Advanced Practice Registered Nurse (APRN / Nurse Practitioner) Emergency Support

Job Description

Job Description

Job Description — Clinical Lead / Medical Oversight

Advanced Practice Registered Nurse (APRN / Nurse Practitioner)

Essential HealthCare Solutions, LLC • LCEC Emergency Nursing Services

Position Title Clinical Lead / Medical Oversight — Advanced Practice Registered Nurse (APRN / Nurse Practitioner)

Program Emergency Nursing Services — Hurricane Preparedness, Response & Recovery

County / Location Lee County, FL — North Fort Myers (Southwest Florida)

Reports To Program / Account Manager Direct Reports Charge RNs (all three shelter sites) and deployed clinical staff (RNs / LPNs / CNAs)

Work Arrangement Remote clinical oversight during activations, with on-site presence at the shelter sites as needed

Employment Type PRN / activation-based, account-level role • Exempt or non-exempt as classified

Position Summary

The Clinical Lead is an Advanced Practice Registered Nurse who owns clinical quality, scope-of-practice discipline, and medical oversight for the LCEC account across all three emergency shelter sites. The role establishes and maintains standing clinical protocols and the emergency-escalation chain, supervises the site Charge RNs and deployed clinical staff, provides the medical-oversight arrangement contemplated by SOW §14, and oversees shelter health monitoring including behavioral-health and stress-indicator monitoring under SOW §3.5. The Clinical Lead safeguards the clinical documentation quality that feeds the SOW deliverables and the FEMA / 2 CFR Part 200 recordkeeping environment. The position works primarily remotely during activations and deploys on-site when clinical complexity, staffing, or client need requires it.

Work Arrangement — Remote and On-Site

Remote (primary)

• Provide clinical oversight, consultation, and escalation support to Charge RNs by phone, secure message, and video throughout each activation.
• Maintain reliable connectivity, a backup power source, and a backup means of communication — activations occur during storms that disrupt both.
• Remain reachable and responsive throughout activation windows, including nights and weekends during a declared event.
• Review daily operational nursing reports and incident reports remotely; direct corrective action same-day.

  On-site (as needed)

• Deploy to any of the three North Fort Myers shelter sites when clinical acuity, an incident, a staffing gap, or an LCEC request warrants direct presence.
• Conduct on-site clinical rounding, medical-station review, and protocol audits during extended activations.
• Support pre-season readiness walkthroughs, staff orientation, and post-activation after-action review on-site.

  Activation, Schedule & Availability

• Available for activation up to 72 hours before anticipated landfall, through impact, and into recovery.
• Activations range from 24 hours to 14 consecutive days; oversight coverage is continuous for the duration.
• Acknowledge activation notice and confirm availability promptly (company target: within one hour of LCEC notice).
• Able to report on-site at a North Fort Myers shelter within 24 hours when on-site presence is required.
• Maintain a named alternate arrangement so clinical oversight is never unavailable during an activation.

  Deployment Locations

  On-site support is provided at any of the three LCEC-designated shelter sites in North Fort Myers (Lee County), and at other facilities identified in writing by the Cooperative during an activation:

• 4980 Bayline Drive, North Fort Myers, FL 33917
• 141 East Mariana Avenue, North Fort Myers, FL 33917
• LCEC Basecamp, Williams Road, North Fort Myers, FL 33917

  Essential Duties & Responsibilities

  Clinical leadership & standing protocols

• Define and maintain standing clinical protocols, screening and triage standards, and infection-prevention guidance across all sites.
• Enforce RN / LPN / CNA scope-of-practice discipline and clinical-quality standards.
• Own the emergency-escalation chain and EMS-coordination standards; serve as the clinical point of escalation for Charge RNs.

  Medical oversight & advanced practice (SOW §14)

• Provide the medical-oversight arrangement contemplated by SOW §14 within the scope of Florida APRN licensure and practice authority.
• Evaluate, diagnose, and manage illness and injury within APRN scope when practicing on-site; order diagnostics, treatments, and medications as permitted by Florida law and the applicable practice arrangement.
• Advise Charge RNs on clinical decision-making, escalation thresholds, and EMS-transfer criteria.

  Health monitoring & behavioral health (SOW §3.5)

• Oversee shelter health monitoring, including behavioral-health and stress-indicator monitoring for shelter occupants and deployed personnel.
• Identify emerging clinical patterns — heat illness, dehydration, fatigue, communicable-disease clusters — and direct mitigation.

  Supervision, staffing quality & credentialing

• Supervise Charge RNs and deployed clinical staff across all three sites.
• Support the Staffing / Deployment Coordinator on credential-verified rosters and named alternates.
• Confirm each assigned clinician's licensure, BLS, and required certifications before activation; support credentialing and primary-source verification.

  Documentation & reporting

• Ensure clinical documentation supports the daily operational nursing reports, incident reports, and after-action report; uphold HIPAA field safeguards.
• Lead clinical content of the final after-action report due within 10 business days of demobilization.

  Supervision Exercised

• All site Charge RNs and deployed clinical staff (RNs, LPNs, CNAs) during activations.

  Required Qualifications

• Active, unencumbered Florida APRN license (and underlying RN license, or multistate / NLC privilege valid in Florida).
• National certification as a Nurse Practitioner — FNP, AGNP, AGACNP, ENP, or PMHNP.
• Florida practice authority appropriate to the services delivered — autonomous APRN registration, or a current written protocol / collaborative agreement with a supervising physician, as required under Florida law for the scope of care provided.
• Current American Heart Association BLS and ACLS .
• Nursing leadership or supervisory experience (charge nurse, house supervisor, nursing administration, or clinical director).
• Current professional liability coverage as required by Florida law and EHS policy.
• Successful background screening.
• FEMA ICS / NIMS (IS-100 / 200 / 700 / 800), or willingness to obtain.
• Reliable connectivity, backup power, and backup communications for the remote portion of the role.

  Preferred Qualifications

• PMHNP-BC or behavioral-health background (supports SOW §14 oversight and §3.5 monitoring).
• Prior emergency, disaster, or field-medical leadership experience.
• Critical-care, emergency, or occupational-health background.
• Experience with FEMA Public Assistance / 2 CFR Part 200 documentation environments.
• DEA registration, where applicable to the scope of care.

  Scope, Compliance & Conduct

• Practice strictly within Florida APRN scope and the applicable autonomous-practice registration or physician protocol.
• Ensure account-wide compliance with Florida nursing and emergency-management regulations, OSHA, and HIPAA.
• Maintain medical-record confidentiality per the SOW privacy construct; records remain under Contractor control.
• Uphold escalation and replacement protocols and safety / protocol compliance.

Physical & Working Conditions

Remote oversight is performed from a location with reliable connectivity and backup power. On-site work is performed in an emergency-shelter / field environment during severe-weather events; conditions may be austere and include extended standing and walking, lifting and assisting patients, and potential exposure to communicable disease with appropriate PPE. The position must be reachable and responsive throughout activation windows, including nights and weekends during a declared event.

I have read and understand this job description. I confirm I meet the job qualifications listed above and am able to perform the essential functions of the position, with or without reasonable accommodation. I agree to provide copies of my licenses and other credentialing documents as required for this position.

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