Director of Clinical Operations

PROMEDIX® HEALTH; Santa Ana (CA); On-site; USD 120,000 - 165,000; Full time

Benefits offered by this job

Medical, dental, and vision insurance

401(k) with company match

Life insurance

Job summary

ProMedix Health is seeking a Director of Clinical Operations in Santa Ana, CA to lead nursing and care management teams, governing CMS documentation standards and compliant billing across CCM and RPM programs.

The ideal candidate is an RN with BSN, California license, and 5+ years in clinical operations leadership, proficient in building SOPs, workflows, and training programs in a fast-growing telehealth environment.

Qualifications

• Active RN license in California (BSN required).
• 5+ years in clinical operations or care management leadership.
• Working knowledge of CMS requirements for CCM and RPM and compliant documentation.
• Experience building SOPs, workflows, and documentation standards in a compliance-sensitive environment.
• Familiarity with EHR systems in a care management context.
• Ability to lead and develop a clinical team.

Responsibilities

• Lead nursing staff and care coordinators: supervision, coaching, development.
• Set productivity standards: panel capacity, documentation, patient engagement, alert response times.
• Recruit and onboard clinical staff; build training programs.
• Own CMS compliance across CCM and RPM: documentation, billing, audit readiness.
• Conduct internal audits; identify deficiencies and implement corrections.
• Train clinical teams on documentation for medical necessity and defensible records.
• Work with billing to ensure documentation supports billed services.
• Build and maintain SOPs for clinical workflows: onboarding, monitoring, care plan, escalation, disenrollment.
• Ensure workflows are scalable and compliant across physician partners.
• Manage enrollment-to-clinical handoff and resolve bottlenecks.

Skills

Team leadership

Performance management

CMS familiarity

Clinical operations

Education

RN license in California

BSN degree

Tools

EHR systems

Job description

About ProMedix

ProMedix Health is a virtual care platform delivering RPM and CCM programs to patients through partnerships with primary care physicians, IPAs, and health systems. We combine clinical staffing, operational infrastructure, and proprietary technology to enable continuous care management outside traditional office visits. We are in an active growth phase and building a healthcare data and AI platform designed to identify early indicators of disease progression and acute health events.

The Role

The Director of Clinical Operations owns the operational and compliance infrastructure of ProMedix’s care management programs. You will manage the nursing and care management teams, enforce CMS documentation standards, build the SOPs that make the operation scalable, and ensure every patient encounter supports both clinical quality and compliant billing. This role reports to the Vice President of Operations.

The right candidate is a clinically credentialed RN who has grown into operations and management, is fluent in CMS requirements for RPM and CCM, and is energized by building clinical systems in a fast-growing company. Bedside clinicians without operations experience and administrators without clinical credentials are equally not the right fit - we need both.

Core Responsibilities

Team Leadership & Performance

• Manage nursing staff and care coordinators: supervision, performance accountability, coaching, and development
• Set and monitor productivity standards: panel capacity, documentation completion, patient engagement, and alert response times
• Recruit and onboard clinical staff as the team scales; build training and onboarding programs

CMS Compliance & Documentation

• Own CMS compliance across all CCM and RPM programs - documentation standards, billing alignment, and audit readiness at all times
• Conduct regular internal audits; identify deficiencies, implement corrections, and track remediation to closure
• Train clinical teams on documentation expectations that support medical necessity and produce defensible records
• Work with billing and revenue cycle partners to ensure documentation consistently supports billed services

Clinical Workflows, SOPs & Credentialing

• Build and maintain SOPs for all clinical workflows: onboarding, monitoring, care plan development, escalation, and disenrollment
• Ensure workflows are consistent, scalable, and compliant across all physician partners
• Manage the enrollment-to-clinical handoff and resolve workflow bottlenecks before they affect outcomes or billing
• Ensure licensure and credentialing requirements remain current for all clinical staff

Performance Reporting

• Monitor key indicators: nurse productivity, patient engagement, monitoring activity, care management time, alert response times, and patient retention
• Provide leadership with clear, regular visibility into clinical program performance

Required Background

You must have:

• Active RN license in California, in good standing - BSN required
• 5+ years of clinical operations or care management leadership experience
• Working knowledge of CMS requirements for CCM and RPM - compliant, billable, and audit-ready documentation
• Demonstrated ability to manage and develop a clinical team
• Experience building clinical documentation standards, SOPs, and workflows in a compliance-sensitive environment
• Familiarity with EHR systems in a care management context
• Comfort operating in a build-phase environment where processes are actively evolving

Useful but not required:

• MSN or advanced clinical or healthcare administration degree
• Experience with Medicare Advantage, value-based care, or telehealth environments
• Prior involvement in CMS audit preparation or formal compliance program management

You’ll Fit Here If

• You consider clinical credibility and operational discipline equally part of your professional identity
• Documentation quality is a standard you hold without being asked
• You’re energized by building systems, not just running them
• You can hold a team accountable while doing the coaching work that prevents the same miss next month
• You want to build something meaningful in chronic care - not inherit a legacy program and maintain it

Compensation & Benefits

• $120,000 - $165,000 annually (California Pay Transparency Act, SB 1162)
• Performance-based bonus
• Medical, dental, and vision insurance
• 401(k) with company match
• Life insurance

Work Location:

100% on-site, Santa Ana, CA. Remote and hybrid arrangements are not available for this role.

Equal Opportunity Employment

ProMedix Health is an Equal Opportunity Employer providing equal employment opportunities regardless of race, color, religion, sex, national origin, age, disability, genetic information, marital status, sexual orientation, gender identity, military or veteran status, or any other characteristic protected by applicable law.

California Applicants: Employment is at-will. ProMedix participates in E-Verify. Offers may be contingent on background checks per California ICRAA/FCRA. Reasonable accommodations available upon request. ProMedix maintains a drug-free workplace.