Director of Clinical Operations

Innovative Health Care•Scottsdale, AZ

About The Position

Innovative Healthcare- Metabolic Department is a specialty diabetes practice that handles complex cases, including implantable continuous glucose monitoring, IV infusion therapy, insulin pump management, and chronic care for diabetic patients. They are experiencing rapid growth and are seeking to build a robust operational backbone to support this expansion without compromising quality.

Requirements

Clinical license in good standing (RN, LPN or equivalent).
3+ years managing clinical staff in an outpatient, ambulatory, or specialty practice setting.
Demonstrated ownership of provider productivity or clinical performance metrics.
Working knowledge of payer coverage criteria, medical necessity documentation, and prior authorization.
Comfort in data analysis, including the ability to interpret productivity or utilization reports and identify issues.

Nice To Haves

Experience with RPM/CCM services.
Background in a high-growth or multi-site healthcare organization.
History of building SOPs and onboarding programs from scratch.

Responsibilities

Establish visit and procedure benchmarks for all clinical providers and monitor performance data weekly.
Own end-to-end operations for implantable CGM insertion and replacement, including scheduling, inventory, manufacturer coordination, and procedure day flow.
Track CGM utilization and ensure alignment with payer coverage criteria and clinical protocol.
Oversee documentation for medical necessity, prior authorization support, and chart completeness.
Own the development and execution of the Remote Patient Monitoring and Chronic Care Management (RPM/CCM) program.
Track and report on RPM/CCM program metrics such as enrollment, active patient count, revenue, and utilization.
Manage device vendors, inventory, connectivity, and patient onboarding for RPM/CCM.
Address and resolve patient churn in the RPM/CCM program.
Manage infusion suite operations, including scheduling, chair utilization, nursing coverage, and drug/supply management.
Oversee pump refill and maintenance workflows and associated documentation.
Ensure infusion documentation and utilization meet payer scrutiny.
Directly supervise clinical support staff (NPs, RNs, medical assistants), including scheduling, competency verification, and daily accountability.
Manage the onboarding process for new clinical providers and staff, including orientation, workflow training, and competency sign-off.
Serve as the primary operational contact for referring partners and manage referral intake flow and turnaround times.
Identify and develop new referral relationships.
Own supply chain management for infusion supplies and clinical inventory.
Build and continuously improve standard operating procedures (SOPs) for clinical workflows.
Maintain compliance with clinical standards and payer guidelines across all service lines.
Partner with billing and credentialing on documentation quality, denials, and provider enrollment.