Clinical Director - Remote; CA , PST

Company Overview

Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact.

Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem‑solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes – making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector.

Job Summary

Acentra Health is seeking a passionate, experienced, and results‑driven Clinical Director to join our growing organization. In this pivotal leadership role, you will play a vital part in advancing Acentra Health's long‑term growth, with direct visibility to executive leadership and meaningful influence over strategic initiatives and organizational direction.

As the Clinical Director, you will lead and oversee all clinical program operations. You’ll guide the program toward enhanced clinical efficiency, operational effectiveness, and superior quality outcomes ensuring that all deliverables and contractual obligations consistently meet the highest standards. This role offers the opportunity to build and inspire high‑performing clinical teams, drive continuous improvement, and lead impactful, quality‑focused initiatives within a mission‑driven organization dedicated to improving lives and delivering exceptional healthcare solutions.

• Lead a team that will be responsible for conducting utilization management (UM) reviews across a broad spectrum of clinical specialties, ensuring timely, evidence‑based, and compliant determinations.
• Direct and manage care coordination services for a defined member population, ensuring continuity of care, optimal outcomes, and high‑quality service delivery.
• Provide leadership, coaching, and performance oversight to direct reports, ensuring excellence in utilization management reviews and case management practices.
• Ensure clinical operations consistently meet contractual, regulatory, and performance requirements by monitoring key performance indicators, analyzing trends, and implementing corrective actions as needed.
• Identify and implement opportunities to improve operational efficiency, productivity, quality outcomes, and service delivery through process improvement initiatives and best practices.
• Serve as a Subject Matter Expert (SME), providing clinical guidance, operational insight, and decision support to internal stakeholders and leadership teams.
• Contribute to the achievement of annual organizational goals, strategic initiatives, and operational performance indicators.
• Foster open, effective communication and engagement across teams through regular one‑on‑one meetings, team forums, and cross‑functional collaboration.
• Oversee contract execution and performance, including service level agreement (SLA) metrics, workflow optimization, staff development, internal training programs, quality of clinical reviews, case management effectiveness, deliverable tracking, and budget compliance.
• Lead the clinical quality program, including auditing activities, Quality Improvement Plans (QIPs), regulatory readiness, and administration of the Local Quality Improvement Committee.
• Perform additional duties as assigned to support clinical operational excellence, strategic initiatives, and organizational objectives.
• Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules.

• Must hold an active, unrestricted California Registered Nurse (RN) license (compact eligible) or an active, unrestricted Licensed Clinical Social Worker (LCSW) license at time of hire, or obtain California licensure within 90 days of start date.
• Bachelor's degree in Nursing, Healthcare Administration, or a related field, or an equivalent…