Medical Practice Manager/RN Lead

Isaiah House Inc•Lexington, KY

37d

About The Position

The Medical Practice Manager / RN Lead is a dual-role leadership position responsible for overseeing the daily clinical operations of Isaiah House's medical services in a recovery-based, FQHC-aligned environment. This role ensures the delivery of high-quality, compassionate medical care to individuals with substance use disorders while maintaining regulatory compliance, coordinating clinical workflows, and supervising nursing staff. The RN Lead component focuses on hands-on patient care during the detoxification phase, while the Practice Manager role ensures operational excellence and FQHC standards.

Requirements

Active, unrestricted RN license in the state of Kentucky (required).
Associate Degree in Nursing required; Bachelor’s Degree preferred.
Primary Healthcare experience required
2–3 years of leadership or supervisory experience in a clinical setting, preferably in addiction treatment or FQHC environment.
Prior experience working with substance use disorders, co-occurring mental health conditions, or within residential treatment preferred.
Strong working knowledge of electronic medical records, HIPAA, OSHA, and state health regulations.
Experience managing clinical workflows, audits, and compliance in a dynamic, multidisciplinary environment.
Crisis management and conflict resolution skills.
Valid KY driver’s license.
Compassionate and professional leadership style
Highly organized with attention to detail
Confident in crisis situations and emotionally resilient
Strong communication and team-building skills
Able to balance direct care with administrative oversight

Nice To Haves

Familiarity with HRSA compliance, Uniform Data System (UDS), and FQHC billing structures.
Experience supervising or coordinating Medication-Assisted Treatment (MAT) protocols.
Understanding of trauma-informed care and recovery-oriented service delivery.

Responsibilities

Conduct intake assessments, assign treatment plans, and perform clinical evaluations throughout detox and stabilization periods.
Monitor medical conditions and coordinate closely with Licensed Independent Practitioners (LIPs) for ongoing treatment adjustments.
Provide patient education on medical needs and wellness.
Prepare and oversee medication administration, including organizing med boxes and over-the-counter treatment.
Maintain clean and stocked med rooms and ensure compliance with first aid kit standards throughout the facility.
Monitor sick call patients, record vital signs, and communicate with providers for care direction.
Coordinate external medical appointments, documentation, and record retrieval for continuity of care.
Supervise RNs, LPNs, and Medical Assistants, ensuring adherence to clinical protocols and best practices.
Provide coaching, schedule management, and performance oversight of nursing staff.
Ensure competency completion, policy adherence, and training requirements are met.
Lead audits of med room procedures, daily logs, and infection control.
Oversee day-to-day medical office functions including scheduling, patient access, compliance tracking, and workflow optimization.
Ensure adherence to HRSA/FQHC standards, including sliding fee scales, UDS reporting, and EHR documentation accuracy.
Manage clinic inventory, supply orders, and coordination with external vendors or partners.
Collaborate with billing and finance teams to support accurate claims and FQHC reimbursements.
Assist in preparation and readiness for regulatory inspections, HRSA site visits, and accreditation reviews.