BASIC FUNCTION
The Senior Nurse Manager provides leadership and operational oversight of nursing and clinical support teams across HealthPoint locations. Reporting to the Director of Nursing, this role oversees Nurse Managers, promotes standardized clinical practices, optimizes staffing and resources, and ensures high-quality patient care and regulatory compliance. The position supports clinical operational efficiency, staff development, quality improvement, and organizational goals.
PRIMARY RESPONSIBILITIES AND DUTIES
Clinical Operations Leadership
• Direct day-to-day clinical operations across all clinic sites ensuring consistent, standardized workflows in Family Practice, Pediatrics, and Women's Health/OB.
• Translate clinical strategy and priorities into actionable operational plans and monitor execution across all regions.
• Provide direct supervision, coaching, and performance accountability for Nurse Managers, ensuring effective leadership and oversight of Clinical Supervisors, MA Leads, and clinical staff.
• Serve as the first point of escalation for clinical operational issues, resolving problems at the regional level and elevating to the Director of Nursing as appropriate.
• Conduct regular site rounding and operational reviews to identify gaps, barriers, and opportunities for standardization.
Workforce Development
• Oversee and coordinate recruitment activities for open clinical positions, including candidate interviews, selection processes, and onboarding, to ensure timely staffing and effective integration of new employees.
• Identify skill gaps and lead development of training plans, career ladders, and succession planning for clinical leadership roles.
• Ensure consistent performance management practices, including timely evaluations, corrective action, and recognition.
Staffing and Resource Management
• Oversee clinical staffing models, schedules, and coverage plans across sites to align with patient volume, provider templates, and service needs.
• Monitor staffing metrics, overtime, and vacancy rates, and recommend adjustments to optimize productivity and cost.
• Monitor and coordinate
• Coordinate float and cross-site coverage to maintain continuity of care during absences and peak demand.
• Partner on budget planning for clinical labor, supplies, and equipment, and ensure appropriate use of resources.
Quality and Performance Improvement
• Implement and enforce clinical policies, procedures, and standing orders consistently across all sites.
• Ensure clinical staff maintain current licensure, certifications, and annual competency validations.
• Maintain continuous survey readiness for HRSA Operational Site Visits, regulatory agencies and applicable state and federal regulations.
• Completes Quality audits, mock drills and surveys, and corrective action plans.
• Support Care Coordination, preventive care, and value-based care priorities within clinic operations
• Lead and support staff performance improvement initiatives to enhance clinical quality, operational efficiency, workflow standardization, staff performance, and patient outcomes in collaboration with the Director of Nursing and Human Resources.
Policy, Competency, and Regulatory Readiness
• Implements clinical policies and procedures consistently across all sites.
• Ensures nursing and staff competencies are validated, documented, and current.
• Leads clinical audit follow-through and corrective-action closure.
• Maintains clinic readiness for HRSA, regulatory, and accreditation reviews.
• Supports infection prevention, employee health, and patient-safety programs at the clinic level.
Collaboration
• Collaborate and coordinate with physicians, patient access and administrative leadership to optimize and support workflow for patient care and access.
• Coordinate with HR, Finance, IT, Pharmacy, Care Coordination, Compliance, and other departments to support enterprise initiatives and resolve cross-functional issues.
• Participate in organizational committees, interdisciplinary workgroups, and strategic initiatives as designated by the Director of Nursing, ensuring alignment with clinical operational priorities, organizational goals, and established standards of care.
Qualifications
GENERAL PROFESSIONAL DEVELOPMENT
• Organizational Skills: Displays more advanced organizational skills in an administrative capacity in order to organize projects or the work of others.
• Problem Solving Skills: Devises effective solutions to situations encountered based on the general goals and objectives of the healthcare administrative function.
• Communication Skills: Able to effectively communicate opinions drawn from conclusions using inference and logic.
• Critical Thinking Skills: Uses logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions, or approaches to problems.
• Problem Resolution: Resolves conflicts that may arise because of disagreements between employees, between employees and customers/clients, or with the public, other legal entities, or governmental authorities.
• Math Development: Must be able to solve mathematical problems and understand statistics.
PROFESSIONAL/TECHNICAL KNOWLEDGE, SKILLS & ABILITIES
• Utilizes the nursing process; assessment, planning, intervention, & evaluation to coordinate and deliver care.
• Up to date knowledge of legal regulations and best practices in healthcare.
• Must be able to communicate with different patient populations and multi-disciplinary teams.
• Knowledge of the Texas Nursing Practice Act, delegation rules for unlicensed staff, and ambulatory nursing standards.
• Knowledge of HRSA Health Center Program requirements, OSHA, CLIA-waived testing, and infection prevention standards.
• Understanding of clinical quality measures, care-gap closure, and value-based care models.
• Skill in leading and developing leaders, holding teams accountable, and managing performance.
• Skill in staffing, scheduling, and resource allocation across multiple sites.
• Ability to analyze operational and quality data and turn findings into action plans.
• Ability to standardize workflows and lead change across diverse teams.
• Ability to manage competing priorities and make sound decisions under pressure.
LICENSES & CERTIFICATIONS
Required Education: Associate of Science in Nursing (ADN)
Preferred Education: Bachelor of Science in Nursing (BSN)
Required Certifications, Licenses, Registrations:
• Current, unencumbered Texas RN license or multistate compact RN license
• Current BLS certification
• Valid state Driver’s License
Required Experience: 5 years of RN experience, including ambulatory or community health; 3 years in a nursing leadership role, including supervising managers or supervisors
Preferred Experience: FQHC or primary care experience; multi-site leadership experience; eClinicalWorks experience; Nurse Executive (NE-BC), CPHQ, or Lean/Six Sigma certification; bilingual English/Spanish
TECHNICAL SKILLS
• Word Processing Skills - Prepares more complex documents in Microsoft Word including creating tables, charts, graphs, and other elements.
• Spreadsheet Skills - Uses Microsoft Excel to analyze data, including the use of formulas, functions, lookup tables and other standard spreadsheet elements.
• Graphics/Presentation Skills - Creates basic presentations in Microsoft PowerPoint.
• Other Software Skills –
• Uses HRIS (Human Resource Information System) to manage HR (Human Resource) employee record keeping, workforce reporting, talent management, time & attendance, and benefits administration
• Uses CRM or like software to manage and evaluate customer/patient information for business development of process improvement opportunities
Physical Demands: Work is performed in a typical medical clinic environment.
Physical Requirements:
• Have constant need (66%-100 % of time) for standing.
• Have constant need (66%-100 % of time) for walking.
• Have occasional need (1% - 33% of time) for sitting.
• Have occasional need (1% - 33% of time) for bending, stooping, or squatting.
• Have occasional need (1% - 33% of time) for climbing stairs.
• Have rare need (less than 1% of time) for lying down.
• Have frequent need (33% - 66% of time) for pushing or pulling.
• Have frequent need (33% - 66% of time) for reaching above shoulders.
• Have rare need (less than 1% of time) for climbing ladders.
• Have frequent need (33% - 66% of time) for grasping or gripping.
• Have constant need (66% - 100% of time) for finger dexterity.
• Have constant need (66% - 100% of time) for typing or writing.
• Have occasional need (1% - 33% of time) for driving or operating equipment.
Lifting/Carrying:
• Have rare need (less than 5% of time) to lift/carry over 150 pounds.
• Have occasional need (1% - 33% of time) 76 - 150 pounds.
• Have occasional need (1% - 33% of time) to lift/carry 51 - 75 pounds.
• Have occasional need (1% - 33% of time) to lift/carry 26 - 50 pounds.
• Have frequent need (33% - 66% of time) to lift/carry 10 - 25 pounds.
• Have constant need (66%-100 % of time) to lift/carry under 10 pounds.
Vision Requirements:
• Have constant need (66% - 100% of time) to be able to see detail.
• Have constant need (66% - 100% of time) to be able to see beyond arm’s length.
Hearing Requirements:
• Have constant need (66% - 100% of time) to be able to hear other personnel to communicate effectively.
Speaking Requirements:
• Have constant need (66% - 100% of time) to be able to speak with other personnel to communicate effectively.
Environment- Working Conditions:
• Have constant need (66% - 100% of time) to work indoors.
• Have rare need (less than 1% of time) to work outdoors.
• Have rare need (less than 1% of time) to work in confined space.
• Have rare need (less than 1% of time) for exposure to fumes, chemicals, solvents, etc.
• Have rare need (less than 1% of time) for exposure to extreme temperatures.
• Have constant need (66% - 100% of time) for eye/hand/foot coordination.
• Have rare need for travel (less than 25% of time).
