Regional Clinical Lead Nurse Practitioner

Job Description - Regional Clinical Lead Nurse Practitioner (2612009) Regional Clinical Lead Nurse Practitioner - 2612009 Description

JOB PURPOSE:

The Regional Clinical Lead Nurse Practitioner provides clinical, operational, and professional leadership to advanced practice providers within an assigned region while serving in an active Nurse Practitioner role. This leader partners with physicians, facility leadership, operations, quality, care management, and interdisciplinary teams to ensure exceptional care delivery, strong provider performance, regulatory compliance, and positive member outcomes.

• Provide day-to-day leadership, clinical support, coaching, and escalation assistance to assigned Nurse Practitioners and Physician Assistants across a defined region or provider pod.
• Maintain active clinical practice if needed to cover vacancy or for providers on FMLA and perform assigned coverage, rounding, assessments, and member care responsibilities consistent with approved workload expectations.
• Support regional provider staffing and coverage by reviewing caseloads, facility assignments, schedules, vacancies, leave, on-call needs, and temporary coverage requirements; elevate capacity risks and recommend practical solutions.
• Develop and maintain provider call and coverage schedules, support PTO/leave coordination, and help ensure continuous service to assigned members and facilities.
• Participate in candidate interviews and selection; establish individualized onboarding and orientation plans; coordinate clinical training, systems access follow-up, facility introductions, and competency development for new providers.
• Serve as mentor and clinical resource for providers, including guidance on complex member needs, medication reconciliation, ancillary services, preventive care, transitions, escalation pathways, HCC coding, quality metrics and collaboration with physicians and specialists.
• Lead or support recurring provider meetings, education sessions, clinical calls, and regional huddles using clear agendas, defined expectations, and follow-up on unresolved action items.
• Coordinates, with the support of recruiting department, the recruiting and selection of Pruitt Health Nurse Practitioners (NP), assures an adequate pipeline for growth and expansion of Pruitt Health Premier.
• Oversee the coordination and execution of the Nurse Practitioner orientation, including education and support to understand Pruitt Health clinical services platform for Pruitt Health Premier.
• Implement professional development programs and clinical education for nurse practitioners
• Translate plan, regulatory, clinical, pharmacy, utilization, quality, and operational updates into understandable provider guidance; maintain and share current orientation tools, workflows, and reference materials.
• Reinforce timely, complete, and accurate documentation of face-to-face and non-face-to-face clinical work, including orders, recommendations, care coordination, on-call interactions, transitions, and follow-up activities.
• Monitor and act on available provider and facility performance information, including HRA completion, individualized care plans, ICT activity, documentation timeliness, HCC/risk gaps, HEDIS/Stars opportunities, preventive care, utilization, and hospitalization trends.
• Distribute and review actionable HEDIS, Model of Care and HCC gap and performance lists with assigned providers; establish follow-up expectations, remove barriers, validate completion, and elevate unresolved concerns through the appropriate leadership pathway.
• Conduct or coordinate documentation and clinical workflow audits, identify trends and training needs, and partner with providers on corrective action and sustained improvement.
• Partner with facility Administrators, Directors of Health Services, physicians, medical directors, pharmacy consultants, nursing leaders, case management, member advocates, utilization management, quality, compliance, and operations to coordinate care and resolve barriers.
• Promote regular communication between assigned providers and facility medical directors/attending physicians, including timely escalation of clinical, coverage, operational, and relationship concerns.
• Support safe transitions across levels and sites of care and ensure clinically important information, care plans, follow-up needs, and provider assignments are communicated to the receiving team.
• Ensure provider practice aligns with Pruitt Health Premier policies, clinical pathways,…