Manager, Operations - San Francisco, CA

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If you’re passionate about making a meaningful impact, working in a mission-driven environment, and helping redefine behavioral health crisis care, we invite you to join us at Connections Health Solutions. Together, we’re saving lives and changing the face of behavioral health.

We’re not just behavioral health people— we’re crisis people. When individuals need support now, we provide immediate-access behavioral health crisis care that stabilizes, supports, and connects people to the resources they need to continue their recovery.

Founded by emergency room psychiatrists, our physician-led, data-driven model is backed by more than 15 years of crisis care expertise. Recognized by SAMHSA and the National Council for Mental Wellbeing as a national best practice, we’ve delivered critical crisis care to thousands of people during some of the most challenging moments of their lives. Our mission is simple and unwavering: providing immediate care to people in crisis and connecting them to long-term support within their community.

• Manage and oversee daily floor operations, ensuring smooth functioning of patient intake, assessment, monitoring, treatment, and discharge processes.
• Monitor patient flow to ensure appropriate triage, timely access to care, and appropriate utilization of resources.
• Adjust staffing coverage in real time to meet patient volume, acuity, and center needs.
• Serve as the point of escalation for operational, staffing, safety and clinical coordination concerns during assigned shifts.
• Exercise independent judgment in coordinating workflows, resolving operational barriers, determining escalation needs, and deploying resources to ensure safe and efficient care delivery.

• Ensure adherence to organizational policies, clinical protocols, infection control standards, and regulatory requirements.
• Promote and enforce safety protocols, including risk mitigation, patient observation practices, and incident response.
• Conduct routine audits of equipment, environment of care, supplies, logs, and facility readiness to ensure compliance and readiness at all times.
• Participate in root cause analysis, incident review, and corrective action planning as needed.
• Support continuous improvement initiatives and performance metrics related to patient experience, safety, and operational efficiency.

• Provide direct leadership and supervision to all floor staff.
• Evaluate team performance, conduct coaching conversations, and recommend hiring, promotions, discipline, and termination decisions, ensuring alignment with policies and organizational standards.
• Provide coaching, feedback, and progressive discipline aligned to company policy when performance concerns arise.
• Foster a positive, supportive team culture grounded in compassion, accountability, and collaboration.

• Oversee coordination of care between multidisciplinary teams to ensure individuals receive timely and appropriate behavioral, medical, and supportive services.
• Support patient-centered practices that emphasize dignity, de-escalation, trauma-informed care, and recovery-focused approaches.
• May provide direct nursing care intervention and support during periods of high volume, crisis escalation, or staffing need within RN scope, standing orders, and standardized procedures.
• Performs clinical or operational tasks only as necessary to maintain safety or service continuity; this role functions primarily in a managerial capacity.

• Maintain regular communication and positive working relationships with the San Francisco Sheriff’s Office and onsite law enforcement teams to ensure safety, collaboration, and shared understanding of protocols.
• Build and strengthen relationships with hospitals, community mental health providers, social service agencies, and other external partners to support coordination of care and successful patient transitions.
• Represent the center in operational meetings, community partnership…