medical philosophy and clinical differentiation in the market.

What You Bring

• ABPN Board-Certified MD Psychiatrist with active, unrestricted CA medical license
• Board certified with ABAM and member of ASAM (preferred)
• 2+ years of leadership in behavioral health, residential treatment, or multi-site healthcare organization (preferred)
• Strong financial acumen and comfort overseeing budgets and staffing models
• A builder’s mindset: resourceful, decisive, hands-on, and comfortable operating in ambiguity
• Outstanding communication, crisis management, and clinical judgement
• Experience launching new programs or opening new facilities (highly preferred)
• Values that align with Terra: integrity, transparency, humility, and heart

How we work at Terra

• We move with urgency, clarity, and intention.
• We lead with truth — even when it’s uncomfortable.
• We honor clinicians and protect clinical integrity.
• We operate with accountability and follow-through.
• We build systems that are agile, disciplined, and built to scale.
• We choose high performance AND humanity.
• We solve problems together — no egos, no silos.

Pay: $51,496.21 - $78,016.95 per year

Benefits:

• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Experience:

• Behavioral health hospital: 1 year (Required)

License/Certification:

• Medical License (Required)

Work Location: Hybrid remote in Temecula, CA 92592