Medical Director Services
When clinical leadership needs an active partner.
- Set clinical priorities with facility leadership
- Connect QAPI review to decisions and owners
- Clarify policies, communication, and escalation
Physician care & medical leadership
Critical care thinking.Beyond the hospital.
Physician care and medical leadership for post-acute and senior living communities. Thoughtful assessment. Direct communication with nursing. A clear plan for residents and families.
Explore careers Physicians · APPs · Community liaisons
From one setting to the next
The next step matters.
- Hospital dischargeUnderstand the illness course
- Post-acute careReassess needs and recovery
- Ongoing careKeep the plan connected
Built around your
care setting.
- Skilled nursing
- Acute rehab
- Long-term care
- Assisted living
& memory care ↗
Facility partnerships. Please keep patient information and urgent clinical concerns out of this website. Start with your facility’s broad need.
How we support your facility
The right support.
A clearly defined role.
Choose a focused role or a broader relationship. We agree on responsibilities with your existing team before work begins.
Attending Physician Coverage
When resident care needs a defined coverage plan.
- Plan admissions, visits, and clinical follow-up
- Assess changes in condition in context
- Agree on nursing contact and backup arrangements
Facility Operations Support
When review meetings need a clear next step.
- Examine transitions and transfer patterns
- Turn priorities into named actions
- Review progress and evidence of completion
A practical example
A priority.
An owner.
A next step.
A useful review leaves the team knowing what happens next. This illustrative action register shows how a shared priority becomes visible work.
Explore the sample reportIllustrative example · synthetic information
| Priority | Owner | Status |
|---|---|---|
| Response pathway | Administrator | Closed |
| Family communication | Medical Director | On track |
| Medication follow-through | Unit Manager | Overdue |
An example of the format, not a claim about a client’s results. Measures, owners, and review cadence are agreed with each facility.
Our clinical approach
A critical care perspective.
Grounded in post-acute care.
Dr. Rishi Gulati combines his experience in post-acute and long-term care with fellowship training in critical care medicine.
That perspective connects changes in breathing, circulation, alertness, and function with a practical plan for the resident and care team.
- 01Recognize a change
- 02Assess in context
- 03Communicate the plan
- 04Reassess and escalate
Respiratory support in context
Conventional oxygen, high-flow nasal cannula, CPAP, and BiPAP serve different purposes. Understanding their capabilities and limitations helps inform the review of respiratory needs, treatment response, and the appropriate care setting.
Oxygen saturation is considered alongside breathing effort, respiratory rate, changing oxygen requirements, and alertness. A pulse oximeter does not measure carbon dioxide.
Changes that matter over time
A resident’s usual baseline and recent trajectory give meaning to individual readings. Increasing oxygen needs, new confusion, reduced intake, or declining activity tolerance may warrant reassessment even when another measurement appears reassuring.
Circulation assessed at the bedside
Capillary refill, skin temperature, blood pressure, heart rate, alertness, and available urine-output information can contribute to the assessment of circulation. Each finding is interpreted in context; capillary refill is one part of the examination.
The connections between medical problems
Breathing difficulty can involve the lungs, heart, fluid balance, kidney function, medications, or several factors together. A connected assessment considers how these problems interact and how the resident responds to the care plan.
A clear next step for the care team
A useful clinical plan identifies what to observe, when reassessment is needed, whom to contact, and which changes require urgent evaluation. Clear communication with nursing and respiratory therapy, where available, supports a shared understanding of the plan.
Continuity through recovery
Hospital transitions require an understanding of the illness course, current respiratory support, medication changes, pending results, and follow-up needs. Recovery planning also considers cognition, nutrition, mobility, and the resident’s goals of care.
Care decisions reflect the resident’s goals and the facility’s staffing, equipment, monitoring capabilities, and ability to escalate care. Advanced respiratory support requires an appropriately equipped and staffed setting; acute deterioration may require emergency evaluation.
Goals of care & family conversations
Clear conversations.
Care that reflects what matters.
When illness changes the plan, residents and families deserve a clear conversation. Dr. Gulati’s critical care experience informs how he listens, explains complex medical situations, and supports people through uncertainty.
Our aim is for residents and families to feel heard, informed, and supported—with space for questions, emotions, and honest discussion about what lies ahead.
Listen carefully
Begin with the resident’s values, priorities, and understanding of their illness. Include loved ones as the resident wishes and an authorized decision-maker when needed. Make room for fears, hopes, and cultural or spiritual concerns.
Explain clearly
Discuss the medical picture, likely course, and treatment options in plain language—including potential benefits, burdens, and uncertainty. Offer compassionate support through difficult news and decisions.
Plan together
Connect the resident’s priorities to a documented care plan and revisit it as their condition or wishes change. Goals may include recovery, maintaining function, life-prolonging treatment, comfort, or a combination.
A shared understanding for the care team
Working with facility staff, these conversations help clarify the resident’s preferences, the plan for changes in condition, and what should be communicated across shifts and care transitions.
Physician leadership
Rishi Gulati, DO
Founder & Medical Director
Post-acute care experience. Fellowship training in critical care medicine.
rishi@bridgecaremedicine.comDr. Gulati’s fellowship training
Critical Care Medicine · Jefferson Health
The people behind BridgeCare
Clinical care.
People you can know.
Clinical judgment, daily coordination, and facility relationships each need an owner. Meet the physicians, advanced practice provider, operations staff, and community liaisons behind that work.
Meet the full team →View Ralph Jan Rio’s profile →View Harold Von Navio’s profile →View Annamaria Vorrasi’s profile →View Janea Saunders’s profile →View Jennie Mojica’s profile →
Qasim Jafri, DOPhysician · New Jersey operations
Haroon Chaudhry, MDPhysician · Vermont operations
Janet Gibson, DNP, MBA, FNP-BCFamily Nurse Practitioner
Qasim Jafri, DOPhysician · New Jersey operationsHaroon Chaudhry, MDPhysician · Vermont operationsJanet Gibson, DNP, MBA, FNP-BCFamily Nurse PractitionerWhere the conversation can start
Start with your facility’s location.
Facility inquiries are welcome in Delaware, New Jersey, Pennsylvania, and Vermont. We confirm availability for your location and requested scope before making a commitment.
Availability depends on licensure, credentialing, schedule, and clinician capacity.
From first conversation to working together
What we agree
before the first day.
A useful partnership starts with explicit responsibilities and shared expectations.
- 01
Discuss the need
Review your facility, location, broad service need, timing, and decision-makers.
A shared understanding of fit - 02
Define the scope
Agree on responsibilities, coverage windows, communication pathways, and backup expectations.
A facility-specific operating plan - 03
Prepare to begin
Complete the required contracting, credentialing, and onboarding before clinical work starts.
Confirmed prerequisites and readiness - 04
Launch and review
Introduce the working model to the team and agree on a review point for priorities and follow-through.
Clear owners and a next checkpoint
Timing and service availability depend on the agreed scope, licensure, credentialing, schedule, and clinician capacity.
Before we work together
Before you decide.
The questions that shape a workable relationship.
Read the full FAQCan BridgeCare work alongside an existing physician or clinical team?
Yes. The role can be structured to complement an existing medical director, attending group, nursing leadership team, or regional clinical operation. Responsibilities and communication pathways are defined before work begins.
How are schedule, call, and escalation expectations defined?
Those expectations are set in the facility-specific scope. The conversation covers coverage windows, escalation pathways, communication standards, response expectations, and how BridgeCare coordinates with the existing team.
What happens after the initial inquiry?
BridgeCare confirms the facility's needs, geography, and requested scope, then outlines a defined service and coverage conversation with the appropriate facility leaders.
Let’s talk about your facility
Let’s define the support
your facility needs.
Bring your facility location, the role you are considering, and your timing. The first conversation clarifies fit, responsibilities, and the next decision. No patient information is needed.