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Clinical Services Manager
2 weeks ago
- Provide strategic clinical leadership across all service lines, including ECM, IHSS-aligned services, and Community Supports.
- Develop and oversee clinical protocols, care pathways, and quality improvement initiatives.
- Monitor care delivery and ensure alignment with DHCS, Medi-Cal, and managed care plan standards.
- Lead and scale clinical audits, case reviews, and incident tracking for continuous quality improvement.
- Ensure full clinical and operational compliance with CalAIM, Enhanced Care Manager (ECM) & Community Support (CS) requirements.
- Collaborate with compliance and operations teams to meet documentation, reporting, and audit-readiness standards.
- Stay current on state and county-level regulatory changes and translate them into internal policy and process updates.
- Lead a growing team of Care Managers, Caregivers, Community Health Workers, and Care Supervisors.
- Provide mentorship, supervision, and clinical escalation support.
- Develop and deliver training on clinical best practices, cultural humility, and trauma-informed care.
- Define clinical outcome metrics aligned with contract goals and funding requirements.
- Work closely with the IT/data team to design reports that measure clinical performance, member risk, and intervention effectiveness.
- Identify trends and implement corrective action plans as needed.
- Serve as a key member of the executive team, advising on clinical strategy and representing the voice of care teams.
- Collaborate with DOO, CFO, and Partnerships teams to support service design, pricing models, and care innovations.
- Represent Omatochi in clinical meetings with health plans, regulators, and external stakeholders.
- Licensed clinician required – RN, NP, LCSW, LMFT, or equivalent (California license required)
- 4-7 years of progressive clinical leadership in managed care, care coordination, clinical program management, community health, or home-based services
- Deep knowledge of Medi-Cal, CalAIM, ECM, and Community Supports
- Experience managing cross-disciplinary care teams (care managers, social workers, nurses)
- Track record of leading quality improvement, audits, and regulatory compliance
- Comfortable working in a fast-paced, mission-driven, entrepreneurial environment
- Strong communicator and culture-builder with a passion for equity and innovation in senior care
- Experience with clinical documentation systems (EMR/EHR)
- Bilingual or multilingual is a plus (especially Spanish, Tagalog, Cantonese, or Vietnamese)
- Experience in tech-enabled care or startup environments
- Familiarity with SDOH screening, risk stratification, and whole-person care models
- Competitive salary and performance-based bonus
- Health, dental, and vision benefits
- Flexible work schedule and paid time off
Omatochi is an equal opportunity employer. We’re committed to building a diverse, inclusive team and welcome applicants of all backgrounds. If you’re passionate about equity, compassion, and innovation in senior care, we encourage you to apply — even if you don’t meet every qualification.
