Job Title: Assistant Medical Director Date Prepared: April 2026
Location: Community Health Systems, Inc. – Beloit
Department: Medical Exempt
JOB SUMMARY
The Assistant Medical Director (RN) serves as the operational clinical leader for nursing and clinical support services within the outpatient health center. Working in partnership with the Medical Director, this role ensures safe, efficient, and high-quality day-to-day clinical operations.
The position provides direct supervision and operational oversight of nursing and clinical support staff, manages clinic flow and staffing coordination, and ensures consistent execution of clinical workflows, quality initiatives, and regulatory requirements consistent with Federally Qualified Health Center (FQHC) standards.
This role bridges medical leadership and clinic operations to ensure care delivery is efficient, compliant, and patient-centered.
SUPERVISORY STRUCTURE
Directly Supervises:
Registered Nurses (RNs)
Licensed Practical Nurses (LPNs)
Medical Assistants (MAs)
Clinical Support Staff as assigned
Day-to-Day Supervisory Responsibilities Include:
- Assigning and coordinating daily clinical staffing
- Managing nursing workflows and delegation of clinical tasks
- Monitoring staff performance and productivity
- Addressing operational issues impacting patient care
- Providing real-time coaching and clinical guidance
- Managing call-offs, coverage adjustments, and workflow redistribution
- Escalating clinical or operational concerns to the Medical Director as appropriate
ESSENTIAL JOB FUNCTIONS
Clinical Operations & Clinic Flow
Oversee daily clinical operations to ensure efficient patient flow and access to care
Coordinate nursing and clinical support staffing schedules to meet patient volume demands
Monitor rooming processes, triage workflows, and clinical throughput
Identify operational barriers and implement workflow improvements
Ensure providers are supported with appropriate clinical staffing and resources
Serve as the primary operational contact for nursing-related clinic issues
Collaborate with front desk and operations staff to align scheduling and clinical capacity
Provide direct supervision and accountability for nursing and clinical support staff
Establish clear expectations for clinical performance, workflows, and patient care standards
Conduct hiring interviews, onboarding, competency validation, and performance evaluations
Provide coaching, corrective action, and progressive discipline in collaboration with HR
Monitor staff competencies, scope-of-practice adherence, and clinical documentation standards
Lead regular nursing staff meetings and operational huddles
Clinical Workflow & Care Delivery
Standardize nursing workflows across providers and clinic locations (if applicable)
Ensure consistent execution of:
Triage protocols
Standing orders
Medication administration processes
Care management workflows
Support implementation of team-based care models
Assist with escalation of complex patient care concerns
Quality Improvement & Follow-Through
Partner with Quality and Medical Leadership to operationalize QAPI initiatives
Translate quality goals into actionable nursing workflows
Monitor staff follow-through on clinical quality measures including:
Chronic disease management protocols
Address gaps in documentation, workflow compliance, or care delivery affecting quality outcomes
Participate in chart reviews, workflow audits, and performance improvement initiatives
Regulatory Compliance & Risk Management
Ensure nursing practices comply with:
HRSA/FQHC program requirements
CMS Conditions of Participation
Wisconsin scope-of-practice regulations
Organizational policies and clinical protocols
Maintain clinic readiness for HRSA Operational Site Visits, audits, and accreditation reviews
Reinforce infection control, safety, and risk management practices
Collaborate with leadership on incident review and corrective action planning
Policy, Protocol & Operational Development
Assist the Medical Director with development and maintenance of clinical policies, standing orders, and nursing protocols
Ensure policies are operationally feasible and consistently implemented
Provide frontline operational input into clinical program development
Direct Patient Care (As Needed)
Provide limited direct patient care within RN scope of practice to support clinic operations
Assist during staffing shortages, high-volume periods, or clinical escalation situations
Support patient education, care coordination, and triage activities
REQUIRED EDUCATION & EXPERIENCE
Required
Active Registered Nurse license in Wisconsin (or eligible prior to start)
3–5 years clinical nursing experience in ambulatory care, primary care, or community health
Minimum 2 years supervisory or leadership experience
Demonstrated experience managing clinical workflows and staff operations
Preferred
BSN or higher degree
FQHC or community health center experience
Experience with population health management and quality reporting (UDS/HEDIS)
Experience supervising multidisciplinary clinical teams
KNOWLEDGE, SKILLS & ABILITIES
Strong operational leadership and decision-making skill
Working knowledge of FQHC clinical and regulatory requirements
Ability to manage competing operational priorities in a fast-paced environment
Effective conflict resolution and staff coaching abilities
Proficiency with EHR systems and clinical reporting tools
Strong communication and interdisciplinary collaboration skills
KEY COMPETENCIES
- Operational clinical leadership
- Staff supervision and accountability
- Clinic flow management
- Quality execution and follow-through
- Regulatory compliance oversigt
- Team-based care coordination
WORK ENVIRONMENT
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.
Reasonableaccommodationsmay be made to enable individuals with disabilities to perform the essential functions.
- Outpatient, team-based primary care setting
- Serves a diverse, often underserved patient population
- May require occasional extended hours to meet operational needs
- While performing the duties of this Job, the employee isfrequentlyexposed to significant work pace/pressure.
- The noise level in the work environment is usually moderate.
LINES OF SUPERVISION: The Assistant Medical Director reports to the Medical Director
DISCLAIMER : The above statements are intended to describe the general nature and level of work being performed by people assigned to this job class. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified.
Community Health Systems, Inc. is an equal opportunity employer.
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