NP Director of Nursing Full-time
American Family Care

Director of Advanced Practice Providers

American Family Care Fuquay-Varina, NC, US
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Benefits:
  • 401(k) matching
  • Bonus based on performance
  • Competitive salary
  • Flexible schedule
  • Health insurance
  • Paid time off
  • Training & development

Director of Advanced Practice Providers (NP/PA) – AFC Urgent Care

Position Overview

We are seeking a results-driven Director of Advanced Practice Providers (APPs) to lead and develop our team of Nurse Practitioners (NPs) and Physician Assistants (PAs) across our AFC Urgent Care centers. This role is designed for a strong clinical leader who thrives in a high-volume, fast-paced urgent care environment and can balance hands-on patient care with remote leadership and operational oversight.

The Director will play a critical role in standardizing clinical care, improving provider performance, and driving key business and quality metrics, while partnering closely with the Vice President of Operations and Medical Director.

Key Responsibilities

Clinical Excellence (In-Clinic)

  •  Provide direct patient care in a high-volume urgent care setting 
  •  Maintain productivity expectations of 3–5+ patients per hour
  •  Diagnose and treat a wide range of acute conditions (illness, injury, occupational medicine) 
  •  Perform procedures including suturing, splinting, I&D, and basic fracture management 
  •  Model efficient patient flow, strong documentation, and excellent bedside manner 
APP Leadership & Performance Management

  •  Provide direct clinical oversight for all NPs and PAs across locations 
  •  Drive provider performance in key areas: 
    •  Patients per hour 
    •  Chart completion and accuracy 
    •  Patient satisfaction scores 
    •  Revenue capture (appropriate coding, ancillary utilization) 
  •  Address performance gaps through coaching, accountability plans, and corrective action 
  •  Serve as the primary escalation point for clinical concerns 
Chart Audits & Quality Control

  •  Conduct routine and targeted chart audits to ensure: 
    •  Accurate documentation 
    •  Appropriate coding and billing 
    •  Adherence to AFC clinical protocols 
  •  Track audit trends and report findings to leadership 
  •  Provide structured feedback and re-training as needed 
  •  Ensure compliance with state regulations and corporate standards 
Scheduling & Staffing Optimization

  •  Oversee APP schedules to ensure optimal coverage across all clinics 
  •  Align staffing with patient volume trends and peak hours 
  •  Partner with operations to reduce wait times and improve throughput 
  •  Support recruiting, hiring, and retention of high-performing providers 
Training & Onboarding

  •  Lead onboarding for all new APPs, ensuring consistency in: 
    •  Clinical protocols 
    •  EMR usage 
    •  Patient flow expectations 
  •  Develop and implement ongoing training focused on: 
    •  Efficiency (throughput, decision-making) 
    •  Clinical consistency 
    •  Revenue optimization 
  •  Mentor providers to build confidence, speed, and accuracy 
Operational & Administrative Leadership (Remote)

  •  Perform administrative responsibilities remotely, including reporting, audits, and meetings 
  •  Partner with leadership to drive: 
    •  Clinic performance metrics 
    •  Standardization across locations 
    •  Process improvements 
  •  Participate in strategic planning and growth initiatives 
  •  Monitor and report KPIs regularly to the VP of Operations and Medical Director 
Qualifications

  •  Licensed Nurse Practitioner (NP) or Physician Assistant (PA) (NC license or ability to obtain) 
  •  Minimum 3–5+ years of urgent care, emergency medicine, or high-volume primary care experience
  •  Proven ability to manage high patient volumes efficiently
  •  Prior leadership or supervisory experience strongly preferred 
  •  Strong understanding of: 
    •  EMR systems 
    •  Coding and documentation standards 
    •  Urgent care workflows and metrics 
  •  Ability to lead, coach, and hold providers accountable 
  •  Strong organizational, communication, and problem-solving skills 
Work Environment

  •  Hybrid role: 
    • In-clinic shifts providing patient care
    • Remote work for leadership, audits, and administrative duties
  •  Travel between clinic locations as needed 
Compensation & Benefits

  • Competitive salary
  • Performance-based bonus tied to clinic and provider metrics
  •  Health, dental, and vision insurance 
  •  Paid time off and holidays 
  •  CME allowance and professional development support 
Reporting Structure

  •  Reports to: Vice President of Operations
  •  Clinical collaboration with: Medical Director
What Success Looks Like in This Role

  •  Providers consistently meeting productivity benchmarks (patients/hour) 
  •  Improved chart audit scores and documentation accuracy 
  •  Strong patient satisfaction and reduced wait times 
  •  Low provider turnover and a stable, high-performing APP team 
  •  Standardized, efficient care delivery across all clinic locations

Flexible work from home options available.

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