Senior Manager of Clinical Integration
About The Position
The Senior Manager of Clinical Integration is a key operational leader responsible for managing care coordination functions across Referrals, Enhanced Care Management (ECM), Clinical Case Management (CCM), and Hospital Follow-Up programs. Reporting directly to the Director of Nursing, this role plays a critical part in optimizing integrated care delivery, ensuring compliance with FQHC and payer standards, and driving performance aligned with CalAIM, HEDIS, and UDS priorities.The role also includes oversight of referral workflows and supports compliance with all data reporting and documentation standards. This leader will serve as a central connector across clinic operations, working closely with clinic leadership, clinicians, and care teams to build integrated care pathways that improve patient outcomes, access, and experience.They will lead process improvement efforts using formal project management tools, with Lean methodology or certification strongly preferred.
Requirements
- Current RN license in the State of California
- Minimum of 5 years of clinical nursing experience in ambulatory, primary care, or community health
- Bachelor’s degree in nursing, social work, public health, healthcare administration, or arelated field
- Minimum 3–5 years of experience in clinical operations, care coordination, or case management
- 2+ years of leadership or supervisory experience in a healthcare or FQHC setting
- Strong understanding of CalAIM, UDS, and HEDIS metrics and expectations
- Experience working with EHR systems (Epic strongly preferred)
- Knowledge of FQHC documentation standards and payer compliance
Nice To Haves
- Bilingual (Spanish/English) preferred
- Project Management Certification (e.g., PMP) preferred
- Lean Six Sigma training or practical application experience preferred
Responsibilities
- Oversee daily operations of ECM, CCM, Hospital Follow-up, and Referral Management
- Ensure workflows are efficient, compliant, and aligned with DAP Health’s care model
- Monitor access, outreach, and referral resolution in coordination with frontline staff and clinic managers
- Work closely with clinic leadership and frontline clinicians to design workflows that support whole-person care
- Facilitate integration of care coordination with daily clinic operations to reduce gaps in care and streamline follow-up
- Act as a liaison between care coordination and provider teams to ensure effective transitions of care and real-time communication
- Ensure compliance with FQHC, HRSA, Medi-Cal, and CalAIM requirements
- Collaborate with the Quality and Data teams to support accurate, timely reporting of: UDS (Uniform Data System), HEDIS (Healthcare Effectiveness Data and Information Set), CalAIM ECM metrics and managed care plan deliverables
- Maintain documentation accuracy in Epic and support staff audit readiness
- Supervise assigned staff across ECM, CCM, hospital discharge support, and referral coordination
- Provide coaching, mentorship, and ongoing development to strengthen team performance and morale
- Support recruitment, onboarding, and role clarity as the team evolves
- Lead or support cross-functional improvement initiatives using project management tools
- Apply Lean principles or Six Sigma methodology to streamline processes, reduce waste, and improve performance
- Collaborate with internal and external stakeholders to align program operations with system-wide strategies
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Manager
Number of Employees
251-500 employees
