Role Description
The After-Hours APP Clinical Manager provides clinical, operational, and quality oversight of the After-Hours Advanced Practice Provider Program. This role supervises After-Hours APPs and Team Leads, ensuring safe, high-quality care, effective treat-in-place interventions, reduced avoidable hospitalizations, regulatory compliance, and consistent execution of the Longevity Health Model of Care. The position serves as a liaison between clinical leadership, Medical Directors, telehealth operations, and facility partners to support after-hours services across evenings, nights, weekends, and holidays.
Key Responsibilities
-
Clinical & Operational Leadership
-
Supervise and support After-Hours APPs.
-
Oversee after-hours clinical operations, staffing, scheduling, and workflow management.
-
Serve as an escalation resource for complex clinical and operational issues.
-
Ensure effective communication and care transitions between after-hours and daytime teams.
-
Collaborate with Medical Directors and clinical leadership on high-risk cases, utilization trends, and operational performance.
-
Support recruitment, onboarding, retention, and development of after-hours staff.
-
Quality, Utilization & Compliance
-
Conduct audits of documentation, clinical decision-making, treat-in-place outcomes, and regulatory compliance.
-
Review hospital transfers, readmissions, deaths, and significant clinical events to identify improvement opportunities.
-
Monitor utilization metrics, hospitalization rates, transfer appropriateness, and member outcomes.
-
Develop corrective action plans and performance improvement initiatives when needed.
-
Ensure compliance with organizational policies, CMS requirements, HIPAA regulations, and Model of Care standards.
-
Performance Management & Staff Development
-
Conduct routine coaching, performance reviews, and one-on-one meetings.
-
Monitor productivity, quality scores, documentation standards, and operational metrics.
-
Support continuing education, competency development, and leadership growth.
-
Address performance concerns in partnership with Human Resources and clinical leadership.
-
Communication & Collaboration
-
Partner with Medical Directors, MDCSs, Operational Leaders, Telehealth teams, and nursing facility partners.
-
Communicate significant clinical, safety, quality, and operational concerns to leadership in a timely manner.
-
Facilitate team meetings, education sessions, operational updates, and quality reviews.
-
Promote a culture of accountability, collaboration, and continuous improvement.
-
Perform other related duties as assigned.
Qualifications
-
Master of Science in Nursing as a Nurse Practitioner.
-
Active unrestricted NP license and board certification required.
-
DEA registration, active NPI, and Medicare participation eligibility required.
-
APP licensure and credentialing may be required in states utilizing the After-Hours Program based on organizational needs.
-
Minimum of three years of APP clinical experience required.
-
Leadership, supervisory, preceptor, or team lead experience preferred.
-
Experience in long-term care, geriatrics, post-acute care, hospice, palliative care, ISNP, telehealth, or utilization management preferred.
-
Strong knowledge of treat-in-place strategies, hospitalization reduction initiatives, and nursing facility operations.
-
Computer proficiency with Microsoft Office, EMR platforms, telehealth technology, call management systems, and reporting tools.
Core Competencies
-
Leadership and Team Development
-
Clinical Excellence
-
Quality & Audit Management
-
Utilization Management
-
Operational Oversight
-
Communication and Collaboration
-
Decision Making Under Pressure
-
Compliance and Professional Accountability