Clinical Operations Manager - Virtual Care Management (RN)

This role leads virtual care operations that support patients between clinical visits, including care navigation, longitudinal chronic care management, and remote therapeutic monitoring.
You will manage these functions through a team of supervisors, ensuring patients receive timely follow-up, appropriate clinical support, and consistent care coordination.
The position combines clinical credibility with operational leadership across multiple teams, workflows, queues, and coverage models.
You will oversee performance, staffing, quality, compliance, and service delivery while translating operational data into practical workflow decisions.
A key focus is ensuring strong follow-through, from test results and provider orders to chronic condition outreach, documentation, and escalation.
You will also help develop scalable processes, support program growth, and maintain effective 24/7 coverage across a remote workforce.
This is a fully remote U.S.-based leadership opportunity for an experienced RN who is highly organized, data-driven, and comfortable operating in a fast-paced virtual healthcare environment.

• Active, unrestricted RN license with direct patient care experience; multi-state or compact licensure is preferred.
• Experience in a virtual care practice or healthcare contact center environment, including telehealth, care management, disease management, population health, or similar operations.
• At least 3 years of people leadership experience, including management of supervisors or team leads in a clinical or production operations setting.
• Demonstrated ability to manage multiple concurrent workflows involving distinct teams, queues, programs, deadlines, and operating requirements.
• Experience managing caseload- or panel-based work while holding teams accountable for throughput and turnaround-time standards.
• Experience managing coverage, schedule adherence, and real-time staffing decisions against established staffing plans.
• Demonstrated success with employee retention and reducing attrition, ideally within a remote or high-volume healthcare environment.
• Strong data fluency, including the ability to build and interpret operational reports, Excel analyses, and dashboards and translate findings into action.
• Proficiency with EHR and practice management systems, telehealth platforms, care management documentation tools, and CRM systems.
• Strong understanding of HIPAA, patient privacy, and healthcare compliance obligations in a remote environment.
• Availability to support 24/7 operations, including rotating weekend and holiday escalation coverage.
• Bachelor of Science in Nursing, or a bachelor’s degree in healthcare administration, business, or a related discipline, preferred.
• Direct experience with CCM, APCM, RPM, or RTM program operations, including documentation and billing requirements, preferred.
• Experience supporting Medicare Advantage, Medicare Part D, or delegated health plan programs, including quality measures and gap closure initiatives such as HEDIS, Star Ratings, or SUPD, preferred.
• Experience developing or restructuring 24/7 coverage models is beneficial.
• Experience in a high-growth or rapidly scaling healthcare organization is preferred.
• Strong follow-through and accountability, with a focus on ensuring work is fully completed and documented.
• Ability to manage several unrelated workstreams simultaneously without losing focus on deadlines or outcomes.
• Ability to communicate credibly with clinical teams while also operating effectively with senior and executive stakeholders.
• Highly self-directed, organized, and effective in a remote environment.
• Strong inclination toward documenting, standardizing, and simplifying manual or informal processes.
• Must be able to perform all work physically within the United States; international work during scheduled work hours is not permitted.