Growth Clinical Manager

Adaptive Home Health•Houston, TX

6d•$95,000 - $115,000•Remote

About The Position

We are fixing US healthcare by building an AI-native physical care platform, starting with home health. Home health is a $140B industry with less than $10B in EBITDA — 40% of revenue is spent on pure administrative waste. We automate this work with AI to create a fundamentally different cost structure than incumbents, enabling us to serve the 30% of patients who go untreated today while paying clinicians more and removing their administrative burden. Our mission is "any care, anywhere." This role involves pre-acquisition clinical EMR diligence, conducting structured EMR reviews prior to acquisition close to identify documentation risk patterns, billing integrity gaps, and regulatory exposure, as well as assessing staff clinical documentation competency and identifying training priorities for post-acquisition onboarding. It also includes post-acquisition EMR dashboard oversight, owning the daily review of Adaptive dashboards during branch stabilization, monitoring for compliance, documentation accuracy and timeliness, and flagging and addressing deviations in real time. The role also involves monitoring patient care delivery, change in condition signals, and ensuring appropriate clinical response, documentation, and escalation pathways are functioning correctly. Developing correction plans in partnership with branch leadership based on clinical record review findings and tracking to resolution is also a key responsibility. The Growth Clinical Manager will serve as a direct resource for new branch staff (Director of Clinical Services / Branch Clinical Manager) learning Adaptive clinical SOPs, workflows, and technology — including HCHB, dashboards, and escalation pathways. Conducting live, virtual workflow walkthroughs with new DCS and Branch Clinical Manager, reinforcing expectations through observation and real-time feedback, identifying training gaps early through audit findings and EMR behavior patterns, developing targeted competency plans, and tracking completion are also part of the role. Ensuring new clinical staff understand what is owned centrally (CQM) versus branch-owned, and how to work within that model effectively, and validating that orientation and onboarding to Adaptive systems has been completed and that staff can operate independently before reducing oversight intensity are crucial. The role also includes risk identification, action planning & sustained improvement. This involves maintaining a living risk register for each active market, tracking open risk items, assigned owners, required actions, and resolution status updated weekly. Identifying systemic patterns in documentation errors, timeliness failures, and compliance gaps, distinguishing individual performance issues from workflow design failures, and developing and presenting comprehensive, measurable action plans to the branch DCS, Clinical Manager, and Growth Clinical Lead, defining success thresholds for each risk area are key. Tracking trends week-over-week and validating that corrective actions are producing sustained improvement before transitioning branch ownership, and escalating unresolved or worsening risk to the Growth Clinical Lead with supporting data, documentation of prior communication, and recommended interventions are also responsibilities. The role emphasizes branch partnership — DCS & Clinical Manager support, being collaborative, not supervisory, with escalation authority when needed. Working virtually alongside the Branch Director of Clinical Services and Clinical Manager as a clinical operations partner, providing real-time EMR and workflow guidance, serving as a same-day escalation path for documentation, compliance, or system questions from branch staff, and participating in branch leadership touchpoints during the stand-up phase, contributing to clinical operations agendas and tracking action items from each meeting are important. Translating EMR and metric findings into actionable feedback for branch leaders, helping them build the habits and infrastructure for sustained independent performance, and escalating to the Growth Clinical Lead when branch leaders are not responsive to identified risks or required actions, with full documentation of the gap and prior communication, are also part of the role. Successful performance in this role involves influencing without authority, working alongside branch DCS and Clinical Manager, holding the line on compliance and quality through data, coaching, and escalation, not org chart position, and escalating to the Growth Clinical Lead when influence alone is not producing action. Building independence is a key goal, with the aim of a branch that no longer needs this role. Coaching DCS and Clinical Manager to own the habits and systems that were built together, and using the stabilization exit criteria to confirm readiness before transitioning are also important.

Requirements

Active RN license - compact
Home health clinical operations experience (minimum 2–5 years preferred)
Demonstrated knowledge of Medicare home health regulations, Conditions of Participation, and billing compliance
Experience conducting clinical audits, root cause analysis, and corrective action planning
Ability to work independently in a fully remote environment with high autonomy and self-direction
Clear written communication and structured escalation habits

Nice To Haves

Prior clinical leadership experience (clinical manager, director, or centralized hub role)
Track record of onboarding and training clinical staff to new SOPs or systems
Comfort presenting risk findings and action plans to clinical leadership
Strong HCHB proficiency

Responsibilities

Conduct structured EMR reviews prior to acquisition close to identify documentation risk patterns, billing integrity gaps, and regulatory exposure.
Assess staff clinical documentation competency and identify training priorities for post-acquisition onboarding.
Own daily review of Adaptive dashboards during branch stabilization, monitoring for compliance, documentation accuracy and timeliness, and flag and address deviations in real time.
Monitor for patient care delivery, change in condition signals, and ensure appropriate clinical response, documentation, and escalation pathways are functioning correctly.
Develop correction plans in partnership with branch leadership based on clinical record review findings and track to resolution.
Serve as a direct resource for new branch staff (Director of Clinical Services / Branch Clinical Manager) learning Adaptive clinical SOPs, workflows, and technology.
Conduct live, virtual workflow walkthroughs with new DCS and Branch Clinical Manager; reinforce expectations through observation and real-time feedback.
Identify training gaps early through audit findings and EMR behavior patterns; develop targeted competency plans and track completion.
Ensure new clinical staff understand what is owned centrally (CQM) versus branch-owned, and how to work within that model effectively.
Validate that orientation and onboarding to Adaptive systems has been completed and that staff can operate independently before reducing oversight intensity.
Maintain a living risk register for each active market: track open risk items, assigned owners, required actions, and resolution status updated weekly.
Identify systemic patterns in documentation errors, timeliness failures, and compliance gaps — distinguish individual performance issues from workflow design failures.
Develop and present comprehensive, measurable action plans to the branch DCS, Clinical Manager, and Growth Clinical Lead; define success thresholds for each risk area.
Track trends week-over-week and validate that corrective actions are producing sustained improvement before transitioning branch ownership.
Escalate unresolved or worsening risk to the Growth Clinical Lead with supporting data, documentation of prior communication, and recommended interventions.
Work virtually alongside the Branch Director of Clinical Services and Clinical Manager as a clinical operations partner.
Provide real-time EMR and workflow guidance; serve as a same-day escalation path for documentation, compliance, or system questions from branch staff.
Participate in branch leadership touchpoints during stand-up phase; contribute to clinical operations agendas and track action items from each meeting.
Translate EMR and metric findings into actionable feedback for branch leaders; help them build the habits and infrastructure for sustained independent performance.
When branch leaders are not responsive to identified risks or required actions, escalate to the Growth Clinical Lead with full documentation of the gap and prior communication.
Influence without authority - Works alongside branch DCS and Clinical Manager — holds the line on compliance and quality through data, coaching, and escalation, not org chart position.
Escalate to Growth Clinical Lead when influence alone is not producing action.
Coach DCS and Clinical Manager to own the habits and systems that were built together.
Use the stabilization exit criteria to confirm readiness before transitioning.