Job Description — Clinical Lead / Medical Oversight
Advanced Practice Registered Nurse (APRN / Nurse Practitioner)
Essential HealthCare Solutions, LLC • LCEC Emergency Nursing Services
Position Title Clinical Lead / Medical Oversight — Advanced Practice Registered Nurse (APRN / Nurse Practitioner)
Program Emergency Nursing Services — Hurricane Preparedness, Response & Recovery
County / Location Lee County, FL — North Fort Myers (Southwest Florida)
Reports To Program / Account Manager
Direct Reports Charge RNs (all three shelter sites) and deployed clinical staff (RNs / LPNs / CNAs)
Work Arrangement Remote clinical oversight during activations, with on-site presence at the shelter sites as needed
Employment Type PRN / activation-based, account-level role • Exempt or non-exempt as classified
Position Summary
The Clinical Lead is an Advanced Practice Registered Nurse who owns clinical quality, scope-of-practice discipline, and medical oversight for the LCEC account across all three emergency shelter sites. The role establishes and maintains standing clinical protocols and the emergency-escalation chain, supervises the site Charge RNs and deployed clinical staff, provides the medical-oversight arrangement contemplated by SOW §14, and oversees shelter health monitoring including behavioral-health and stress-indicator monitoring under SOW §3.5. The Clinical Lead safeguards the clinical documentation quality that feeds the SOW deliverables and the FEMA / 2 CFR Part 200 recordkeeping environment. The position works primarily remotely during activations and deploys on-site when clinical complexity, staffing, or client need requires it.
Work Arrangement — Remote and On-Site
On-site
- Provide clinical oversight, consultation, and escalation support to Charge RNs by phone, secure message, and video throughout each activation.
- Maintain reliable connectivity, a backup power source, and a backup means of communication — activations occur during storms that disrupt both.
- Remain reachable and responsive throughout activation windows, including nights and weekends during a declared event.
- Review daily operational nursing reports and incident reports remotely; direct corrective action same-day.
- Deploy to any of the three North Fort Myers shelter sites when clinical acuity, an incident, a staffing gap, or an LCEC request warrants direct presence.
- Conduct on-site clinical rounding, medical-station review, and protocol audits during extended activations.
- Support pre-season readiness walkthroughs, staff orientation, and post-activation after-action review on-site.
Activation, Schedule & Availability
- Available for activation up to 72 hours before anticipated landfall, through impact, and into recovery.
- Activations range from 24 hours to 14 consecutive days; oversight coverage is continuous for the duration.
- Acknowledge activation notice and confirm availability promptly (company target: within one hour of LCEC notice).
- Able to report on-site at a North Fort Myers shelter within 24 hours when on-site presence is required.
- Maintain a named alternate arrangement so clinical oversight is never unavailable during an activation.
Deployment Locations
On-site support is provided at any of the three LCEC-designated shelter sites in North Fort Myers (Lee County), and at other facilities identified in writing by the Cooperative during an activation:
- 4980 Bayline Drive, North Fort Myers, FL 33917
- 141 East Mariana Avenue, North Fort Myers, FL 33917
- LCEC Basecamp, Williams Road, North Fort Myers, FL 33917
Essential Duties & Responsibilities
Clinical leadership & standing protocols
- Define and maintain standing clinical protocols, screening and triage standards, and infection-prevention guidance across all sites.
- Enforce RN / LPN / CNA scope-of-practice discipline and clinical-quality standards.
- Own the emergency-escalation chain and EMS-coordination standards; serve as the clinical point of escalation for Charge RNs.
Medical oversight & advanced practice
- Provide the medical-oversight arrangement within the scope of Florida APRN licensure and practice authority.
- Evaluate, diagnose, and manage illness and injury within APRN scope when practicing on-site; order diagnostics, treatments, and medications as permitted by Florida law and the applicable practice arrangement as needed
- Advise Charge RNs on clinical decision-making, escalation thresholds, and EMS-transfer criteria.
Health monitoring & behavioral health
- Oversee shelter health monitoring, including behavioral-health and stress-indicator monitoring for shelter occupants and deployed personnel.
- Identify emerging clinical patterns — heat illness, dehydration, fatigue, communicable-disease clusters — and direct mitigation.
Supervision, staffing quality & credentialing
- Supervise Charge RNs and deployed clinical staff across all three sites.
- Support the Staffing / Deployment Coordinator on credential-verified rosters and named alternates.
- Confirm each assigned clinician's licensure, BLS, and required certifications before activation; support credentialing and primary-source verification.
Documentation & reporting
- Ensure clinical documentation supports the daily operational nursing reports, incident reports, and after-action report; uphold HIPAA field safeguards.
- Lead clinical content of the final after-action report due within 10 business days of demobilization.
Supervision Exercised
- All site Charge RNs and deployed clinical staff (RNs, LPNs, CNAs) during activations.