County Nurse Manager (LPN)

Cabarrus Rowan Community Health Centers•Charlotte, NC

About The Position

The County Nurse Manager (LPN) oversees the day-to-day clinical operations of assigned clinics within a county under the supervision of the Director of Nursing (DON). The role combines direct patient care with administrative, clerical, operational, and supervisory responsibilities. The manager helps ensure adequate staffing, accessible supplies, quality patient care, and positive customer experiences, and communicates with the DON about clinical flow and procedures. The County Nurse Manager supports patient care throughout visits, ensures accurate clinical and demographic documentation in the electronic medical record, provides staff training, and assists with medical supply purchasing and inventory. The position also supports clinic readiness, vaccine management, quality improvement, regulatory and certification activities, staff onboarding and evaluations, and coverage coordination across the clinic network. At least 50% of the position’s time is devoted to direct patient care, with up to 50% devoted to administrative duties.

Requirements

Ability to read, write, and comprehend instructions in English.
Effective verbal and written communication skills.
Ability to interact in a caring and professional manner with patients, staff, and internal and external customers.
Ability to plan, prioritize, and complete tasks accurately with strong attention to detail.
Ability to work under time constraints and adapt to changing priorities.
Ability to maintain accurate and thorough records.
Three to five years of experience in an ambulatory care setting, including clinical management and/or training, or an equivalent combination of education and experience.
Strong organizational, problem-solving, and critical-thinking skills.
Ability to interact with individuals from diverse cultures and with varying levels of education.
Ability to maintain confidentiality and function as part of a team.
Initiative and excellent computer skills.
Graduation from an accredited nursing program.
Current North Carolina nursing license.
Ability to perform the physical demands of the job, including continuous walking, standing, and moving; frequent bending, kneeling, and crouching; frequently lifting, pushing, or moving patients or objects weighing up to 50 pounds; repetitive hand and finger movements for typing or writing; and talking and hearing.
Possible exposure to hazardous fumes, airborne particles, toxic or caustic chemicals, and bodily fluids.

Nice To Haves

Proficiency in using electronic health records.

Responsibilities

Devote at least 50% of work time to direct patient care and up to 50% to administrative duties.
Assist with oversight of day-to-day clinical functions at assigned clinics within the county.
Supervise and evaluate designated Clinical Supervisors and other assigned clinical support staff.
Confer with the Human Resources Manager regarding selection, promotion, discipline, and discharge of direct reports.
Meet regularly with clinical staff to receive input and share information.
Assist with telephone triage and patient follow-up as directed by providers.
Assist with patient health education and follow-up on established plans of care under provider direction.
Complete clinic maintenance tasks, including setting up instruments and equipment, running tests and controls, troubleshooting breakdowns, maintaining supplies, arranging repairs, and preparing clinics for the next day.
Perform assigned clerical duties, including obtaining laboratory and X-ray reports, hospital notes, and referral information.
Assist providers with procedures, document results accurately, and train personnel on procedure protocols.
Help maintain adequate clinic supply inventory and support other clinics as needed.
Promote a safe, secure, and healthy work environment by following and reinforcing established policies and procedures.
Protect patient confidentiality and secure protected health information.
Attend required in-services, drills, staff meetings, and professional-development training.
Follow organizational infection-control guidelines.
Participate in quality-improvement activities, including vaccine-record monitoring and notifications, monthly abnormal Pap smear management, and maintaining the county clinics’ STD binder, updated every three years.
Support regulatory, incentive, and certification requirements such as Meaningful Use, PCMH, and UDS through documentation and participation in initiatives.
Assist the DON and Vaccine Manager with vaccine records and inventory, accurate documentation, stock levels, vaccine procedures when the DON is absent, NCIR administrator-backup requirements, reports, follow-up records, notifications, and vaccine transportation during power outages as directed.
Lead clinical onboarding and training for new employees, provide feedback to the DON about training needs, and conduct annual or as-needed clinical skills assessments for clinical support staff.
Oversee medical assistant certifications and recertification of RMA, CCMA, or BLS credentials in coordination with Human Resources, and monitor clinic staff Relias compliance across county locations.
Conduct staff evaluations for Clinical Supervisors within the county.
Help ensure the department is ready to open clinics and that clinics close properly each day.
Help the DON ensure the referral department closes care gaps in a timely manner.
Ensure CMA coverage at each county location and coordinate coverage across the APHS clinic network, including coverage during PTO and callouts.
Attend meetings with the DON and participate in required administrative, operations, and quality-improvement meetings.
Help coordinate clinical department meetings and communications about company announcements, policy or protocol updates, and staff education.
Handle administrative matters and ensure program and project activities follow established policies, procedures, and grant requirements.
Assist with coordination, management, and purchasing of medical supplies and equipment as directed by the DON.
Visit clinics within the county, discuss issues with staff, and help the DON resolve problems.
Submit a morning report documenting daily clinical flow, including early or late clinics and callouts within the county.
Write and submit incident reports for occurrences affecting patient care within the county.
Participate in quality-improvement meetings as directed by the DON, including meetings concerning hypertension and diabetes, colorectal collaboration, and patient cycle time.
Perform other duties as assigned.