Who oversees the practices and steps in on more complicated cases in the example?

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In cases that are more complex, the clinician who provides overall clinical accountability for how care is delivered is the Medical Director. This role sets clinical standards, creates and approves treatment pathways, and guides decision-making when situations go beyond routine care. They review complex cases, ensure adherence to best practices and safety protocols, and serve as the go-to source for escalation and coordination across the team. A nurse practitioner may manage many patient encounters within their scope, but they don’t typically have the practice-wide accountability for complex cases. A chiropractor focuses on care within a specific scope, not supervising the entire clinical process. A practice manager handles administrative operations, not clinical oversight.