Director of Clinical Operations Remote

Are you an impact-driven problem solver who is passionate about making a difference in the lives of others while contributing to a successful business? Join Carewell and be a part of a team that creates impactful solutions for caregivers and their unique challenges. We're looking for hardworking individuals committed to raising the bar and striving for impact, scalability, and simplicity. Build your career with Carewell, a category-defining business dedicated to making caregiving easier.

Carewell is launching Carewell Care Services, a new division delivering Medicare-reimbursed care coordination starting with Patient Illness Navigation / Community Health Integration (and expanding later).

We’re hiring a Director of Clinical Operations to build and run the clinical operating system: staffing, supervision, documentation quality, escalation, and day-to-day delivery performance. This person ensures we can scale safely, compliantly, and profitably—without breaking clinical quality. Previous experience in care coordination, patient illness navigation, and community health integration are a must for this role.

This is not a “policy-only” role. It’s an execution + workflow role.

• Location:
  Remote (US) / Miami preferred
• Start: ASAP
• Type: Full-time, part-time, or contract-to-hire

• Stand up and run the daily clinical operations for PIN/CHI delivery
• Translate program requirements into repeatable care workflows the team can execute, which
• Ensure billability and compliance
• Clearly define what care tasks require re-attestation
• Clearly support documentation requirements and incident-to billing rules
• Provide clinical guidelines to decline enrollment, graduate patients, etc.
• Ensure oversight cadence is clinically appropriate and operationally feasible
• Build “day in the life” playbooks for care coordination delivery
• Define the care team structure (pods, roles, coverage)
• Own supervision ratios and operating cadence (case reviews, QA, coaching)
• Ensure clear scope-of-practice boundaries across all staff

• Ensure billing-ready documentation is completed correctly every time
• Build QA routines (weekly sampling, completeness scoring, corrective actions)
• Partner with Compliance + RCM support to prevent leakage/denials caused by ops errors
• Operate a controlled pilot with volume caps and learning loops
• Track and improve KPIs:
• time-to-first-touch and ongoing touch cadence

• Create onboarding and training for care team members (fast + repeatable)
• Own ongoing coaching, calibration, and performance improvement

• Define escalation pathways (urgent, safety, abuse/neglect, BH red flags)
• Ensure escalation response SLAs are met
• Partner with medical oversight as needed for care plan interpretation

• Define what the clinical team needs in the workflow/tools to execute
• Work with Product & Engineering to ensure the workflows are productized accurately
• Ensure documentation, time capture, tasking, and audit trails work in production
• Help define the “minimum viable clinical ops stack” for launch

• A clinical delivery model that works in production
• Weekly supervision + QA cadence running reliably
• Documentation completeness above threshold, with clear pass/fail gates
• A trained care team operating against defined workflows
• Pilot delivery metrics stable enough to inform staffing + unit economics

• Education: Bachelor’s degree in Health Administration, Registered Nursing, or a related field.
• Experience: 8+ years in operations leadership, including 5+ years in healthcare or clinical settings.
• Experience with care coordination/care navigation programs (Patient Illness Navigation, Community Health Integration).
• Operational Proficiency: In-depth experience with workflow design, putting together operating playbooks and performance systems to drive operational efficiency in clinical environments. Working closely with product/engineering teams to operationalize workflows.
• 0 - 1 Experience: Experience building virtual delivery programs efficiently from the…