Clinical, Director; Hybrid

Company Overview

Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem‑solving; and to take ownership of your work every day.

Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes – making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector.

The Clinical Director directs and oversees all clinical program activities, emphasizing the need for overall consistency, thoroughness, and accuracy. The primary purpose is to guide the program towards enhanced clinical efficiencies, ensuring that deliverables and assigned contract functions consistently meet the highest standards. This strategic approach aims to strengthen customer relationships and fulfill contractual requirements. The role includes day‑to‑day oversight, focusing on effective management of the care management program and ensuring the seamless implementation of clinical contract requirements.

• Manage Care Coordination services for a specific member population.
• Provide guidance to direct reports in their roles. This includes adherence to operational standards, quality outcomes, regulatory and contractual compliance, policies and procedures, and quality monitoring.
• Ensure clinical operations comply with contractual requirements by monitoring critical indicators and adjusting processes to address negative variances.
• Identify opportunities for enhancing operating efficiencies.
• Serve as a Subject Matter Expert (SME).
• Contribute to achieving annual organizational priorities and operational indicators.
• Foster effective communication with staff through various channels, such as one‑on‑one meetings, team meetings, and interdepartmental meetings.
• Oversee contract activities, including service level agreement metrics, processes, staff development, internal training, review process quality, case management effectiveness, deliverables, and budgetary compliance.
• Manage the clinical quality program, encompassing auditing, Quality Improvement Plans (QIPs), and administration of the Local Quality Improvement Committee.
• Perform other duties as assigned.
• Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules.

The list of accountabilities is not intended to be all‑inclusive and may be expanded to include other duties that management may deem necessary from time to time.

• Active, unrestricted Licensed RN in the applicable state or compact state, OR active unrestrictive Licensed Clinical Social Worker (LCSW) or Licensed Professional Counselor (LPC) in the state.
• Bachelor’s Degree or equivalent directly applicable experience in nursing, healthcare administration or related area is preferred.
• 2 years of clinical management experience required.

• Strong verbal and written communication skills are essential.
• Strong verbal and written communication skills are essential.
• Customer‑focused, results‑oriented, with the ability to build and maintain relationships with both internal and external customers.
• Organizational skills and the ability to plan and prioritize multiple assignments are essential.
• Proficient in examining and re‑examining operations and procedures, formulating policy, and developing and implementing new strategies and procedures.
• Familiarity with the U.S. healthcare industry.
• Demonstrated expertise in managing diverse customer needs.
• Ability to participate as a team member, fostering collaborative decision‑making among leadership, committees, teams, or work groups of diverse composition.
• Proficiency in Microsoft Office applications and other essential software programs for job functions.
• Ability to develop, plan, and…