Director of Clinical Care Management

Come grow with us! Medrina has been voted one of the fastest growing companies and 92% of our employees feel we are a Great Place To Work! For more details on what our employees say go to Working at Medrina | Great Place To Work®. This leader is responsible for developing, implementing, scaling, and continuously improving the clinical components of a centralized care management program that supports medically complex patients with chronic conditions.

The Director will oversee the clinical care management team, establish standardized workflows, ensure regulatory and documentation compliance, optimize patient enrollment and engagement, and partner closely with physicians, APPs, facility leadership, operations, technology, and revenue cycle teams. The Director will be accountable for ensuring CCM and PCM services deliver measurable value through improved care coordination, stronger provider and facility communication, reduced avoidable utilization, improved patient outcomes, and sustainable financial performance.

This is a full-time role operating from central or eastern regions of United States during standard business hours, 8a-5p, Monday - Friday (from your home office remotely) with occasional travel in the United States for company meetings (this is not a flexible schedule opportunity). This role handles sensitive information; work must be performed in a private and secure setting (with a door) requiring reliable internet and phone connectivity.

The candidate must reside in central or eastern region of United States. This role does not offer immigration visa sponsorship.

This role offers annual salary starting $120,000and commensurate with experience (see requirements below) as well as eligible for an annual performance bonus of up to 10%.We offer an excellent benefits package including 15 days of vacation, 7 paid holidays, and 5 sick days annually, multiple medical and vision insurance plans, which begin day one (no waiting period), employer-paid life insurance, 401(k) with a company match, $1,700 annual professional development reimbursement, $100 monthly teleworker stipend and more.

• Provide overall clinical operations leadership for CCM and PCM services.
• Develop and implement standardized clinical care management workflows across participating markets and facilities.
• Partner with physician leadership to establish clinical standards, escalation protocols, and care management expectations.
• Ensure vendors and/or internal staff have regulatory guidance on appropriate identification and management of patients with chronic and complex medical conditions.
• Develop standardized comprehensive care plans addressing common chronic conditions, including heart failure, COPD, diabetes, chronic kidney disease, hypertension, dementia, and other high-risk conditions.
• Establish appropriate clinical escalation pathways between care managers, facility nurses, APPs, physicians, specialists, and other members of the care team.
• Ensure patients have appropriate access to clinical support and escalation consistent with applicable program requirements.
• Promote proactive rather than reactive management of high-risk patient s.

• Recruit, develop, and oversee RNs, LPNs, MAs, care coordinators, and other clinical care management personnel as appropriate.
• Support staffing models and patient-to-care-manager ratios based on acuity, enrollment, productivity, and program requirements.
• Develop performance expectations and productivity standards for the care management team.
• Conduct regular individual and team performance reviews.
• Provide clinical coaching, education, and competency development.
• Establish standardized onboarding and training for new care management staff.
• Monitor workload distribution and adjust staffing as program enrollment grows.

• Develop systematic processes to identify CCM- and PCM-eligible patients.
• Partner with analytics, operations, and technology teams to automate patient identification wherever possible.
• Establish processes to validate patient eligibility and active facility census.
• Develop resident, patient, family, and MPOA education and communication processes.
• Oversee consent and enrollment workflows.
• Monitor the enrollment funnel from eligible patient through successful program activation.
• Identify and address barriers contributing to unsuccessful enrollment.

• Ensure each enrolled patient has an appropriate…