Registered Nurse (RN) Medical Department Manager / Clinical Director

Registered Nurse (RN) – Medical Department Manager / Clinical Director

Position: Full Time
Department: Back Office
Reports To: Practice Manager

Position Overview

The Registered Nurse (RN) – Clinical Director at Fortuna Family Medicine Inc. is responsible for ensuring efficient, high-quality patient care while providing leadership, oversight, and strategic direction of the medical department. This role combines hands-on clinical support with high-level operational, regulatory, and quality oversight to support a compliant and patient-centered Rural Health Clinic (RHC).

Key Roles & Responsibilities

Clinical Duties

• Room patients and obtain vital signs, including weight, height, blood pressure, heart rate, respiratory rate, and oxygen saturation


• Maintain proper disinfection of equipment and patient care areas


• Perform point-of-care testing (e.g., Hgb/Hct, A1C, glucose, urinalysis, pregnancy tests, rapid strep) upon competency validation


• Perform venipuncture and ensure proper specimen handling for lab processing


• Administer medications and vaccines via intramuscular and subcutaneous injection, including TB testing


• Assist providers with procedures such as biopsies, wound care, and PAP smears


• Conduct additional clinical tasks such as orthostatic vitals, oxygen testing, insulin education, and urine drug screening as needed

Supervisory & Management Duties

• Provide direct supervision and leadership to clinical staff, including Medical Assistants and nursing personnel


• Oversee daily clinic operations, including staffing, patient flow, and assignment of duties


• Ensure compliance with all clinical protocols, regulatory requirements, and safety standards


• Participate in hiring, onboarding, training, coaching, and performance management of clinical staff


• Address staff concerns, support conflict resolution, and foster a positive team environment


• Monitor productivity, quality metrics, and patient care standards; implement improvements as needed


• Collaborate with leadership on strategic planning, policy development, and operational efficiency

Clinical Leadership & Oversight

• Establish and optimize clinical workflows to improve efficiency and patient outcomes


• Serve as a resource for complex clinical decision-making and issue resolution


• Promote a culture of accountability, teamwork, and patient-centered care

Regulatory Compliance (RHC & State/Federal)

• Ensure ongoing compliance with RHC regulations and applicable state and federal guidelines


• Maintain audit and survey readiness (CDPH, HRSA, CMS)


• Oversee and ensure effectiveness of infection control, medication/vaccine management, and emergency preparedness


• Partner with compliance and quality leadership to implement corrective actions as needed

Quality Improvement & Risk Management

• Lead Quality Improvement Program (QIP) initiatives and performance tracking


• Monitor clinical quality metrics and implement improvement strategies


• Identify and mitigate clinical risks through proper documentation, reporting, and follow-up


• Support incident review processes and system-wide improvements

Staff Development & Workforce Planning

• Ensure ongoing competency validation and clinical skill development


• Support cross-training initiatives and long-term staffing sustainability

Clinic Operations (Strategic Level)

• Collaborate with leadership to improve overall clinic efficiency and care delivery models


• Support supply management systems and clinical resource planning


• Ensure clinical spaces meet regulatory and operational readiness standards

Provider Collaboration

• Partner with providers to enhance care delivery and clinical workflows


• Support implementation of new clinical programs, services, and protocols


• Address systemic workflow inefficiencies impacting patient care

Additional Projects

• Support development and coordination of community outreach and lifestyle modification programs as time allows

Qualifications & Experience

• Required: Active and valid Registered Nurse (RN) license in the State of California


• Required: Prior supervisory or leadership experience in a clinical setting


• Preferred: Experience in outpatient or primary care


• Strong leadership, interpersonal, and communication skills


• Ability to multitask, adapt, and support a growing Rural Health Clinic