Senior Clinical Manager, After-Hours Telehealth and Community Care Management Programs

**Company Overview:** Lumina Care is dedicated to unifying, coordinating, and managing care for geriatric patients in skilled nursing facilities and at home. We provide a range of services designed to improve health outcomes and quality of life, including after-hours telehealth, transitional care, chronic care management, behavioral health, and telehealth psychiatry. **Job Title:** Senior Clinical Manager, After-Hours Telehealth and Community Care Management Programs **Purpose and Summary:** The Senior Clinical Manager, After-Hours Telehealth and Community Care Management Programs, is a clinical leader responsible for the strategic oversight, clinical integrity, and operational performance of these programs within a telehealth environment. This role provides leadership across multidisciplinary teams and all clinical functions within the programs, while facilitating cross-functional collaboration throughout the organization. The Senior Clinical Manager ensures compliance with CMS requirements, advances clinical quality, supports scalable growth, and fosters a high-performing and accountable team culture. This position reports to the Chief Clinical Officer. **Role and Core Responsibilities:** * Oversee the clinical strategy and operational performance of the After-Hours Telehealth and Community Care Management Programs while ensuring compliance with CMS requirements. * Provide clinical leadership to support high-quality, evidence-based care and accurate documentation. * Manage and develop the programs’ clinical leadership staff, promoting accountability, strong team performance, and clinical excellence. * Drive program growth, workflow optimization, and operational efficiency across the After-Hours Telehealth and Community Care programs. * Monitor key performance metrics and use available data to implement improvements that enhance patient and provider outcomes. * Evaluate and develop innovative staffing models and processes as the programs mature. * Maintain audit readiness and collaborate with compliance and billing teams to uphold regulatory integrity. * Partner with internal teams and external stakeholders to support program implementation, growth, education, and ongoing success. * Collaborate with compliance and coding teams to ensure comprehensive documentation and audit preparedness. * Monitor regulatory developments and incorporate relevant changes into workflows and training. * Work within both programs to observe clinical delivery, operational workflows and identify opportunities for improvement. * Review clinical encounters, including hospitalizations and bypasses, for organizational partners and present findings during partner meetings. * Participate in scheduled meetings with current and prospective partners to review clinical programs and analytics. * Partner with Operational leads in Afterhours Telehealth and Community Care Management to strength and grow both programs. The responsibilities listed above are not exhaustive and may include other duties as assigned. Consistent with the Americans with Disabilities Act (ADA), Lumina Care provides reasonable accommodations to qualified applicants and employees with disabilities unless doing so would cause undue hardship. **Qualifications:** * Active, unrestricted Nurse Practitioner (NP) licensure required. * Active national certification through the ANCC or AANP required. * Minimum of five years of clinical experience, including at least three years of leadership experience. * Experience with after-hours telehealth and community care programs, including CMS billing and documentation requirements. * Strong understanding of telehealth workflows and care coordination models. * Experience managing multidisciplinary teams, including NPs, PAs, RNs, LPNs, and telehealth providers. * Experience in post-acute care, skilled nursing facilities (SNFs), or population health. * Familiarity with PointClickCare, ThoroughCare, or similar platforms preferred. * Experience scaling telehealth or care management programs preferred. * Strong background in quality improvement and performance management preferred. **Working Conditions:** This remote position requires a designated, secure, and private home workspace to ensure compliance with HIPAA and company privacy and security policies. The workspace must support confidential patient communications and prevent unauthorized access to protected health information. Typing proficiency is required. The successful candidate must use company-approved virtual technology to visualize patients during visits. Any personally owned computer used for this role must meet all security and encryption requirements established by the IT team. Company-provided security software, including patient video consultation platforms, may need to be installed to maintain compliance with organizational data protection standards. The role may involve extended periods of sitting or standing. Travel may be required based on state licensure and leadership needs. This role is a combination of day, night, weekend and holiday coverage. **Compensation:** The annual salary range is **$155,000–$170,000**. Compensation is determined based on market conditions, experience, skills, education, and qualifications. Lumina Care offers a comprehensive and competitive benefits package, including: * Medical, dental, and vision insurance * Paid time off (PTO) * Paid holidays and floating holidays * Flexible work arrangements and remote work options **Summary:** Lumina Care is an equal opportunity employer. We consider all qualified applicants without regard to race, color, religion, sex, national origin, age, disability, genetic information, or any other characteristic protected by law. Pay: $155,000.00 - $170,000.00 per year Benefits: * 401(k) * Dental insurance * Health insurance * Paid time off * Vision insurance Experience: * Clinical: 5 years (Required) * Leadership: 3 years (Required) * Telehealth: 2 years (Required) License/Certification: * Certified Nurse Practitioner (Required) Work Location: Remote