Clinical Nurse Administrator

Position Summary: The Clinical Nurse Administrator develops and maintains the organization-wide nursing and clinical support framework used across all Neighbor Health Center sites. The role establishes nursing standards, procedures, training, competency expectations, and quality assurance processes so site Clinical Supervisors have a consistent operating playbook for day-to-day execution. The Clinical Nurse Administrator provides high-level functional oversight of nursing and clinical support performance, identifies trends and ongoing concerns, and works with Practice Managers to ensure site-level issues are addressed. Site Clinical Supervisors report directly to their Practice Managers while following the organization-wide clinical standards established by this role.

Principal Duties and Responsibilities: Clinical Standards and Nursing Procedures Develop, standardize, maintain, and communicate nursing and clinical support procedures across all sites. Create practical workflows, tools, checklists, and competency standards for Clinical Supervisors to implement. Monitor changes in clinical guidance, regulation, and organizational needs and update procedures accordingly. Partner with the Chief Medical Officer and site leaders to support safe, consistent, patient-centered care. Vaccine and VFC Compliance Oversee organization-wide VFC and vaccine compliance, including enrollment requirements, documentation, eligibility screening, inventory controls, and required reporting. Establish standards for vaccine ordering, receiving, storage, handling, temperature monitoring, excursion response, emergency planning, and waste prevention. Conduct periodic audits and readiness reviews and coordinate corrective action with site leadership. Serve as the organizational subject-matter lead for vaccine storage and compliance requirements. Laboratory and Point of Care Testing Oversight Maintain the enterprise framework for CLIA-waived testing and other point-of-care testing performed at clinic sites. Oversee procedures for quality control, proficiency and competency, equipment maintenance, test documentation, record retention, and regulatory readiness. Track CLIA certificates, testing menus, required renewals, and changes in testing locations or methodology. Review laboratory quality issues and ensure site leaders complete and document corrective actions. Training Education and Competency Develop standardized onboarding, annual education, skills validation, and competency assessment requirements for nurses and medical assistants. Provide train-the-trainer resources and guidance to Clinical Supervisors and verify consistent implementation across sites. Maintain an organization-wide training calendar and monitor completion of required clinical education and competencies. Identify recurring knowledge or performance gaps and develop targeted education in response. Privileging Coordination Coordinate the clinical privileging process, including collection, tracking, documentation, and renewal of required competencies and approvals. Maintain clear workflows and records to support review by the Chief Medical Officer, credentialing bodies, and governing board, as applicable. Escalate missing, expired, or unresolved privileging requirements to the appropriate leader before they create patient-safety or compliance risk. Clinical Quality Assurance and Performance Oversight Establish clinical support quality standards, audit tools, and monitoring processes across all sites. Review clinical performance data, audits, incidents, complaints, and workflow observations to identify trends, variation, and risk. Provide Clinical Supervisors with clear expectations, tools, feedback, and improvement guidance. Communicate persistent site-level performance or accountability concerns to the appropriate Practice Manager for coaching, performance management, and follow-through. Track corrective actions and verify that identified clinical process concerns are resolved and sustained. Support quality improvement, risk management, regulatory surveys, and accreditation or compliance readiness activities. Leadership Relationships and Accountability Report to the Chief Operating Officer and provide regular updates on clinical support performance, compliance risks, and improvement priorities. Maintain a functional oversight relationship with Clinical Supervisors while respecting the Practice Manager's direct supervisory authority. Partner closely with the Chief Medical Officer on clinical governance, scope, privileging, and patient-safety standards. Collaborate with Quality, Pharmacy, Human Resources, Operations, and site leaders to implement consistent systems across the organization. Clearly distinguish enterprise standard-setting and quality oversight from site-level scheduling, daily assignments, coaching, and corrective action managed by Practice Managers and Clinical Supervisors. This description covers the primary responsibilities of the role, but it isn't meant to capture everything. Duties may change over time to meet the needs of the team and the patients we serve.

Requirements: Required Skills or Abilities Ability to develop and standardize clinical workflows, tools, and competency assessments for consistent use across multiple sites Skilled in managing vaccine and VFC compliance programs, including inventory, storage, cold chain monitoring, and emergency response planning Ability to oversee CLIA-waived point-of-care testing programs, including quality control, proficiency testing, and equipment maintenance tracking Strong organizational and program management skills to coordinate training calendars, privileging documentation, and quality audits across multiple sites Ability to analyze clinical performance data, audits, incidents, and complaints to identify trends and recommend improvements Excellent written and verbal communication skills, with the ability to translate clinical standards into practical guidance for clinical and non-clinical staff Ability to build effective working relationships across leadership roles without direct supervisory authority Sound judgment in identifying and escalating compliance or patient safety risks to the appropriate leader Computer literacy in internet use and Windows environment, including Outlook, Word, and Excel. Ability to cultivate and develop inclusive and equitable working relationships with co-workers and community members. Ability to serve as an advocate for individuals of all ethnicities, genders, ages, and backgrounds. Required Knowledge, Experience, or Licensure/RegistrationA minimum of five to seven years of progressive clinical or nursing leadership experience, ideally within a multi-site ambulatory or FQHC setting, including experience developing and implementing clinical protocols and training programs across an organization Experience working along with working cross-functionally with physician leadership, operations, and organizational leadership to implement clinical standards and resolve issues