Bluebird Bio

Clinical Operations Manager (LVN)

Department:

Clinical Operations

Reports To:

Director of Clinical Operations

FLSA Status:

Non-Exempt

Supervises:

• Medical Assistants (Indirectly)
• Float Medical Assistants
• Clinical Trainers (if applicable)
• Clinical Externs
• Clinical Support Staff (as assigned)

Position Summary

The Lead Licensed Vocational Nurse (LVN) – Clinical Operations serves as the clinical leader for all Medical Assistants across the organization. This position is responsible for ensuring excellence in clinical operations through leadership, education, quality assurance, process improvement, workforce development, and standardization of clinical practices.

This leader partners closely with providers, Practice Administrators, Human Resources, Quality, Compliance, Revenue Cycle, and Executive Leadership to ensure every clinic consistently delivers safe, efficient, patient-centered care.

The Lead LVN is responsible for developing clinical talent, establishing best practices, monitoring quality metrics, leading clinical training initiatives, and supporting the organization's continued growth through scalable clinical workflows.

This role combines leadership, education, quality management, operational strategy, and direct clinical oversight.

The ideal candidate is an experienced nurse leader with exceptional organizational skills, strong clinical judgment, outstanding communication abilities, and a passion for developing high-performing clinical teams.

Position Purpose

The Lead LVN exists to ensure every Medical Assistant throughout the organization practices at the same high clinical standard regardless of clinic location or specialty.

The Lead LVN is expected to continuously improve patient care, employee competency, provider satisfaction, operational efficiency, and regulatory compliance.

Leadership Responsibilities

Serve as the clinical leader for all Medical Assistants across the organization.

Provide day-to-day clinical guidance and support.

Develop accountability within MA teams.

Coach employees toward clinical excellence.

Conduct regular one-on-one development meetings.

Identify future leaders within the MA team.

Assist with disciplinary coaching regarding clinical performance.

Partner with Practice Administrators regarding employee performance.

Promote teamwork between departments.

Lead by example.

Support organizational culture initiatives.

Clinical Operations

Develop standardized workflows across all clinic locations.

Ensure consistency in:

• Rooming procedures
• Medication administration
• Documentation
• Specimen handling
• Clinical protocols
• Standing orders
• Equipment usage
• Infection prevention
• Patient education

Monitor workflow efficiency.

Recommend operational improvements.

Develop clinical checklists.

Assist with clinic openings.

Support provider onboarding.

Evaluate staffing models.

Develop scalable clinical processes as the organization grows.

Medical Assistant Training & Development

Design and oversee the organization's MA onboarding program.

Develop competency checklists.

Create standardized training materials.

Develop annual competency assessments.

Lead skills validation.

Conduct classroom instruction.

Perform clinical demonstrations.

Evaluate new hire competency.

Develop continuing education programs.

Maintain employee training records.

Identify knowledge gaps.

Develop remediation plans.

Coordinate cross-training initiatives.

Mentor Float Medical Assistants.

Prepare future Lead Medical Assistants.

Develop career progression pathways.

Quality Assurance & Clinical Auditing

Develop the MA Quality Assurance Program.

Perform routine clinical audits including:

• Vital signs accuracy
• Medication administration
• Injection technique
• Documentation quality
• Clinical documentation completeness
• Specimen collection
• Laboratory quality control
• Standing order compliance
• EMR accuracy
• Clinical safety practices

Perform random competency observations.

Trend deficiencies.

Develop corrective action plans.

Monitor quality metrics.

Present quality reports to leadership.

Implement improvement initiatives.

Clinical Compliance

Ensure compliance with:

• OSHA
• HIPAA
• CLIA
• CDC Guidelines
• Texas Nursing Practice Act
• TMB requirements
• Infection Prevention Standards
• Vaccine Management
• Medication Storage
• Emergency Preparedness

Conduct mock inspections.

Prepare clinics for regulatory surveys.

Monitor crash cart readiness.

Monitor medication expiration.

Monitor refrigerator logs.

Monitor controlled medication documentation.

Strategic Planning

Partner with executive leadership to develop long-term clinical strategies.

Participate in:

• Clinic expansion planning
• New service implementation
• Staffing projections
• Clinical equipment evaluations
• Technology implementation
• Workflow redesign
• Provider growth planning

Evaluate future staffing needs.

Assist with organizational scaling.

Recommend staffing models.

Identify workflow bottlenecks.

Develop efficiency initiatives.

Support mergers or acquisitions if applicable.

Provider Support

Partner with providers regarding:

Clinical workflow concerns

Medical Assistant performance

Clinical process improvements

Procedure preparation

Patient flow optimization

Clinical documentation support

Provider onboarding

New clinical services

Provider MA coverage

Employee Development

Develop leadership within the MA department.

Conduct:

Performance coaching

Skills development

Clinical education

Continuing education

Succession planning

Leadership mentoring

Recruitment & Hiring

Assist HR with:

Interviewing Medical Assistants

Clinical skills testing

Hiring recommendations

Orientation

Probation evaluations

Retention initiatives

Workforce planning

Performance Metrics

Responsible for monitoring:

MA competency completion

Clinical documentation quality

Patient rooming times

Patient satisfaction

Clinical error rates

Medication administration accuracy

Injection competency

Quality audit scores

Training completion

Provider satisfaction

Employee retention

Clinical productivity

Enhanced Vitals compliance

Clinical note accuracy

Qualifications

Required:

Current Texas LVN License in good standing

Current BLS Certification

Minimum five years clinical experience

Minimum three years leadership experience

Preferred:

Experience supervising Medical Assistants/LVNs

Multi-specialty clinic experience strongly preferred

Strong understanding of quality improvement

Experience with policy development

Lean Healthcare or Six Sigma experience preferred

Physical Requirements

Ability to stand for extended periods

Walk between clinics

Lift up to 50 pounds

Travel between clinic locations

Demonstrate clinical procedures

Perform occasional direct patient care