Senior Nurse Practitioner Manager

Midi Health•San Francisco, CA

6d•$165,000 - $175,000•Remote

About The Position

Midi is hiring a Senior Nurse Practitioner Manager (Senior NPM) to run day-to-day care delivery execution for a distributed clinical team. This is a hands-on leadership role that includes direct patient care. You will lead Nurse Practitioner Managers and their clinician teams, ensure clinical coverage and access remain stable, enforce clinical and operational standards, and address performance issues early. You will also maintain an active clinical schedule to stay grounded in care delivery and support escalation readiness and quality oversight. This role requires high responsiveness, operational rigor, and comfort with accountability. Candidates seeking advisory-only leadership or minimal patient care should not apply.

Requirements

Licensed NP/APRN with an active, unencumbered license and board certification.
5+ years of clinical experience, including recent direct patient care and independent patient panel management.
Ability to maintain an active clinical schedule alongside leadership responsibilities.
Experience delivering care and/or leading teams in regulated healthcare environments; telehealth experience strongly preferred.
3+ years of people leadership experience, including managing clinicians; experience managing managers preferred.
Demonstrated ability to manage coverage, capacity, and operational execution across a distributed team.
Strong clinical judgment and confidence navigating escalations, documentation standards, and quality signals.
Clear, direct communicator who drives accountability with consistency and empathy.
Ability to work remotely while physically located within the United States.

Nice To Haves

Experience in high-growth or scaling virtual care organizations.
Multi-state licensure or willingness and ability to obtain and maintain additional state licenses.
Experience with peer review, case review workflows, or quality improvement initiatives.

Responsibilities

Lead and performance-manage NP Managers; set clear expectations for reliability, clinical quality, and day-to-day execution.
Run the NP Manager operating cadence (manager syncs, performance check-ins, issue tracking) and ensure follow-through.
Translate Clinical Director direction into clear priorities and measurable outcomes.
Intervene quickly when performance, coverage, or quality issues emerge.
Maintain an active clinical schedule, including patient panel, emergency, and recovery visits.
Deliver care in alignment with Midi protocols, scope of practice, and documentation standards.
Use direct care experience to inform coaching, escalation handling, and quality improvement.
Ensure stable scheduling, on-call coverage, time allocation, and vacation planning through manager workflows.
Monitor capacity and access risk; coordinate rapid adjustments to protect patient care and clinician experience.
Maintain consistent day-to-day operating expectations across the team.
Enforce adherence to protocols, scope, and documentation standards.
Own team-level triage and escalation workflows; ensure timely resolution and follow-up.
Identify recurring risk patterns and escalate recommendations to the Clinical Director.
Set and uphold the performance bar for NP Managers; hire, onboard, and develop leaders.
Identify performance gaps early and drive corrective action.
Partner with People/HR on complex workforce situations; escalate high-impact issues as needed.
Coordinate with People/HR, IT, Product, Informatics, and Operations to execute readiness and change initiatives.
Support quality, safety, and peer review processes; ensure action items are implemented and sustained.
Role-model Just Culture principles in performance and escalation handling.