Clinical, Manager - RN - CA

Job Summary and Responsibilities: Acentra Health is looking for a Clinical Manager (RN) to join our growing team!

Job Summary: The Clinical Manager (RN) will provide overall clinical and operational leadership for the CA UIS (Unsatisfactory Immigration Status) Care Coordination and Case Management programs. This position is responsible for overseeing program performance, ensuring high standards of clinical quality and member engagement, and driving operational excellence to successfully meet and exceed contract requirements. The Clinical Manager will provide leadership and direction to clinical staff, oversee care coordination and case management activities, monitor program outcomes and deliverables, and serve as a key clinical resource for internal leadership and stakeholders.*This is a remote position within California, with a preference for candidates located in the Sacramento, Los Angeles, or San Diego areas*Responsibilities: Provide overall clinical and operational leadership for Care Coordination and Discharge Case Management activities. Manage, direct, and evaluate program activities to ensure clinical quality, operational effectiveness, and consistency across care coordination and case management functions. Provide leadership and oversight of Case Managers and Care Coordinators, including performance management, coaching, development, and accountability for program outcomes. Ensure program deliverables, clinical efficiencies, workflows, and contract requirements are consistently achieved and maintained at a high standard. Monitor key performance indicators, productivity, quality metrics, and program outcomes; identify opportunities for improvement and implement corrective actions as needed. Oversee the consistency and effectiveness of member outreach, engagement, care coordination, and transition-of-care activities. Serve as a Clinical Subject Matter Expert (SME) and provide guidance on complex clinical and operational issues. Partner with senior leadership and cross-functional teams to identify opportunities for process improvement, resolve operational challenges, and support strategic program initiatives. Lead and participate in leadership committees, work groups, and cross-functional initiatives, fostering collaborative decision-making among diverse stakeholders. Ensure adherence to applicable clinical standards, regulatory requirements, contract obligations, and Acentra Health policies and procedures. Review program performance and provide leadership with updates, recommendations, and actionable insights related to clinical operations, quality, and contract performance. Support the development and implementation of policies, procedures, workflows, and initiatives that enhance clinical effectiveness and member outcomes. Promote a culture of accountability, collaboration, continuous improvement, and high-quality member service. 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 education- and experience-related duties that management may deem necessary from time to time.

Required Qualifications: Active, unrestricted Licensed Registered Nurse (RN) or compact license. Associate degree, OR 7 years equivalent experience in nursing, healthcare administration or related field. A minimum of 5+ years being in health care management, supervisory, lead, or team leadership experience in a healthcare, human services, care coordination, or related environment. Demonstrated effective verbal and written communication skills essential. Customer-focused, results-oriented, and capable of building and maintaining relationships with internal and external customers. Organizational skills, ability to plan and prioritize multiple assignments essential. Computer proficiency in Microsoft Office applications and other software programs essential to perform job functions. Ability to provide clinical guidance and leadership to care coordination team. Flexibility to travel up to 25% within CA as needed.

Preferred Qualifications: Bachelor's degree. Bilingual candidates are preferred, including Spanish, Chinese, Russian, Farsi, and other languages. Current working knowledge of care coordination and case management.

Why us? We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes. We do this through our people. You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career.

Benefits: Benefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, security, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more. Thank You! We are committed to providing a secure and positive hiring experience. Depending on the role, interviews may be conducted virtually, in person, or through a combination of both. As part of our recruitment process, candidates may be asked to participate in identity verification measures to help ensure the integrity of the hiring process. The Acentra Health Talent Acquisition TeamVisit us at https://careers.acentra.com/us/jobsEEO AA M/F/Vet/Disability Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law. Experience in Lieu of DegreeFor non-clinical roles, or when not required by the contract specifically, the Company acknowledges that practical, hands-on experience can provide skills and competencies equivalent to formal education. As such, in cases where a Bachelor's degree may be required, the Company will accept a minimum of six (6) years of directly relevant professional experience in lieu of a degree. In instances where the candidate has an Associate's degree, the Company will accept a minimum of three (3) years of directly relevant professional experience in lieu of the Bachelor's degree.

Compensation: The pay for this position is listed below. Based on our compensation philosophy, an applicant's position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level. Pay RangeUSD $95,040.00 - USD $128,000.00 /Yr.