
Lead Registered Nurse
Charleston, SCJobSeen todaySeen in employer's feed today
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At a glance
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Requirements
Credentials this posting asks for.
Job overview
The Ambulatory Lead Registered Nurse provides clinical leadership and direct patient care in a multidisciplinary outpatient clinic specializing in Pain Management, Orthopedics, and PM&R. The role supports daily operations, coordinates patient care, mentors clinical staff, and partners with providers and clinic leadership to promote efficient, high-quality care. The Lead RN also serves as a clinical resource and escalation point for patient-care and workflow issues.
Skills & qualifications
Skills
Qualifications
Full job description
Job Description
The Ambulatory Lead Registered Nurse provides clinical leadership and direct patient care within a multidisciplinary outpatient clinic specializing in Pain Management, Orthopedics, and Physical Medicine & Rehabilitation (PM&R). The Lead RN serves as a working clinical leader, supporting daily clinic operations, coordinating patient care, mentoring nursing and clinical support staff, and partnering closely with physicians, APPs, and clinic leadership to ensure efficient, high-quality patient care. This individual will serve as a clinical resource and escalation point for the team while helping drive patient flow, staff coordination, clinical quality, and an excellent patient experience. This aligns with the working-leader model used in your prior
Key Responsibilities
Clinical Leadership & Patient Care
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Serve as the clinical lead and day-to-day resource for RNs, LPNs, medical assistants, and other clinical support staff.
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Provide hands-on nursing care including patient assessment, triage, medication administration, patient education, and care coordination.
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Triage patients experiencing acute or worsening musculoskeletal pain, post-procedure concerns, mobility changes, neurological symptoms, or medication-related issues.
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Support providers with orthopedic, pain management, and PM&R clinic procedures and ensure appropriate pre- and post-procedure patient education.
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Coordinate follow-up care, diagnostic testing, imaging, referrals, and specialty services for patients with complex musculoskeletal and chronic pain conditions. Pain Management / Ortho / PM&R Support
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Support patients receiving treatment for acute and chronic pain, orthopedic injuries, spine conditions, rehabilitation needs, and musculoskeletal disorders.
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Assist with clinical workflows surrounding injections, wound care, post-operative visits, and other office-based procedures as appropriate.
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Reinforce provider instructions regarding medications, activity restrictions, rehabilitation plans, symptom monitoring, and follow-up care.
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Collaborate with physicians, APPs, physical/occupational therapy, imaging, pharmacy, and other specialties to facilitate continuity of care. Team Leadership & Clinic Operations
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Coordinate daily clinical workflows, staffing assignments, patient flow, and room utilization.
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Mentor and support nursing and clinical staff, including onboarding, training, competency validation, and continuing education.
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Serve as the first clinical escalation point for complex patient-care or workflow issues.
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Partner with providers and clinic leadership to identify bottlenecks and improve clinic efficiency.
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Support implementation of new clinical workflows, policies, procedures, and quality initiatives. Quality, Safety & Documentation
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Ensure accurate and timely documentation within the electronic medical record.
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Promote compliance with medication safety, infection prevention, clinical documentation, and organizational standards.
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Participate in quality improvement, chart review, patient safety, and patient experience initiatives.
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Identify opportunities to improve clinical workflows and standardize nursing practices across the clinic.
Skills and Requirements
- Active, unrestricted Registered Nurse (RN) license in the applicable state or compact.
- Current BLS certification.
- 5+ years of RN experience, preferably within an ambulatory, outpatient, orthopedic, pain management, PM&R, surgical, or similar setting.
- Previous clinical leadership experience, either formal or demonstrated informal leadership.
- Strong patient assessment, triage, care coordination, and clinical decision-making skills.
- Experience working within an electronic medical record system. EPIC experience
We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal employment opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment without regard to race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or the recruiting process, please send a request to [email protected].
How this job compares
Set against the 59,266 open Registered Nurse jobs on Olive Jobs, counted November 10, 2026.
- Pay
- This postingNot listed
- South Carolina median$77–106K/yr71 salary ranges
- South Carolina median$38–51/hr94 hourly ranges
- Openings
- Olive Jobs lists 1,015 open Registered Nurse jobs in South Carolina and 59,266 across the US. Under 1% of them nationwide are listed as remote or flexible.
- Hiring the most in South Carolina
- Prisma Health349 open
- HCA Healthcare96 open
- Roper St. Francis82 open
- Experience
- This posting asks for at least 5 years of experience — more than three in four Registered Nurse postings that state a minimum ask for (median 1 year, across 29,133 postings).
- Education
- 4,111 of the 59,266 open Registered Nurse jobs (7%) ask for a bachelor's degree or higher.
Pay, requirements and demand for Registered Nurse jobs
Counted across the open, public US postings on Olive Jobs on November 10, 2026. Pay medians are the middle values of the low ends and of the high ends of postings that list both ends of a range in the same cadence (a yearly salary or an hourly rate); a range's midpoint is halfway between its ends. Pay and experience figures resting on fewer than 20 postings are left out.
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