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ID: REQ-5345-06-2026

Emergency Medicine Medical Director

ED Volume:

13,000

Site Perks:

W-2 Employment

Hospital Details

Since 1977, Rappahannock General Hospital has been bringing quality healthcare services to the Northern Neck and Middle Peninsula. 

  • Provide quality, state-of-the-art healthcare in a convenient, friendly setting
  • High patient satisfaction scores
  • 128-slice CT scanner
  • Primary Stroke Center 

Inpatient services include:

  • Acute Care and Long-Term Care
  • Dedicated 10-bed unit for acute psychiatric treatment and stabilization
  • Outpatient programs such as Oncology Services and Physical Therapy
  • One-floor hospital

Emergency Department

ED Volume: 13,000

  • Brand new ED
  • ED Beds: 10
  • 10 monitored closed-door rooms with three room fast track
  • ED has priority to 128-slice CT machine
  • Primary Stroke Center
  • TPA given with Tele-Neurology
  • 18% pediatric patients
  • 14% admission/transfer rate (combined true hospital admits and observation admits)
  • Hospitalists admit 95% of patients in hospital
  • Epic EMR
  • ED is its own department
  • Ultrasound machine in ED
  • PACS reading on sight during daytime hours; in Richmond at nights and on weekends; 24-hour lab with 1-hour turnaround time
  • Sedation agents include Propofal, Versed, Ketamine, Etomidate
  • RN to patient ratio: 4 RNs to 8 beds (peak); 3 RNs to 8 beds (low)
  • Splinting done by Physicians, RNs

Community

Surrounded by the waters of the Chesapeake Bay and the Rappahannock River, our community offers a blend of coastal living and small town charm without the crowds or congestion of city life. One of Virginia's most historic regions, Lancaster County boasts numerous museums, galleries, and antique shops. Our community offers excellent recreational opportunities including fishing, boating, kayaking, top-notch golf courses, country clubs, marinas, and public parks. Dotted with quaint towns harboring unique shops and restaurants exuding Southern hospitality and charm, it's also home to a world class resort and spa and many stops along the Chesapeake Bay Wine Trail. A vibrant arts scene, festivals, concerts, exhibits, farmer's markets, and more keep Lancaster hopping with activity and community spirit.

Career Details

As a medical director at USACS, you will be responsible for collaborating with the hospital and nursing leadership while supporting and leading your Physicians and APPs. You will serve as a leader both within the emergency department and across the organization. Through our model of shared ownership, you will have the opportunity to influence broad company decisions and help facilitate the development of new leaders.

With USACS, you'll be part of a team unique in today's industry. USACS provides Physicians with ownership, unparalleled benefits and the opportunity to practice within a values-based model emphasizing quality, long-term wealth building a culture of shared ownership. USACS Physicians enjoy the security and resources of a large, national group without sacrificing the advantages typically found in local EM groups.

Prior experience is required to be considered for this position.

Career Details 

  • Oversee the operations of the ED in collaboration with nursing leadership and hospital administration
  • Supervise the EM staff, per the bylaws, policies and procedures of the institution
  • Represent the ED in the community and within the hospital medical staff

USACS Benefits

Financial Benefits

$100,000 equity ownership for all full-time Physicians after 3 years of service

Industry-leading, 10% practice-funded 401(k) up to $36,000

Continuing Education:

$4,000 tax-free CME/BEA annually
$8,000, including your state and DEA license, in year one for new graduates

Groundbreaking 100% paid parental leave for all new parents

Pioneering paid leave for deployments

As low as 2.99%

Insurance:

Comprehensive medical, dental, vision, and Rx coverage

Disability:

Short- and long-term disability (own occupation)

Malpractice Coverage:

Unmatched medical malpractice, including tail and free litigation support. USACS malpractice claims are less than 1/2 the national average!

Intangible Benefits

Careers nationwide, from New York to Hawaii. Internal USACS STAT Traveling Physicians.

Clinical Guidance:

National Clinical Governance Board (NCGB) of internally elected USACS Physicians.

Bedside Support:

Evidence-based Clinical Management Tools (CMTs) and experienced Physicians available 24/7/365 to assist you.

Onboarding and Ongoing Support:

Dedicated Clinician Advocates for a personalized concierge-style service and the USACS Annual Assembly, open for all Clinicians to attend.

Professional Development:

Scholars (leadership training), Efficiency Academy, Provider Engagement & Patient Experience Academy, and more.

About USACS

US Acute Care Solutions provides acute care to health care systems across the U.S. We’re Physician owned and outcome oriented. We seek the best talent to staff clinical teams delivering hospital management solutions.

101 Harris Rd
Kilmarnock, VA 22481

Meet your recruiter

Brooke Elliott

EM Physician Recruiter

call (989) 778-9511
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Connect With a Recruiter

Have a conversation about roles, locations, and what support looks like in practice. A recruiter can help answer questions, share opportunities, and guide next steps based on your experience and goals.

If you’re a patient, please click here to pay your bill or connect with a member of our patient services team.

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Why USACS

USACS is a Clinician support system focused on safeguarding the futures of Physicians and APPs. Through aligned governance, national scale, and practical support, the organization exists to strengthen care delivery while helping Clinicians build sustainable, fulfilling careers.

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USACS team member