Carewell · 5 hours ago
Director of Clinical Operations
United States
Full-time
Remote
Director/Executive
8+ years expCarewell is a category-defining business dedicated to providing trusted caregiving solutions. They are seeking a Director of Clinical Operations to build and manage the clinical operating system for their new division, ensuring compliance, quality, and efficiency in care delivery.
E-CommerceHealth CareHome Health Care
Responsibilities
Stand up and run the daily clinical operations for PIN/CHI delivery
Translate program requirements into repeatable care workflows the team can execute
Promote healthy PIN/CHI enrollment
Ensure billability and compliance
Clearly define what care tasks require re-attestation
Clearly support documentation requirements and incident-to billing rules
Provide clinical guidelines to decline enrollment, graduate patients, etc
Ensure oversight cadence is clinically appropriate and operationally feasible
Build 'day in the life' playbooks for care coordination delivery
Define the care team structure (pods, roles, coverage)
Own supervision ratios and operating cadence (case reviews, QA, coaching)
Ensure clear scope-of-practice boundaries across all staff
Ensure billing-ready documentation is completed correctly every time
Build QA routines (weekly sampling, completeness scoring, corrective actions)
Partner with Compliance + RCM support to prevent leakage/denials caused by ops errors
Operate a controlled pilot with volume caps and learning loops
Track and improve KPIs: minutes delivered per member, engagement + drop-off points, documentation completeness, time-to-first-touch and ongoing touch cadence, escalation volume + resolution time
Create onboarding and training for care team members (fast + repeatable)
Own ongoing coaching, calibration, and performance improvement
Define escalation pathways (urgent, safety, abuse/neglect, BH red flags)
Ensure escalation response SLAs are met
Partner with medical oversight as needed for care plan interpretation
Define what the clinical team needs in the workflow/tools to execute
Work with Product & Engineering to ensure the workflows are productized accurately
Ensure documentation, time capture, tasking, and audit trails work in production
Help define the 'minimum viable clinical ops stack' for launch
Qualification
Required
Bachelor's degree in Health Administration, Registered Nursing, or a related field required
8+ years in operations leadership, including 5+ years in healthcare or clinical settings
In-depth experience with workflow design, putting together operating playbooks and performance systems to drive operational efficiency in clinical environments
Experience building virtual delivery programs efficiently from the ground up in a high growth, ambiguous environment
Knowledge of healthcare compliance and regulatory standards (e.g., HIPAA, OSHA)
Demonstrated ability to lead high-performing teams in fast-moving & remote/distributed environments
Proven track record of driving large scale service operations, delivering on KPIs with a high sense of urgency and service orientation
Skilled in leveraging data analytics to identify trends, measure performance, and inform organizational strategy and OKRs
Passion for embedding equity, accessibility, and inclusivity into all aspects of clinical operations
Preferred
A master's degree (MBA, MPH, or MHA) is a plus
Experience in healthtech startups
Experience with care coordination/care navigation programs (PIN/CHI)
Experience with Medicare reimbursed programs (CCM, TCM) and/or MA populations and/or longitudinal care models
Company
Carewell
Carewell is the leading specialty e-commerce home healthcare and medical supplies retailer focused on family caregivers.
51-200 employees
Funding
Current Stage
Growth StageTotal Funding
$55MKey Investors
MBF Healthcare PartnersSageview Capital
2024-02-22Series B· $24.7M
2021-05-13Series A· $25M
2020-09-02Seed· $5.3M
Leadership Team
Bianca Padilla
Co-founder & CEO
Jonathan Magolnick
Co-Founder & COO
Recent News
Crunchbase News
2025-08-29
2025-05-17
2025-05-09
Company data provided by crunchbase