Director of Clinical Operations – Population Health RN

This is a fully remote position, open to applicants in United States.

📋 Description

• Recruit, onboard, mentor, and cultivate a team of care managers.

• Set benchmarks for exceptional care management and promote team responsibility.

• Develop and enhance practical, documented clinical workflows and protocols.

• Track ACO quality metrics and pinpoint areas for improvement.

• Spearhead initiatives to enhance quality metrics and bridge care gaps.

• Enhance patient engagement, which includes increasing call answer rates, appointment scheduling efficiency, and reducing no-show rates.

• Partner with affiliated sites through meetings and co-managed escalations.

• Align clinical operations with partner payer and regulatory standards.

• Provide clinical oversight across CCM, APCM, BHI, and RPM programs.

• Ensure adherence to clinical standards, regulatory compliance, and high-quality documentation.

• Offer leadership insights into performance metrics, risk assessment, population analysis, and growth opportunities.

⛳️ Requirements

• Current RN license.

• Bachelor's degree in Nursing (BSN) is required.

• Master’s degree in Nursing (MSN) is a plus.

• Experience working with or directly alongside FQHCs, ACOs, IPAs, or payers.

• In-depth knowledge of ACO quality metrics, including HEDIS, UDS, or similar.

• Previous leadership experience in a remote care management program.

• Proven ability to manage remote clinical staff while fostering teamwork and accountability from a distance.

• Over 5 years of clinical experience, including substantial involvement in population health or care management.

• Certifications such as CCM, CPHQ, or in population health are preferred.

• Experience in Behavioral Health Integration (BHI) is a plus.

• Experience in launching or scaling new care management service lines is advantageous.

• Strong communication skills with clinical teams, operations leaders, and external partners.

• Self-motivated with a solution-oriented mindset.

🏝️ Benefits

• Direct impact — your contributions influence outcomes for actual patients in real communities.

• Leadership with autonomy — the freedom to develop programs effectively.

• Partners aligned with our mission.

• A growth-focused organization.

• A collaborative and supportive team environment.

• Equal opportunity within a diverse and inclusive team.