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Clinical Director

FractionalFinders
Remote (Canada) Posted Sep 11, 2026
Remote

About this role

Refua is looking for a Clinical Director

Refua is a growing, technology-enabled healthcare organisation focused on improving access to high-quality care for Canadians. The organisation combines startup speed and ambition with strong clinical standards, responsible patient care, and a focus on building scalable virtual healthcare programs.

The Role The Part-Time Clinical Director will provide senior clinical oversight across clinical quality, patient safety, regulatory compliance, governance, and patient-centred care. Reporting to Executive Leadership, the Clinical Director will also serve as a key clinical advisor and hands-on builder, helping turn new service ideas into safe, effective, and scalable clinical programs.

Key Responsibilities

  • Clinical Leadership & Governance

  • Provide senior clinical leadership and strategic direction.

  • Establish and maintain clinical governance, standards, policies, and protocols.

  • Oversee clinical quality, patient safety, risk, and continuous improvement.

  • Support regulatory and professional compliance across relevant Canadian jurisdictions.

  • Clinical Operations & Team Leadership

  • Provide clinical guidance and mentorship to Nurse Practitioners and clinical teams.

  • Support complex clinical escalations and significant clinical matters.

  • Help build a high-performing culture of clinical excellence, accountability, and continuous improvement.

  • Program & Service Development

  • Build and improve clinical programs and patient care pathways.

  • Design eligibility criteria, treatment protocols, monitoring cadences, and escalation processes.

  • Provide clinical input into new healthcare services, technology, and AI initiatives from concept and pilot design through launch and ongoing improvement.

  • Executive Advisory

  • Advise Executive Leadership on clinical strategy, risk, and service development.

  • Provide practical clinical input into the organisation’s growth and service development.

Qualifications

  • Active Canadian registration and licensure in good standing.

  • Significant clinical experience as a Physician or Nurse Practitioner.

  • Demonstrated experience in clinical leadership, governance, or senior healthcare management.

  • Exceptional clinical judgement and decision-making skills.

  • Strong understanding of Canadian healthcare regulations and professional standards.

  • Confidence and credibility to advise and challenge senior leadership.

  • Experience building or improving clinical programs, care pathways, or new healthcare services.

  • Resourceful and practical approach, with comfort operating in an ambiguous startup environment.

  • Genuine interest in virtual care, healthcare technology, and innovation.

  • Preferred Qualifications

  • Experience in telehealth, digital health, primary care, or a high-growth healthcare environment.

  • Experience balancing strategic leadership with hands-on execution.

  • The Right Fit Refua is seeking a high-calibre clinical leader who:

  • Is respected by peers and operates to a high professional standard.

  • Thinks strategically while remaining practical and hands-on.

  • Can balance clinical quality with startup speed and innovation.

  • Understands the realities of scaling healthcare services.

  • Is comfortable helping establish and raise clinical standards.

  • Why Refua

  • The role offers the opportunity to join a growing healthcare organisation and directly influence how virtual healthcare is delivered in Canada.

  • The Clinical Director will have autonomy and visibility across clinical strategy, governance, and culture while working alongside the executive team. The position begins part-time, with the potential to develop into a full-time role as Refua grows.

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