Regional Clinical Lead - Nurse Practitioner

Position: REGIONAL CLINICAL LEAD - NURSE PRACTITIONER
Location: New York

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* JOB PURPOSE:

** The Regional Clinical Lead - Nurse Practitioner, works in collaboration with Team Care primary care physicians and clinical leadership to ensure appropriate oversight, coordination, and continuity of participant care across an assigned region. The role provides advanced practice and clinical leadership coverage at designated sites based on operational and clinical needs. Core responsibilities include gathering detailed histories; performing physical examinations and relevant diagnostic testing;

diagnosing and treating common medical conditions within the nurse practitioner's scope of practice; managing chronic illnesses and tailoring treatment plans; educating participants and their families about disease prevention, health promotion, and slowing the progression of chronic illness; making medically appropriate specialist referrals; maintaining accurate and complete documentation in the electronic health record (Athena); adhering to professional standards of conduct; participating in quality-improvement initiatives;

and collaborating effectively with healthcare professionals, colleagues, participants, and their families.  
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* JOB RESPONSIBILITIES:

*** Provide Nurse Practitioner and clinical leadership coverage across designated Team Care sites within the assigned region, serving a diverse adult participant population.
* Travel regularly among assigned sites and adjust the primary work location based on operational, staffing, and participant-care needs.
* Support continuity of clinical operations across the region, including coverage for vacancies, leaves, scheduling gaps, increased participant volume, and other emerging needs.
* In the absence of, or at the direction of, the Medical Director, represent or support the Medical Director function at the site being covered, within the scope of the role and delegated authority.
* Collaborate with Medical Directors, Associate Clinical Directors, site leadership, and interdisciplinary teams to promote consistent clinical practices and effective handoffs across assigned locations.
* Identify site-level clinical or operational concerns, communicate them promptly to the appropriate leader, and assist with implementing corrective or improvement actions.
* Perform annual wellness assessments.
* Educate participants to ensure they understand their medical complexities and comorbidities.
* Perform routine quarterly assessments for participants with chronic medical illnesses.
* Provide acute care services to participants and facilitate same-day access.
* Assess and manage participants with acute changes in condition in a timely manner through face-to-face or telemedicine visits.
* Conduct post-hospitalization visits within 7-14 days of discharge, including medication reconciliation, treatment-plan development, and coordination with specialists to support a timely and effective transition of care.
* Develop a comprehensive and accurate diagnostic list of current and past medical conditions using clinical knowledge, judgment, and assessment findings.
* Ensure all documentation is complete and accurate, includes specific diagnosis codes, and is entered in the electronic health record on the same day as the visit.
* Review participants' current symptoms and exacerbations of previously controlled conditions; identify active diagnoses and chronic conditions requiring medical management, treatment, or intervention.
* Provide clinical oversight of care-plan development and delivery by each discipline for community PCP participants; ensure care plans are individualized and that interventions and outcomes are appropriately followed and supervised by the practitioner.
* Practice only within the individual's authorized scope of practice.
* Meet the…