Clinical Operations Manager - Virtual Care Management (RN)

New
J
JobgetherVirtual Healthcare
Based in United StatesFull-TimeManager
Salary not disclosed
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Job Details

Experience
At least 3 years of people leadership experience
Required Skills
Data AnalysisPeople ManagementMicrosoft ExcelEHRCRM

Requirements

  • Active, unrestricted RN license.
  • At least 3 years of people leadership experience managing supervisors or team leads in clinical or production settings.
  • Experience in virtual care, telehealth, care management, or population health operations.
  • Proficiency with EHR, practice management, telehealth platforms, and CRM systems.
  • Ability to manage concurrent workflows and caseload-based panel models.
  • Strong data fluency with experience building and interpreting operational reports and Excel analyses.
  • Understanding of HIPAA, patient privacy, and healthcare compliance.
  • Availability to support 24/7 operations, including rotating weekend and holiday coverage.
  • Bachelor of Science in Nursing or related degree preferred.
  • Experience with CCM, RPM, RTM, or health plan programs like Medicare Advantage preferred.

Responsibilities

  • Lead daily care navigation operations, including case assignment, prioritization, and resolution.
  • Enforce workflow standards for clinical tasks, results, provider order follow-up, and referrals.
  • Monitor queue health and reallocate work to maintain throughput and turnaround-time standards.
  • Manage 24/7 nursing coverage including shift handoffs, rotations, and staffing plans.
  • Oversee longitudinal chronic care and remote therapeutic monitoring operations.
  • Develop and coach supervisors and clinical leads in performance management and documentation.
  • Collaborate with quality and compliance teams to ensure HIPAA and health plan contractual adherence.
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