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Director Nursing & Clinical Practice

Primary Location Fresno, California Schedule Full-time Shift Day Salary $193800 - $250800 / year
Job Number 1433718 Date Posted 07/17/2026
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Job Summary:

Plans, designs, implements, and manages standards of practice of the RN, LVN, and MA and clinical roles for ambulatory services. Ensures staff meet established state/local legislation and regulatory requirements.  May manage one or more departments.

Essential Responsibilities:


  • Guides and defines nursing practice, sets limits, identifies and interprets the scope of practice for RNs, LVNs, and Mas, other Allied Health Professionals (e.g., PA, CRNA, CNM, NP), as delineated by each medical center, and other medical offices support staff. Consults with Chiefs of Service and Credentialing office with regard to PA protocols and privileges. Provides interpretation and advises changes to the Nursing Practice Act, LVN Act,  MA and Physician Assistant  Regulations and other pertinent regulations to administration, physicians, staff and managers.

  • Ensures that departments have an ongoing quality improvement program which examines consistent nursing and clinical practice, validating outcomes by research and data collection. Evaluates the current practice, initiates new nursing roles and clinical roles and assists in establishing training programs to support the expanded roles.

  • Represents the TPMG Ambulatory Nursing perspective at all levels of the organization. Shares best practices and resources.

  • May manage one or more departments, which may include budgetary responsibilities.

  • Kaiser Permanente conducts compensation reviews of positions on a routine basis. At any time, Kaiser Permanente reserves the right to reevaluate and change job descriptions, or to change such positions from salaried to hourly pay status.  Such changes are generally implemented only after notice is given to affected employees.
Basic Qualifications:
Experience


  • Minimum five (5) years of supervisory/management experience.

  • Minimum three (3) years of previous nursing administration experience required.

Education

  • Bachelors degree in Nursing or related field required.
  • Masters degree in nursing or other related field OR six (6) years of experience in a directly related field.
License, Certification, Registration
  • Registered Nurse License (California)
Additional Requirements:

  • Demonstrated knowledge of Nurse Practice Act.
  • Working knowledge of regulatory requirements.
  • Must be able to work in a Labor/Management Partnership environment.
Preferred Qualifications:

  • N/A
Primary Location: California,Fresno,Fresno Woodward Center - 7110 Scheduled Weekly Hours: 40 Shift: Day Workdays: Mon, Tue, Wed, Thu, Fri Working Hours Start: 08:00 AM Working Hours End: 05:00 PM Job Schedule: Full-time Job Type: Standard Worker Location: Onsite Employee Status: Regular Employee Group/Union Affiliation: NUE-NCAL-09|NUE|Non Union Employee Job Level: Director/Senior Director Department: Fresno Sequoia Hospital - Medical Office Administration - 0206 Pay Range: $193800 - $250800 / year Kaiser Permanente strives to offer a market competitive total rewards package and is committed to pay equity and transparency. The posted pay range is based on possible base salaries for the role and does not reflect the full value of our total rewards package. Actual base pay determined at offer will be based on labor market data, internal alignment, and a candidate's years of relevant work experience, education, certifications, skills, and geographic location. Travel: Yes, 25 % of the Time On-site: Work location is on-site (KP designated office, medical office building or hospital). Worker location must align with Kaiser Permanente's Authorized States policy. Kaiser Permanente is an equal opportunity employer committed to fair, respectful, and inclusive workplaces. Applicants will be considered for employment without regard to race, religion, sex, age, national origin, disability, veteran status, or any other protected characteristic or status.
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