The Opportunity

We’re looking for a Director of Clinical Operations, Field Medicine and Case Management to lead our Enhanced Care Management (ECM) operations as part of our Street Medicine and ECM Program. You’ll manage and develop Program Managers (PMs) and, through them, large frontline teams (Community Health Workers, Housing Navigators). You’ll also be the regional point for Health Plan partners, ensuring compliance, audit readiness, and high-quality care - while staying grounded in field realities through direct patient care. 

What you’ll do

Lead People & Culture (through Program Managers): 

• Hire, onboard (90-day ramp), and coach PMs; hold weekly 1:1s; set clear goals and feedback loops. 

• Drive frontline excellence via PMs: initiate and sign off on CHW/Housing Navigator/Outreach hires; co-own onboarding and ongoing training with PMs. 

• Run retrospectives; surface and address field barriers (e.g., vehicle access, safety concerns, workload/burnout). 

• Partner with PMs on progressive discipline, coaching plans, and terminations when needed; document consistently. 

• Model and grow Akido’s core values—Respect, Empathy, Teamwork—across the region. 

Own Health-Plan–Facing Work & Compliance:

• Lead monthly Health Plan meetings for ECM and Community Supports; prepare materials and present performance. 

• Own grievance responses and Corrective Action Plans (CAPs); close the loop on remediation. 

• Manage audits end-to-end (e.g., screen-shares/walkthroughs with Plans, submitting documentation packets); ensure timely, complete submissions and implement CAPs. 

• Maintain compliance against ECM/CS requirements and contract KPIs. 

Drive Performance & Quality through Systems that Scale:

• Hit productivity targets (e.g., unique patient encounters, interdisciplinary team (IDT) conferences); ensure new staff reach full productivity within designated timeframes. 

• Assure quality via ride-alongs/shadowing, chart audits, and regular case conferences with providers. 

• Design workflows, processes, and protocols (e.g., assessment workflows, documentation standards, safety practices) that allow us to scale quality and performance across a region. 

• Use data to coach PMs: weekly dashboards, variance reviews, and action plans to unblock performance. 

Stay Grounded in the Field:

• Dedicate time to direct patient care -either a personal panel or scheduled field days - to keep leadership decisions connected to real-world needs. 

Who you are

• 6+ years leading frontline teams in healthcare, social services, or adjacent safety-net settings; 2+ years managing managers. 

• Deep familiarity with Medi-Cal, CalAIM ECM & Community Supports, and field-based care for people experiencing homelessness, SMI/SUD, justice-involved, or medically complex adults. 

• Systems builder who builds protocols, workflows, and processes that can scale quality and performance from 40 staff to 500 staff. 

• Data-driven operator who sets goals, inspects results, and operationalizes improvements. 

• Excellent communicator who builds trust with staff, Health Plans, and community partners. 

• Strong HR acumen: coaching, progressive discipline, documentation, and change management across large teams. 

• Health-plan/compliance experience: audits, grievances, CAPs, quality programs.

• Clinical licensure (MD, DO, PA, NP, LCSW. LSW, RN) or advanced training (Master’s in Social Work, Public Health, or related field); SUD/harm-reduction training a plus. 
• Valid driver’s license, auto insurance, and reliable transportation; comfortable spending significant time in the field.