Midi Health is hiring a Senior Nurse Practitioner Manager to run the day-to-day care delivery execution for a distributed clinical team. This is a hands-on leadership role that includes direct patient care, leading Nurse Practitioner Managers, ensuring clinical coverage, and enforcing quality standards.

What You'll Do

Lead and performance-manage NP Managers, setting clear expectations for reliability, clinical quality, and execution.
Run the NP Manager operating cadence (manager syncs, performance check-ins) and ensure follow-through.
Translate Clinical Director direction into clear priorities and measurable outcomes.
Intervene quickly when performance, coverage, or quality issues emerge.
Maintain an active clinical schedule, including patient panel, emergency, and recovery visits.
Deliver care in alignment with Midi protocols, scope of practice, and documentation standards.
Use direct care experience to inform coaching, escalation handling, and quality improvement.
Ensure stable scheduling, on-call coverage, time allocation, and vacation planning.
Monitor capacity and access risk, coordinating rapid adjustments to protect patient care.
Maintain consistent day-to-day operating expectations across the team.
Enforce adherence to protocols, scope, and documentation standards.
Own team-level triage and escalation workflows, ensuring timely resolution and follow-up.
Identify recurring risk patterns and escalate recommendations to the Clinical Director.
Set and uphold the performance bar for NP Managers, including hiring, onboarding, and development.
Identify performance gaps early and drive corrective action.
Partner with People/HR on complex workforce situations and escalate high-impact issues.
Coordinate with People/HR, IT, Product, Informatics, and Operations to execute readiness and change initiatives.
Support quality, safety, and peer review processes, ensuring action items are implemented.
Role-model Just Culture principles in performance and escalation handling.

What We're Looking For

Licensed NP/APRN with an active, unencumbered license and board certification.
5+ years of clinical experience, including recent direct patient care and independent patient panel management.
Ability to maintain an active clinical schedule alongside leadership responsibilities.
Experience delivering care and/or leading teams in regulated healthcare environments; telehealth experience strongly preferred.
3+ years of people leadership experience, including managing clinicians; experience managing managers preferred.
Demonstrated ability to manage coverage, capacity, and operational execution across a distributed team.
Strong clinical judgment and confidence navigating escalations, documentation standards, and quality signals.
Clear, direct communicator who drives accountability with consistency and empathy.
Ability to work remotely while physically located within the United States.

Nice to Have

Experience in high-growth or scaling virtual care organizations.
Multi-state licensure or willingness and ability to obtain and maintain additional state licenses.
Experience with peer review, case review workflows, or quality improvement initiatives.

Team & Environment

You will lead Nurse Practitioner Managers and their clinician teams, reporting directly to the Clinical Director.

Benefits & Compensation

Salary: $165,000 - $175,000 annually

Work Mode

This role is remote, open to candidates physically located within the United States.

Midi Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.