Growth Clinical Manager

About Us 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."

What this role is for: Pre-acquisition clinical EMR diligence Conduct structured EMR reviews prior to acquisition close — Identify documentation risk patterns, billing integrity gaps, and regulatory exposure as well as assess for staff clinical documentation competency and identify training priorities for post-acquisition onboarding

• Post-acquisition EMR micro-management & dashboard oversight.

• Own daily review of Adaptive dashboards during branch stabilization, monitoring for compliance, documentation accuracy and timeliness, and flag and address deviations in real time Branch Leadership and Growth Clinical Lead. Dashboard and EMR oversight also include monitoring for patient care delivery, change in condition signals, and ensuring 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 — including HCHB, dashboards, and escalation pathways

• 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

• Risk identification, action planning & sustained improvement.

• 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.

• Branch partnership — DCS & Clinical Manager support Collaborative, not supervisory — with escalation authority when needed. 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.

• Successful performance in this role

• Influences 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. Escalates to Growth Clinical Lead when influence alone is not producing action.

• Builds independence - The goal is always a branch that no longer needs this role. Coaches DCS and Clinical Manager to own the habits and systems that were built together. Uses the stabilization exit criteria to confirm readiness before transitioning.

Reporting, Location, and Travel 

Reports to: Growth Clinical Lead

Location: Remote-friendly within the US; periodic travel to branches and new markets as needed

Compensation & Benefits  Competitive salary, bonus, and equity  Comprehensive benefits and the tools you need to do your best work

Qualifications:

Required

• 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

Strongly Preferred

• 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

  Equal Opportunity We are an equal opportunity employer and value diversity. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.