Most generous compensation of any skilled nursing facility practice opportunity in the wonderful areas of Florence and Columbia, SC.
• $325K+ uncapped potential
• Flexible schedule – No OT, no weekends, no call
• The best parts of practice ownership—autonomy, high earning potential, and the ability to build—without the administrative burden
• You’ll step into the high-demand Florence or Columbia, SC market
• A clear runway for growth and the ability to scale through physician extenders (NPs/PAs) as the practice expands
• Clinically focused, moves fast, and you can build something meaningful in post-acute care—while still having support from experienced physicians and a strong back-office team (administration, billing/collections, software, and documentation workflows).
• Interdisciplinary rehab leadership
• Modern facilities and equipment with a collaborative team environment
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Why this Job Stands Out:
• Autonomy with real support
You’ll practice independently day-to-day while having access to experienced physiatrists and administrators for collaboration and strong operational support. Deford Rehab Consulting will provide the management services such as billing, staffing, Human Resources, contracting with physician extenders, marketing, credentialling of you and other staff
• Training → confidence → autonomy (even for those new to SNFs)
If you’re newer to skilled nursing/post-acute medicine, we’ll teach the clinical rhythm and operational flow so you can ramp quickly and practice confidently.
• Growth + leadership path
This is not a “cover a building” job. It’s a chance to lead a market, develop facility relationships, and build a long-term program.
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Responsibilities:
Lead your own PM&R program with full operational support
Clinical care
• Perform admission, follow-up, and discharge evaluations with a functional lens
• Manage common post-acute and chronic conditions (e.g., debility, post-surgical recovery, ortho/neuro conditions, spasticity/pain, and complex comorbidities)
• Perform joint injections.
• Address frequent SNF scenarios: falls, wounds, pain syndromes, infections, acute changes in condition, and risk-reduction planning
• Coordinate care plans with PT/OT/SLP, nursing, social work, and facility leadership
• Complete timely, high-quality documentation in PCC (or similar EHR) with optimized workflows and templates
Program building (optional but strongly supported)
• Help develop a Florence or Columbia market PM&R footprint
• Participate in building an extender model (NP/PA) as volume grows
• Collaborate on quality initiatives, facility metrics, and streamlined care pathways
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Compensation designed to outperform traditional models:
• $325k+ with uncapped earning potential based on productivity, growth, and expansion
• Initial Income guarantee if an independent contractor; salary if employee
• Compensation structure includes premium percentages designed to exceed typical PM&R models; 70% – 80% of receipts
• Industry-leading compensation percentages (higher than typical PM&R arrangements)
• Structure designed to maximize earning capacity through efficient workflow, strong collections, and scalable extender utilization
• Boutique practice structure designed for high earnings
• Relocation and bonus opportunity available for experienced candidates
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Affiliation:
• Independent Contractor (1099) — you provide your own benefits (health, retirement, etc.) to maximize your income or can be
• Employee
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Requirements:
• MD/DO with training in Physical Medicine & Rehabilitation
• Board Eligible (required)/Board Certified in PM&R (preferred)
• Ability to obtain/maintain South Carolina medical license
• DEA (or ability to obtain)
• Comfort working in skilled nursing / post-acute settings (or willingness to learn quickly)
• Those who value follow-through, facility collaboration, and efficient documentation
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The Region: Living in Florence, South Carolina:
Florence offers a vibrant, livable community with big-city conveniences, lower cost of living, and excellent regional access—without the daily congestion and overhead of larger metros.
As a regional hub, Florence provides the day-to-day amenities that matter—healthcare infrastructure, shopping, dining, and services—while maintaining a smaller-city feel and easier commutes than larger markets. The city’s downtown main street recently received the prestigious national “Great American Mainstreet” award, which is reflected in community events, local businesses, and an active civic core.
Geographically, Florence is well positioned for travel and weekend access. It sits at the intersection of I-95 and I-20, making regional trips straightforward. The coast is close enough for frequent day trips (about an hour to Myrtle Beach), and Charleston and Columbia are both accessible for dining, culture, and airports when needed.
For physicians who value space and outdoor access, Florence also works well for “country living with city proximity.” Many residents live just outside town for more land and privacy while remaining near everyday conveniences. Equestrian options exist locally, and South Carolina’s most established horse communities—such as Aiken and Camden—are within reasonable driving distance for deeper equestrian culture and events.
Overall, Florence is often attractive to relocating clinicians because it combines a safe, small-town feel with practical access to larger destinations, coastal recreation, and a growing local community.
Centrally Located Access (Easy Weekend Options)
Florence sits at the crossroads of major corridors, making it practical to enjoy the best of the Carolinas:
• ~2 hours to Charleston
• ~1+ hours to Myrtle Beach
• ~2+ hours to Charlotte
• ~1+ hour to Columbia
Shopping, Dining, and Amenities
• Magnolia Mall is a regional retail destination (conveniently located at I-95/I-20)
• A growing downtown scene with local restaurants, shops, and community events supported by downtown development efforts
Outdoors, Parks, and “Day Trip” Nature
Florence is an easy launch point for state parks and nature-rich escapes across the Pee Dee and beyond. Notable nearby highlights include:
• Little Pee Dee State Park (hiking, camping, fishing)
• Lee State Park (kayaking/canoeing on the Lynches River)
• Woods Bay State Natural Area (unique Carolina Bay landscape)
And with proximity to the SC/NC hills and national/state park corridors, weekend trips to trail networks, lakes, and mountain towns are realistic and frequent.
Signature Local Points of Interest
• Darlington Raceway (NASCAR heritage and major race weekends) is nearby and a distinctive regional draw
Schools and Family Appeal
For physicians relocating with families, Florence-area district reporting shows strong markers, including “Excellent” ratings in multiple domains.
Florence offers a strong mix of public and private school options, with multiple pathways depending on a child’s learning style and goals. Families can choose from traditional neighborhood public schools as well as magnet and STEM-enrichment programs, with opportunities for advanced coursework and college-preparatory tracks as students move into middle and high school. For those seeking a different environment, the region also includes respected private and faith-based schools that emphasize smaller class sizes, character development, and structured college counseling. Overall, Florence provides a well-rounded education landscape—ranging from academically rigorous pathways to supportive, community-centered campuses—without the cost and congestion typically associated with larger metro markets.
The Region: Living in Aiken, South Carolina:
Aiken offers a distinctive blend of small-city ease and refined lifestyle—anchored by a nationally recognized equestrian culture, beautiful historic neighborhoods, and abundant outdoor access. The city is known for its “Winter Colony” heritage and deep horse tradition, with polo, fox hunting, racing, and year-round equestrian disciplines that remain central to the community identity.
Aiken also provides practical access to larger-city amenities without the daily congestion of a major metro. The city is approximately 20 minutes from Augusta, GA—home to additional shopping, dining, and regional services—while still retaining Aiken’s walkable downtown charm and relaxed pace.
Outdoor and quality-of-life options are a standout. Hitchcock Woods—one of the nation’s largest urban forests—offers thousands of acres and miles of sandy trails for walking, running, and horseback riding. Hopelands Gardens provides a beautiful public garden setting in the heart of town, and Aiken State Park offers canoeing, camping, and trails along the Edisto River.
Centrally Located Access (Easy Weekend Options)
• ~20 minutes to Augusta, GA
• ~1 hour to Columbia
• ~2+ hours to Charlotte
• ~2 hours to Charleston
• ~3.5 hours to Myrtle Beach
Shopping, Dining, and Amenities
• Aiken’s historic downtown offers local restaurants, coffee shops, boutiques, and community events in a highly walkable setting.
• Augusta is nearby for expanded retail, dining, and airport options—providing “bigger-city” access while you live in a more relaxed community.
Outdoors, Parks, and “Day Trip” Nature
• Hitchcock Woods: expansive urban forest with extensive sandy trails for pedestrians and equestrians
• Hopelands Gardens: public gardens with shaded paths and serene landscapes
• Aiken State Park: canoeing and trails along the Edisto River, plus camping and fishing options
Signature Local Points of Interest
• Aiken’s equestrian calendar includes nationally sanctioned steeplechase racing and long-standing horse traditions.
• Aiken Training Track is a historic thoroughbred training facility listed on the National Register of Historic Places.
Schools and Family Appeal
For physicians relocating with families, Aiken offers a mix of public and private school options with multiple pathways depending on a child’s learning style and goals. Families can choose from traditional neighborhood public schools as well as specialized pathways such as magnet or STEM-forward programs where available, along with private and faith-based options that emphasize smaller class sizes and college-preparatory structure. Overall, Aiken provides a family-friendly education landscape while maintaining the lifestyle advantages of a smaller, high-quality community.
The need for qualified skilled nursing facility physiatrists has increased exponentially recently.