Senior Manager, Clinical Service Lines

Balboa Nephrology • San Diego, CA

19d • $90,000 - $114,000 • Hybrid

About The Position

The Clinical Service Line Manager builds and operates Balboa Nephrology Medical Group’s care-management service lines, starting with Remote Patient Monitoring (RPM). The role owns the process from identifying eligible patients through enrollment and ongoing engagement, leads the Medical Assistant team delivering the program, and ensures time and documentation support compliant billing and high-quality care.

Working with a clinical dyad, the manager defines clinical triage workflows with advanced practice providers (APPs) and provides monthly patient updates to physicians. As programs develop, the role may support other clinical programs, including Chronic Care Management (CCM) and point-of-care screening initiatives.

This position is hybrid and works out of the Hazard Way office in San Diego, California. Travel to other sites within San Diego County may be required. The role has supervisory duties and requires a background check. The stated compensation range is $90,000–$114,000 annually, with a 10% target bonus.

Requirements

• Bachelor’s degree in healthcare administration, public health, nursing, or a related field.
• At least 5 years of experience in healthcare operations or clinical program management, including at least 2 years directly managing frontline clinical staff; Medical Assistant management preferred.
• Hands-on experience operating a care-management program such as RPM, CCM, or TCM in a physician group, health system, or MSO.
• Working knowledge of RPM/CCM billing, time-based documentation, and Medicare requirements.
• Demonstrated results improving patient enrollment, engagement, or retention metrics.
• Strong EHR and reporting skills, including comfort managing performance to a dashboard.

Nice To Haves

• Active California RN license, or an LVN/clinical background with significant care-management leadership experience.
• Experience in nephrology or another chronic disease specialty, such as CKD, diabetes, hypertension, or heart failure.
• Experience designing clinical escalation workflows with APPs or nursing staff.
• Lean, Six Sigma, or formal project management training, such as PMP or equivalent.

Responsibilities

• Own conversion of eligible patients to RPM enrollment and retention of enrolled patients, including ongoing engagement and data transmission.
• Design, test, and refine patient outreach strategies and scripts based on conversion results.
• Oversee device onboarding, connectivity troubleshooting, returns, and reassignment; set and track conversion, retention, data-transmission compliance, and billable patient-month targets.
• Directly manage RPM Medical Assistants, including hiring, onboarding, training, scheduling, coaching, performance reviews, attendance, and staffing coverage.
• Build team culture through huddles, one-on-ones, recognition, growth paths, and monitoring team engagement and turnover.
• Set MA productivity standards and monitor daily and monthly performance, including caseloads, outreach, and interactive minutes per patient.
• Ensure MA time and documentation are accurately captured, complete, timely, within scope of practice, and consistent with supervision requirements and billing time thresholds; audit records and provide feedback or retraining.
• Develop MA competency in patient communication, device education, and escalation to clinical staff.
• Define clinical triage workflows with physician leadership, including alert thresholds, MA-to-APP escalation paths, response-time standards, and documentation requirements.
• Check in with APPs, resolve workflow friction, refine processes, and track escalation volume, response times, and outcomes.
• Prepare monthly physician reports on enrolled patients, including concerning trends, escalations, and engagement or enrollment status.
• Ensure documentation supports compliant RPM billing, including consent, ordering provider, device supply days, and monthly interactive time; partner with revenue cycle on charge capture, denials, and payer rules.
• Own the service-line dashboard covering conversion, retention, billable months, MA productivity, triage response, revenue, and cost; report monthly to the COO.
• Partner with the data team, Business Analyst, IT, and EHR teams on work queues, templates, and reporting.
• Maintain policies, standard operating procedures, and audit-ready documentation; manage the RPM vendor relationship and service-line budget.
• May support or lead future care-management programs such as CCM, point-of-care screening, and other services.

Benefits

• Medical, dental, and vision coverage beginning on the first of the month 30 days after hire.
• Employer contribution of up to 7.5% of annual pay for a 401(k).
• Paid time off, 8 paid holidays, a birthday float day off, and a mental health day.
• Company-paid life insurance.
• 10% target bonus.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior