Medical Practice Manager/RN Lead at Isaiah House – Lexington, Kentucky

The Medical Practice Manager / RN Lead is a dual-role leadership position responsible for overseeing the daily clinical operations of Isaiah House's medical services in a recovery-based, FQHC-aligned environment. This role ensures the delivery of high-quality, compassionate medical care to individuals with substance use disorders while maintaining regulatory compliance, coordinating clinical workflows, and supervising nursing staff. The RN Lead component focuses on hands-on patient care during the detoxification phase, while the Practice Manager role ensures operational excellence and FQHC standards.

• Conduct intake assessments, assign treatment plans, and perform clinical evaluations throughout detox and stabilization periods.
  
• Monitor medical conditions and coordinate closely with Licensed Independent Practitioners (LIPs) for ongoing treatment adjustments.
  
• Provide patient education on medical needs and wellness.
  
• Prepare and oversee medication administration, including organizing med boxes and over-the-counter treatment.
  
• Maintain clean and stocked med rooms and ensure compliance with first aid kit standards throughout the facility.
  
• Monitor sick call patients, record vital signs, and communicate with providers for care direction.
  
• Coordinate external medical appointments, documentation, and record retrieval for continuity of care.
  

• Supervise RNs, LPNs, and Medical Assistants, ensuring adherence to clinical protocols and best practices.
  
• Provide coaching, schedule management, and performance oversight of nursing staff.
  
• Ensure competency completion, policy adherence, and training requirements are met.
  
• Lead audits of med room procedures, daily logs, and infection control.
  

• Oversee day-to-day medical office functions including scheduling, patient access, compliance tracking, and workflow optimization.
  
• Ensure adherence to HRSA/FQHC standards, including sliding fee scales, UDS reporting, and EHR documentation accuracy.
  
• Manage clinic inventory, supply orders, and coordination with external vendors or partners.
  
• Collaborate with billing and finance teams to support accurate claims and FQHC reimbursements.
  
• Assist in preparation and readiness for regulatory inspections, HRSA site visits, and accreditation reviews.
  

• Active, unrestricted RN license in the state of Kentucky (required).
  
• Associate Degree in Nursing required; Bachelor’s Degree preferred.
• Primary Healthcare experience required
  
• 2–3 years of leadership or supervisory experience in a clinical setting, preferably in addiction treatment or FQHC environment.
  
• Prior experience working with substance use disorders, co-occurring mental health conditions, or within residential treatment preferred.
  
• Strong working knowledge of electronic medical records, HIPAA, OSHA, and state health regulations.
  
• Experience managing clinical workflows, audits, and compliance in a dynamic, multidisciplinary environment.
  
• Crisis management and conflict resolution skills.
  
• Valid KY driver’s license.
  

• Familiarity with HRSA compliance, Uniform Data System (UDS), and FQHC billing structures.
  
• Experience supervising or coordinating Medication-Assisted Treatment (MAT) protocols.
  
• Understanding of trauma-informed care and recovery-oriented service delivery.
  

• Compassionate and professional leadership style
  
• Highly organized with attention to detail
  
• Confident in crisis situations and emotionally resilient
  
• Strong communication and team-building skills
  
• Able to balance direct care with administrative oversight