Built for Critical Access Hospitals
Strengthening Rural Healthcare
Night. Weekend. Solo
Frontier Clinical Services provides experienced emergency medicine and hospital medicine clinicians to Critical Access Hospitals and rural community hospitals.Clinician-owned. Rural-focused. Built for dependable coverage, continuity, and direct accountability.
EMERGENCY MEDICINE • HOSPITAL MEDICINE • SWING-BED • RURAL CLINIC
615-900-5478
[email protected]
When Coverage Falls Apart
Rural hospitals do not need an unfamiliar clinician arriving for one isolated shift whenever the schedule breaks.They need experienced clinicians who understand limited resources, transfer decisions, emergency stabilization, inpatient responsibilities, and the realities of practicing far from tertiary support.Frontier Clinical Services focuses specifically on these environments. We help rural hospitals address immediate gaps while working toward a smaller, more consistent coverage team.
Coverage Solutions for Rural Hospitals
Frontier develops coverage arrangements around the hospital’s actual schedule, patient volume, medical-staff structure, and community needs.
• Short-notice and emergency gap coverage
• Night and weekend coverage
• Vacation and leave coverage
• Recurring 12- or 24-hour blocks
• Consistent monthly coverage
• Emergency department and inpatient coverage
• Trial-to-continuity arrangements
• Support during permanent recruitmentAvailability, scope, supervision, scheduling, and inpatient responsibilities are evaluated individually for each facility.
Supporting the Rural Care Continuum
Frontier evaluates clinicians for the full scope of each assignment, not just the emergency department schedule. Depending on the facility’s model, coverage may include:• Emergency evaluation and stabilization
• Transfer decisions and coordination
• Inpatient admission and management
• Observation care
• Swing-bed and recovery support
• Collaboration with nursing, EMS, pharmacy, lab, imaging, and referral centers
Full-Service Rural Clinical Partnerships
Under a full-service agreement, Frontier recruits, vets, trains, schedules, and manages the clinicians responsible for the contracted service line.
Frontier provides more than temporary rural hospital staffing. We can fill individual gaps, provide recurring coverage, or bid and manage a full emergency medicine, hospital medicine, or combined ED/inpatient contract.
Services may include:
• Emergency medicine and hospitalist coverage, including combined ED/inpatient models
• Swing-bed program development, admissions, rounding, and transitional care management
• Medical staffing for hospital-owned skilled nursing facilities
• Rural health clinic, primary care, and urgent care coverage
• Credentialing, onboarding, scheduling, clinical leadership, and performance supportEach partnership is built around the hospital’s patient volume, community needs, existing resources, medical-staff requirements, and scope of practice. The hospital retains governing and regulatory authority; Frontier manages the staffing and clinical functions defined in the agreement.
Rural Readiness Is More Than a License
Low volume does not mean low risk. A rural clinician may move from routine care to resuscitation, airway management, trauma stabilization, obstetric emergency, behavioral crisis, or time-sensitive transfer with little warning.Frontier looks beyond licensure and résumé keywords. Clinicians are evaluated for judgment, procedural experience, adaptability, communication, professionalism, and the ability to work within a hospital’s actual resources.We are building a small, selectively vetted network of emergency physicians and advanced practice clinicians—not a high-volume clinician database.
Clinician Readiness Standards
Selection is based on the responsibilities of the assignment. Depending on the hospital and coverage model, Frontier’s
evaluation may include:
• Emergency and inpatient experience
• Prior rural or independent-practice experience
• Procedural capability
• Resuscitation and transfer judgment
• Professional references
• Claims and disciplinary history
• Current licensure and certifications
• Communication and documentation standards
• Ability to work effectively with nursing, EMS, physicians, and receiving facilities
Credentialing and Deployment Readiness
Frontier works through each hospital’s established medical-staff credentialing and privileging process.
Clinician documentation may include:
• Current state licensure and controlled-substance authority, when applicable
• Board-certification verification
• Education and training history
• National Practitioner Data Bank self-query or authorized query materials
• Claims-history documentation
• Professional references
• Immunization and health records
• Background screening
• Procedure and clinical-skills documentation
• Facility-required certifications
Malpractice coverage, credentialing responsibilities, onboarding requirements, and deployment timelines are defined
before an assignment begins.
Frontier can maintain organized clinician files to reduce repeated administrative work when recurring coverage is
needed.
Clinical Governance That Remains Involved
Frontier’s clinical leadership remains involved beyond recruitment and placement.
Depending on the hospital relationship, support may include:
• Facility-specific clinician orientation
• Review of coverage expectations and escalation pathways
• Continuing clinical education
• Structured review of challenging or high-risk cases
• Identification of recurring operational concerns
• Communication with facility leadership when improvement is needed
The purpose is not to replace the hospital’s peer-review, quality, or medical-staff processes. It is to reinforce clinician
readiness, professional accountability, and continuous improvement.
Direct Access to Frontier Leadership
Frontier is intentionally founder-led. Hospital leaders are not handed from a salesperson to a recruiter and then to an account manager who has never practiced clinically.
Frontier’s founders remain directly involved in clinician selection, hospital relationships, coverage planning, and the
resolution of concerns.
As the company grows, that direct clinical accountability will remain central to how Frontier operates.
Clinical Support That Continues After Deployment
24/7 Emergency Physician Consultation
Frontier-deployed advanced practice providers can have around-the-clock access to an experienced emergency physician for clinical consultation and escalation support.This provides an additional resource when a clinician encounters an unusually complex case, difficult disposition, high-risk procedure, or unexpected deterioration.Physician consultation supplements—but does not replace—the hospital’s medical-staff structure, emergency transfer resources, required supervision or collaboration, or credentialed telemedicine services.
Clinician-Owned and Clinically Led
Frontier Clinical Services is led by clinicians with decades of combined experience in emergency medicine, hospital medicine, medical direction, rural practice, EMS, urgent care, and healthcare operations.Our leadership remains active in clinical practice and understands the responsibilities placed on clinicians and hospital
administrators when coverage is limited.
Kyle McGahey, MSN, FNP-C, ENP-C
Founder & Chief Executive Officer
Kyle McGahey is a dual-board-certified Family and Emergency Nurse Practitioner with 16 years of frontline healthcare experience, spanning emergency medicine, inpatient care, urgent care, primary care, telemedicine, and post-acute settings. Before becoming an NP, he worked as an emergency and travel RN across community and hospital settings nationwide.He founded Frontier Clinical Services to bring a more dependable model to rural staffing — one built on clinician capability, continuity, and direct relationships, with a real understanding of what small hospitals need. Kyle remains active in emergency practice and personally leads clinician evaluation, hospital outreach, and Frontier's rural-coverage standards.
Kyle Kakac MD
Co-Founder & Chief Medical Officer
Dr. Kyle Kakac is an experienced emergency physician and active medical director with a background spanning emergency medicine, hospital medicine, clinician oversight, and healthcare operations. He has led emergency-department teams, supported advanced practice clinicians in hospital-based roles, and provided medical direction across multiple clinical settings.His experience gives Frontier practical insight into staffing, clinician performance, physician–APP collaboration, and the operational realities of inconsistent coverage. As Chief Medical Officer, Dr. Kakac guides clinical standards, clinician evaluation, facility alignment, and Frontier's approach to ongoing clinical accountability.
Let’s Discuss Your Coverage Needs.
Every rural hospital has a different coverage model, patient population, medical-staff structure, and level of available support.
Whether your need involves one difficult opening, recurring block coverage, planned leave, or a longer-term staffing
problem, the first step is a direct conversation.
We will ask about your current model, schedule, patient volume, inpatient responsibilities, physician support, credentialing requirements, and desired start date before recommending a coverage approach.
