Medicare Operations Manager Jobs in California (NOW HIRING)

Executive Nurse – Clinical Operations Manager

Position Summary

The Executive Nurse – Clinical Operations Manager is a senior leadership position responsible for overseeing the clinical operations across multiple healthcare sites. This role blends executive-level clinical administration with project management expertise and provider oversight to ensure high-quality, patient-centered care is consistently delivered. The position requires strong clinical leadership, operational oversight, and the ability to align healthcare delivery with organizational goals and compliance standards.

Key Responsibilities

1. Strategic Leadership

- Develop and implement long-term strategies to improve patient care and staff performance in congruence with the Assistant Chief Medical Officer (ACMO).
- Participate in high-level decision-making with executive leadership to align clinical goals with operational needs.

2. Clinical Operations Management

- Direct daily clinical functions and workflows across departments or multiple sites.
- Ensure clinical operations comply with applicable healthcare laws, accreditation standards, and organizational policies.
- Monitor key performance indicators (KPIs), including patient satisfaction, productivity, and encounter rates.

3. Financial Oversight

- Manage clinical budgets, resource allocation, and financial forecasting for nursing and medical assistant functions.
- Evaluate operational efficiencies and implement cost-effective strategies.

4. Staff Management

- Supervise, mentor, and evaluate performance of clinical staff, including Medical Assistants and front-line clinical support.
- Oversee recruitment, onboarding, training, and continued professional development of staff.
- Address performance issues using standardized accountability and progressive discipline tools.

5. Quality and Compliance

- Ensure adherence to clinical policies, regulatory standards, and HRSA, Title 22, and Medicare/Medicaid requirements.
- Lead quality improvement initiatives, patient safety protocols, and compliance audits.
- Conduct regular chart reviews and support peer review processes.

6. Project Management

- Lead or support key organizational initiatives including expansion projects, EHR optimization, or clinical innovation pilots.
- Coordinate timelines, staff assignments, vendor engagement, and cross-functional team alignment.
- Develop standard operating procedures and project dashboards for leadership reporting.

7. Provider Management & Engagement

- Lead provider performance check-ins using standardized scorecards and metrics tied to productivity, quality, and teamwork.
- Facilitate monthly provider huddles to discuss operational issues, upcoming changes, and quality improvement initiatives.
- Oversee provider onboarding and orientation to ensure clinical integration and cultural alignment.
- Collaborate with the Chief Medical Officer (CMO) and Assistant Chief Medical Officer (ACMO) to address provider concerns and enhance retention.
- Monitor provider performance trends and escalate coaching, mentoring, or corrective action as needed.

- Oversee provider scheduling and clinical coverage, ensuring continuity of care, adequate staffing, and alignment with operational needs and patient volume across all sites.

Qualifications

- Current RN license or Advanced Practice Clinician (PA/NP) licensure in California.
- Bachelor’s degree in Nursing or related field required; Master’s degree preferred.
- Minimum 5 years of clinical leadership experience in a multi-site outpatient setting.
- Proven skills in people management, compliance, workflow optimization, and quality assurance.
- Strong understanding of community health centers and Federally Qualified Health Center (FQHC) operations.

Reporting Structure

This position reports to the Assistant Chief Medical Officer and has direct oversight of site-level clinical staff, excluding licensed physicians and advanced practice providers.

The Center for Family Health & Education, Inc. (CFHE) is a 501(c)(3) nonprofit Federally Qualified Health Center (FQHC), located in the northeast San Fernando Valley area of Los Angeles. CFHE provides affordable and comprehensive medical care for underserved, uninsured, and underinsured residents of the greater Panorama City area. CFHE has been providing primary health care, mental health care, dental care, and women’s and children health care, as well as transportation services for patients since 2009.