Position Summary

The Clinical Nurse Administrator develops and maintains the organization-wide nursing and clinical support framework used across all NeighborHealth 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.

Required Skills or Abilities

1. Ability to develop and standardize clinical workflows, tools, and competency assessments for consistent use across multiple sites
2. Skilled in managing vaccine and VFC compliance programs, including inventory, storage, cold chain monitoring, and emergency response planning
3. Ability to oversee CLIA-waived point-of-care testing programs, including quality control, proficiency testing, and equipment maintenance tracking
4. Strong organizational and program management skills to coordinate training calendars, privileging documentation, and quality audits across multiple sites
5. Ability to analyze clinical performance data, audits, incidents, and complaints to identify trends and recommend improvements
6. Excellent written and verbal communication skills, with the ability to translate clinical standards into practical guidance for clinical and non-clinical staff
7. Ability to build effective working relationships across leadership roles without direct supervisory authority
8. Sound judgment in identifying and escalating compliance or patient safety risks to the appropriate leader
9. Computer literacy in internet use and Windows environment, including Outlook, Word, and Excel.
10. Ability to cultivate and develop inclusive and equitable working relationships with co-workers and community members.
11. Ability to serve as an advocate for individuals of all ethnicities, genders, ages, and backgrounds.

Required Knowledge, Experience, or Licensure/Registration

1. A 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
2. Experience working along with working cross-functionally with physician leadership, operations, and organizational leadership to implement clinical standards and resolve issues
3. Familiarity with quality improvement methodologies and applicable healthcare compliance frameworks (for example, HRSA and Patient-Centered Medical Home standards)
4. Current, unrestricted Registered Nurse (RN) license in North Carolina, or eligibility for NC licensure, with a Bachelor of Science in Nursing preferred
5. Current BLS certification required
6. If working remotely, the ability to work in a private home workspace — where screens and conversations cannot be seen or overheard by others — with a secure, password-protected home internet connection (not shared or public Wi-Fi), sufficient to protect patient confidentiality at all times.
7. Ability to read, write, speak, and comprehend English fluently as needed to perform essential job functions, including patient communication, documentation, and safety-related instructions.

Preferred

1. Experience managing vaccine and immunization compliance programs and CLIA-waived laboratory oversight
2. Certification in quality (for example, CPHQ) or ambulatory care nursing
3. Knowledge of community health center and FQHC operations, the CDC Vaccines for Children (VFC) program, CLIA regulations, clinical privileging and credentialing processes, and nursing scope of practice and delegation standards

Physical requirements of the Job

With or without reasonable accommodation, this position requires the ability to:

1. Sit or stand, often for prolonged periods
2. Carry or lift objects up to 20 pounds

Health and Safety Requirements

Up-to-date immunizations as required for the role, subject to medical or religious exemption requests in accordance with applicable law and NHC policy.

This is a full-time exempt position.

NeighborHealth Center is an Equal Opportunity Employer, dedicated to serving a diverse patient population and building a staff reflective of the communities we serve. We encourage applications from women, minority groups, veterans, and people with disabilities.