• Lead and performance-manage NP Managers; set clear expectations for reliability, clinical quality, and day-to-day execution. • Run the NP Manager operating cadence (manager syncs, performance check-ins, issue tracking) 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 through manager workflows. • Monitor capacity and access risk; coordinate rapid adjustments to protect patient care and clinician experience. • 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; ensure 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; hire, onboard, and develop leaders. • Identify performance gaps early and drive corrective action. • Partner with People/HR on complex workforce situations; escalate high-impact issues as needed. • Coordinate with People/HR, IT, Product, Informatics, and Operations to execute readiness and change initiatives. • Support quality, safety, and peer review processes; ensure action items are implemented and sustained. • Role-model Just Culture principles in performance and escalation handling.