Administration - Management Job at Bartz-Altadonna Community Health Center in Lancaster, CA

Family Nurse Practitioner (FNP) Residency Program Director

Position Summary

The Family Nurse Practitioner (FNP) Residency Program Director will oversee and guide newly graduated or early-career FNPs in their transition to full clinical practice within our organization, ensuring compliance with the standards and requirements of the California Board of Registered Nursing (BRN) / FNP Board, the Centers for Medicare & Medicaid Services (CMS), The Joint Commission (TJC), the Health Resources and Services Administration (HRSA), and all other applicable accrediting and regulatory agencies.

This role will be primarily on-site, combining structured didactic sessions with on-call clinical support. The Program Director will ensure FNP residents develop strong clinical judgment, professional confidence, and patient care skills through a combination of case consultation, evidence-based teaching, and structured feedback, in alignment with regulatory and programmatic requirements.

Employment Type

• Full-time position
• Estimated Time Commitment: 50% clinic hours and 50% director role
• Reports to: Chief Medical Officer (or designate)
• Supervises: FNP Residents (indirectly, for clinical training purposes)

Key Responsibilities

1. Didactic Education

• Provide two hours of structured didactic training every Monday morning (or next business day if Monday is a holiday).
• Provide two hours of structured didactic review every Friday (or day before the holiday if Friday is a holiday).
• Prepare and deliver interactive, evidence-based topics aligned with the needs of new FNPs in a community health/FQHC setting, ensuring adherence to:
• California BRN / FNP Board regulations
• CMS clinical quality requirements
• The Joint Commission (TJC) standards
• HRSA programmatic requirements for FQHCs
• Incorporate case reviews, patient safety, and quality improvement discussions into didactic sessions.

2. On-Call Clinical Support

• Serve as the first point of contact for FNPs when they have urgent clinical questions or need guidance on patient care, providing timely consultation via text or voice call during agreed-upon hours (business days only).
• Ensure clinical advice provided aligns with current evidence-based guidelines and regulatory standards.

3. Clinical Practice Oversight

• Collaborate with the CMO and Clinic Directors to ensure FNP residents meet clinical and program objectives in accordance with BRN/FNP Board, CMS, TJC, and HRSA requirements.
• Monitor FNP panel development; ensure all new FNPs initially see all new patients until their panel is established, and they meet competency benchmarks as defined by the program.
• Review and sign off on selected clinical cases when required by scope of practice or program protocol.

4. Evaluation & Feedback

• Conduct quarterly performance reviews for each FNP resident, including chart reviews to ensure documentation and billing compliance with CMS, HRSA, and TJC standards.
• Provide structured feedback and develop remediation plans when needed.

5. Program Development & Compliance

• Maintain and update the FNP Residency curriculum to align with best practices, FNP Board guidance, CMS and TJC standards, and HRSA program requirements.
• Participate in program evaluation and continuous quality improvement activities to ensure ongoing compliance.

Qualifications

• MD or DO in Family Medicine with an active, unrestricted California license (or ability to obtain).
• Minimum 5 years post-residency experience in primary care; FQHC/community health experience strongly preferred.
• Demonstrated experience in teaching, mentoring, or precepting advanced practice providers.
• Knowledge of FNP Board, CMS, TJC, and HRSA clinical and operational standards.
• Excellent communication skills and ability to guide learners remotely.
• Strong commitment to quality, safety, and culturally competent care.

Core Competencies

• Regulatory Compliance – Applies current FNP Board, CMS, TJC, and HRSA requirements to all training and clinical guidance.
• Clinical Expertise – Current in evidence-based primary care practices.
• Teaching & Mentorship – Ability to translate complex concepts into practical learning.
• Accessibility – Responsive and supportive during on-call hours.
• Professionalism – Models ethical, respectful, and collaborative practice.

Sample Didactic Curriculum Topics (Regulatory-Integrated)

Foundations of FQHC/Primary Care Practice

• FQHC model, HRSA compliance, and scope of service requirements.
• CMS quality metrics and reporting requirements.
• TJC documentation and patient safety standards.
• Panel management and empanelment policies are consistent with HRSA guidelines.

Core Clinical Skills

• Comprehensive H&P documentation meeting CMS and TJC standards.
• Acute care protocols in compliance with evidence-based guidelines.
• Preventive care per USPSTF recommendations and HRSA quality benchmarks.
• Chronic disease management aligned with CMS quality measures (diabetes, hypertension, COPD/asthma, CKD).

Special Populations

• Women’s health: contraception, prenatal care per ACOG and CMS guidelines.
• Pediatrics: well-child checks per Bright Futures and HRSA standards.
• Geriatrics: polypharmacy and falls prevention per CMS/TJC best practices.
• LGBTQ+ and gender-affirming care, following WPATH standards.
• Homeless health and HRSA Healthcare for the Homeless requirements.

Clinical Problem-Solving

• Complex patient management with multiple comorbidities.
• Red flag recognition and urgent referral processes per TJC safety alerts.

Risk Management & Professional Practice

• Avoiding common compliance pitfalls in new provider practice.
• Proper referral documentation and care coordination per CMS/TJC standards.
• Legal and ethical considerations in primary care per BRN guidance.

Panel Management Policy for New FNP Residents

• All new FNP residents must see all new patients for the first 3–6 months or until they meet competency benchmarks in accordance with FNP Board supervision rules and HRSA quality standards.
• Benchmark criteria will include chart review compliance, CMS quality measure performance, and TJC patient safety adherence.
• Transition to a mixed established/new patient schedule only after Program Director and CMO approval.