Clinical Lead Nurse

Sign on Bonus Available!

Position Summary:

Is a key member of the Triad Adult and Pediatric Medicine, Inc. (TAPM) Clinic Management Team (CMT). This position works with the Nursing Director, Practice Administrator and Lead Provider to provide administrative leadership to the site/office clinical team. Under administrative review, provides preliminary leadership in the overall administrative direction and coordination for policies, procedures, and programs at the clinical site. Jointly accountable with other members of the clinic management team for the management of clinical and financial resources in order to achieve patient outcome, as well as to promote professional development and coordination of the TAPM clinical staff.

Provides first-line leadership, supervision, and coordination for nursing and clinical services at a specific TAPM site; serves as an administrative and clinical resource to clinical staff; assists with effective management practice of all staff and material resources in order to achieve the highest quality patient care; provides direct nursing services in the clinical setting and in specialty clinics as assigned.


The Lead Nurse will cover the clinical portion based on the needs of the site. Example: Cover provider clinic, triage, and/or clinical responsibilities listed below.

Job Responsibilities:

Front Line Supervisory Responsibilities:

• Provides leadership for office/site nursing staff. Evaluates/provides utilization of personnel, supplies equipment, and physical facilities.
• Manages the Team Directed Care and Chronic Clinic, as required.
• Participates in multi-disciplinary teams with member hospitals and county agencies for continuity of care.
• Develops and modifies the nursing schedule, coordinating with provider schedule and clinic needs.
• Assigns daily duties to site specific nursing staff.
• Serves as a member of the clinic management team (CMT).
• Will primarily work in direct care to address urgent needs and cover shortages. Will have assigned administrative time.
• Ensures the orientation and training of new staff.
• Supervises site nursing staff
• Conducts competency and performance evaluations
• Monitors on a regular basis the competency of new nursing staff.
• Ensures nursing protocols are fully implemented in daily practice. Works with the Nursing Director and clinical management team to ensure protocols are updated based on standard of care and best practices.
• Ensures nursing duties in preventative and disease management protocols are fully implemented.
• Float to other clinic sites upon request to meet staffing and coverage needs.
• Triage Role - Performs all Triage Nurse Functions

Administrative/Financial/Budgetary Responsibilities:

• Assists in management of salaried expendables at or below budgeted expenses.
• Assesses/requisitions needed supplies and equipment.
• Participates in formulating/implementing variance analysis and corporate action plans.
• Manages inventory of clinical supplies and monitors daily par levels.
• Oversees ordering of supplies for clinic, including immunizations and medications.
• Ensures OSHA, Bloodborne Pathogen and other regulations are adhered to and that accidents are reported to Human Resources for follow-up.
• Responsible jointly with members of the clinical management team to ensure annual trainings are conducted to maintain staff awareness of safety issues in conjunction with Human Resources.

Human Resources Responsibilities:

• Participates in the interview, selection, and orientation process for new personnel.
• Identifies and refers all employee counseling issues to appropriate resources.
• Monitors/reports absenteeism, tardiness, etc.; refers to Practice Administrator.
• Identifies, assists, and participates with on-going employee training needs.

Participates/promotes in weekly ongoing Quality Improvement monitoring, educational updates, in-services, staff, and other meetings pertaining to position.

• Assists with the formulation, evaluation, and revision of nursing policies, procedures, and routines.
• Participates in Quality Assurance development/maintenance for related clinics.

Clinical Responsibilities:

• Performs nursing intervention skills according to nursing policies and procedures including but not limited to venipuncture, wound care, debridement, sterile and non-sterile dressings, ear irrigations, administration of medications and immunizations, catherizations, specimen collections, etc.: completes all necessary documentation, as required.
• Administers medications and injections in compliance with state law and clinic guidelines.
• Triages patient calls and patient "walk-ins" to office assesses priority of low-to-high risk patients on a "must see" basis of whether to be seen immediately, make a future appointment, or send home with care management advice to patient/parent.
• Assists medical staff during examinations, treatments, and minor surgery.
• Participates in the case management and multidisciplinary plan of care of Team Directed Clinic patients.
• Reviews records: documents no shows or cancelled appointments performs follow-ups per protocol and determines appropriate follow-up care.
• Instructs/informs patient/parent for preparation of ordered tests/treatments; makes certain all consent forms for procedures/tests are signed
• Obtains, reviews, records, and maintains patient laboratory and x-ray data.
• Retrieves patient charts for lab and diagnostic tests, and obtains required patient signature on appropriate consent forms, as requested by medical staff.
• Ensures patient chart completion prior to their assigned visits: charts major complaints, vital signs, measurements, and reasons for visit prepares patient for examination per TAPM protocol.
• Ensures referral requests and other paperwork initiated by medical staff is complete and accurate.
• Oversees the requisition, organization, and maintenance of inventory for examination rooms and nurse's station, as needed.
• Disposes of all disposables, contaminated, and used items into designated waste containers.
• Oversees the cleaning and stocking of examination rooms, labs, and stations, as needed.
• Completes patient charge form and ensures charges are recorded and returned to front office, and ensures patient follow-up appointments.
• Ensures referral requests and other paperwork initiated by medical staff is complete and accurate.
• Disposes of all disposables, contaminated, and used items into designated waste containers.
• Promotes team, system, and organizational goals; maintains patient confidentiality.
• Abides by all company policies, procedures, and protocols regarding safety/health rules and regulations.
• Adapts to various situations and adjusts to shifting priorities.
• Performs other duties as assigned.

Preparation and training:

Job duties require registered nurse (BSN preferred) with a minimum of three (3) years' experience in a similar capacity. Must have a working knowledge of data processing equipment, computers, telephones, and such typical office machines and equipment. Must maintain effective written and oral communication and English skills. Must maintain current North Carolina RN License, CPR certification, Venipuncture certification, IV Certification, and a NC driver's license for occasional travel.