Lead Family Nurse Practitioner

NPHire; Washington (District of Columbia); Hybrid; USD 125,000 - 145,000; Full time

Benefits offered by this job

ICHRA

Paid time off

Paid holidays

Continuing education allowance

Malpractice coverage

Job summary

NPHire in Washington, DC is seeking a Lead Family Nurse Practitioner to lead a community-based primary care team across the lifespan. The role blends onsite clinics three days per week with telehealth two days, delivering well-child visits and chronic disease management for a Medicaid-focused population.

You will be the senior clinical voice, shaping workflows and care pathways, mentoring clinicians, and partnering with leadership to scale the model.

Qualifications

• MSN, DNP or equivalent advanced nursing degree.
• Active, unrestricted Washington, DC Nurse Practitioner license.
• Current Family Nurse Practitioner (FNP) certification (ANCC or AANP).
• FNP certification is required because the panel includes pediatric patients.
• Active DEA registration.
• Three or more years of clinical experience as a nurse practitioner.
• Demonstrated experience managing chronic disease.
• Experience serving Medicaid or comparably underserved populations.
• Willingness and comfort seeing pediatric patients, primarily well child care, vaccines and physicals.
• Proficiency with electronic health records.

Responsibilities

• Deliver comprehensive primary care across the lifespan, including well child visits, immunizations, physicals, and screenings.
• Diagnose, treat and manage acute and chronic conditions, with emphasis on chronic disease management and prevention.
• Manage complex patients carrying multiple chronic conditions alongside significant social needs.
• Prescribe and manage medications, including controlled substances.
• Coordinate care with specialists, hospitals, and community organizations, and elevate directly when acuity requires it.
• Deliver care through both onsite visits and telehealth.
• Serve as the senior advanced practice provider and clinical resource for the team.
• Provide clinical coverage and decision making authority when executive leadership is unavailable.
• Help develop clinical workflows, care pathways and operational processes as the model matures.
• Mentor and support nurse practitioners, nurses, medical assistants and care coordinators.
• Contribute to recruitment, onboarding and training of new clinical staff.
• Lead chronic disease management and care gap closure initiatives across the patient panel.
• Support quality improvement, documentation quality and performance measurement.
• Help address social determinants of health through partnership with housing and community organizations.
• Contribute to value based care and population health work, including data collection that supports payer conversations.

Skills

Chronic disease management

Medicaid experience

Pediatric care readiness

Leadership/mentorship

Electronic Health Records proficiency

Education

MSN, DNP or equivalent advanced nursing degree

DC NP license

Job description

Position: Lead Family Nurse Practitioner

Type: Full time, permanent. Schedule: Monday to Friday, business hours. Three days onsite, two days telehealth from home. No weekend requirement. Location: Washington, DC. Hybrid. Specialty: Family Nurse Practitioner (FNP), primary care across the lifespan. Compensation: $125,000 to $145,000 base, depending on experience.

About the role

Primary care delivered inside the buildings where people actually live. Four small clinics, built into converted apartments in DC public housing, serving families who have historically had almost no reliable access to a provider who knows them. This is a founding team clinical leadership role at a young organization that is still building. You would be the senior clinical voice: carrying your own panel three days a week, running telehealth two days, and serving as the person the team turns to when the founder is not available. The patient population is predominantly Medicaid, cradle to grave, and weighted toward chronic disease management with prevention built in. Appointments are thirty minutes. You will see the same families repeatedly, and you will be the first point of contact for people who present with real acuity. There is no radiology down the hall. That reality is a genuine part of the job, and it is why clinical confidence matters more here than in most primary care settings.

Why you will love this opportunity

Full practice authority from day one. The District grants full scope of practice on licensure. No collaborative agreement, no supervision requirement, no waiting period. Thirty minute appointments. Not fifteen. The model is built on relationship and trust, because the community it serves has good reason to be skeptical of healthcare. You are given the time that actually requires. Real continuity, whole family. Kids and adults, well child visits through complex chronic care. You are not a link in a chain of handoffs. You are the provider that family sees. Clinical work that visibly matters. Patients arrive with undiagnosed strokes, cardiac events, and severe anemia because there was no one to catch it earlier. Onsite labs support same visit decision making. Genuine influence on the model. Small team, direct access to the founder, and a care model still being shaped. You would help build clinical workflows and care pathways rather than inherit someone else's. Behavioral health integration is next on the roadmap, and the organization is working toward scaling the model beyond its current sites. A defined leadership track. This role carries real responsibility now and is positioned to grow as the organization does.

Who thrives here

You are drawn to community and public health, not just tolerant of it. You are clinically confident making decisions as the first and often only provider on site. You are comfortable in a setting that is clean, renovated and well equipped, but is a converted apartment in public housing rather than a medical office building. You are flexible. The model is still evolving and workflows change. You want to help build something rather than step into something finished.

Key responsibilities

• Deliver comprehensive primary care across the lifespan, including well child visits, immunizations, physicals, and screenings.
• Diagnose, treat and manage acute and chronic conditions, with emphasis on chronic disease management and prevention.
• Manage complex patients carrying multiple chronic conditions alongside significant social needs.
• Prescribe and manage medications, including controlled substances.
• Coordinate care with specialists, hospitals, and community organizations, and elevate directly when acuity requires it.
• Deliver care through both onsite visits and telehealth.
• Serve as the senior advanced practice provider and clinical resource for the team.
• Provide clinical coverage and decision making authority when executive leadership is unavailable.
• Help develop clinical workflows, care pathways and operational processes as the model matures.
• Mentor and support nurse practitioners, nurses, medical assistants and care coordinators.
• Contribute to recruitment, onboarding and training of new clinical staff.
• Lead chronic disease management and care gap closure initiatives across the patient panel.
• Support quality improvement, documentation quality and performance measurement.
• Help address social determinants of health through partnership with housing and community organizations.
• Contribute to value based care and population health work, including data collection that supports payer conversations.

Qualifications

Required Qualifications

• MSN, DNP or equivalent advanced nursing degree.
• Active, unrestricted Washington, DC Nurse Practitioner license, or the ability to hold one before start.
• Current Family Nurse Practitioner (FNP) certification through ANCC or AANP.
• FNP certification is required because the panel includes pediatric patients.
• Adult gerontology certification does not meet the requirement for this role.
• Active DEA registration.
• Three or more years of clinical experience as a nurse practitioner.
• Demonstrated experience managing chronic disease.
• Experience serving Medicaid or comparably underserved populations.
• Willingness and comfort seeing pediatric patients, primarily well child care, vaccines and physicals.
• Proficiency with electronic health records.

Preferred Qualifications

• Experience in leadership, program development, quality improvement or practice transformation.
• Familiarity with Medicaid program structure, managed care arrangements or value based care models.
• Experience with integrated behavioral health or community based care models.
• Prior work in a startup, build phase or otherwise unstructured clinical environment.
• Recent pediatric exposure. Clinical training in pediatrics is sufficient, and support is available to build further comfort.

Compensation and benefits

Base salary of $125,000 to $140,000, set by experience. Individual Coverage Health Reimbursement Arrangement (ICHRA) with monthly reimbursement toward an individual plan purchased through the exchange, currently $300 per month. Paid time off, up to two weeks accrued, plus seven paid holidays. Paid sick leave, accruing from your first day. Continuing education allowance, currently up to $500 per year. Malpractice and liability coverage provided. Professional development and leadership advancement opportunities as the organization grows. Washington, DC licensure and DEA registration are the candidate's responsibility and are prerequisites for the role.

Interview process

An initial video interview, followed by an onsite visit for candidates moving forward. The onsite matters. Seeing the clinic, the building and the neighborhood is the clearest way to know whether this setting is right for you, and it is a deliberate part of how the team hires.