Regional Manager Nurse Practitioner

PruittHealth•Greenville, SC

About The Position

The Regional Clinical Lead Nurse Practitioner provides clinical, operational, and professional leadership to advanced practice providers within an assigned region while maintaining an active Nurse Practitioner role. The position partners with physicians, facility leadership, operations, quality, care management, and interdisciplinary teams to support quality care delivery, provider performance, regulatory compliance, and positive member outcomes. The role may provide clinical coverage for vacancies or provider leave and includes rounding, assessments, and member care as needed. The Regional Clinical Lead supports provider staffing, scheduling, onboarding, education, mentoring, and performance improvement. The position helps providers meet clinical, documentation, quality, operational, and Model of Care expectations; coordinates with facility and plan partners to resolve barriers; and supports safe care transitions and regional program development. The role is based on a Monday–Friday schedule with flexibility, and no evening or weekend onsite work is required. The position requires an active, unrestricted Nurse Practitioner license in the state(s) of practice, including South Carolina for this posting.

Requirements

Master’s degree or doctorate from an accredited Adult, Family, Gerontology, Adult-Gerontology, or Geriatric Nurse Practitioner program.
Current, active, unrestricted Registered Nurse and Advanced Practice Registered Nurse/Nurse Practitioner licensure in each state of practice; this posting requires licensure in South Carolina.
Current national board certification through AANP or ANCC in an applicable population focus.
Current CPR/BLS certification.
At least five years of Nurse Practitioner experience.
Demonstrated experience managing medically complex adult or geriatric populations.
Meet applicable collaborative, prescriptive authority, credentialing, and payer enrollment requirements.
Ability to provide clinical guidance and support, promote evidence-based practice, and assist with assessment, diagnosis, documentation, medication management, and care planning.
Ability to mentor, coach, and develop advanced practice providers and support provider performance and accountability.
Ability to support provider scheduling, coverage planning, PTO coordination, call schedules, and facility staffing allocation.
Ability to collaborate with clinical, operational, facility, and interdisciplinary partners and address barriers to care and provider success.

Nice To Haves

Prior leadership, mentoring, supervisory, or provider development experience.
Long-term care or skilled nursing experience.
Medicare Advantage, I-SNP, D-SNP, or value-based care experience.
Experience with HCC/risk adjustment, HEDIS/Stars, and Model of Care.
Proficiency with electronic medical records, clinical reporting tools, Microsoft 365, Excel, Teams, and virtual meeting platforms.

Responsibilities

Provide day-to-day leadership, clinical support, coaching, and escalation assistance to Nurse Practitioners and Physician Assistants in the assigned region or provider pod.
Maintain active clinical practice and provide assigned coverage, rounding, assessments, and member care during vacancies or provider leave, consistent with workload expectations.
Review caseloads, facility assignments, schedules, vacancies, leave, on-call needs, and temporary coverage; identify capacity risks and recommend solutions.
Develop and maintain provider call and coverage schedules, coordinate PTO and leave, and help ensure continuous service to members and facilities.
Participate in candidate interviews and selection, develop onboarding and orientation plans, and coordinate training, systems access, facility introductions, and competency development.
Mentor providers and advise them on complex member needs, medication reconciliation, ancillary services, preventive care, transitions, escalation pathways, HCC coding, quality metrics, and collaboration with physicians and specialists.
Lead or support provider meetings, education sessions, clinical calls, and regional huddles, with agendas, expectations, and follow-up on action items.
Coordinate recruiting with the recruiting department and help maintain an adequate pipeline of Nurse Practitioners for program growth and expansion.
Oversee Nurse Practitioner orientation and education on the PruittHealth Premier clinical services platform.
Implement professional development programs and clinical education for Nurse Practitioners.
Translate plan, regulatory, clinical, pharmacy, utilization, quality, and operational updates into provider guidance; maintain and share orientation tools, workflows, and reference materials.
Reinforce timely, complete, and accurate documentation of clinical work, including orders, recommendations, care coordination, on-call interactions, transitions, and follow-up.
Monitor provider and facility performance information, including HRA completion, individualized care plans, ICT activity, documentation timeliness, HCC/risk gaps, HEDIS/Stars opportunities, preventive care, utilization, and hospitalization trends.
Distribute and review HEDIS, Model of Care, and HCC gap and performance lists; set follow-up expectations, remove barriers, validate completion, and escalate unresolved concerns.
Conduct or coordinate documentation and clinical workflow audits, identify trends and training needs, and partner with providers on corrective action and sustained improvement.
Partner with facility administrators, Directors of Health Services, physicians, medical directors, pharmacy consultants, nursing leaders, case management, member advocates, utilization management, quality, compliance, and operations to coordinate care and resolve barriers.
Promote communication between providers and facility medical directors or attending physicians, including timely escalation of clinical, coverage, operational, and relationship concerns.
Support safe transitions across levels and sites of care and communicate clinically important information, care plans, follow-up needs, and provider assignments to receiving teams.
Ensure provider practice aligns with PruittHealth Premier policies, clinical pathways, approved workflows, benefit requirements, Model of Care expectations, and applicable CMS, state, federal, and professional standards.
Participate in Quality Assurance and Performance Improvement activities and initiatives focused on member outcomes, avoidable hospitalization reduction, quality, compliance, and member experience.
Collaborate with leadership on program growth, regional alignment, new service implementation, workflow redesign, and adoption of clinical technology and reporting tools.
Model accountability, professionalism, responsiveness, sound judgment, collaboration, and effective prioritization; complete other duties assigned based on business and member needs.