Top 7 remote credentialing coordinator Jobs in orange, ca

Director of Clinical Operations
ProMedix Health —Santa Ana, CA
- $140,000 - $180,000 a year
- Full-time
- Nursing
- RN License
- 5 years
- Health insurance
- Dental insurance
Quick Apply
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IT Specialist (SYSANALYSIS)
US Deputy Assistant Secretary for Information and Technology —Anaheim, CA
- $106,437 - $138,370 a year
- Multiple hires
- Hybrid work
- Background check
- Psychiatry
- Pass drug screening
2d
Registered Nurse CLC GEC Activation
US Veterans Health Administration —Long Beach, CA
- $111,502 - $190,737 a year
- Online Application
- Hybrid work
- Background check
- Nursing
- Doctoral degree
- Paid holidays
- Dental insurance
8d
Physician (Interventional Radiology)
US Veterans Health Administration —Long Beach, CA
- $375,000 - $400,000 a year
- Online Application
- Hybrid work
- Background check
- Medicine
- Surgery
- Paid holidays
- Loan repayment program

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remote credentialing coordinator jobs near orange, ca

Director of Clinical Operations

ProMedix Health -
Santa Ana, CA

Quick Apply

Job Details

Full-time
$140,000 - $180,000 a year
8 days ago

Benefits

Health insurance
Dental insurance
Vision insurance
401(k) matching
Life insurance

Qualifications

Staff supervision
Program management
Operations management
Electronic health records (EHR) management
Clinical program policy development
RN License
Medicare coding guidelines
Procedural guides
Operational management
CMS
Care documentation
Team development
CMS regulatory compliance
Records management
Bachelor of Science in Nursing
Clinical documentation
Clinical trial standard operating procedures
Centers for Medicare & Medicaid Services (CMS) billing regulations
Bachelor's degree in nursing
Clinical documentation improvement
Clinical documentation standards
Managing patient records
Standard operating procedures (SOPs)

Full Job Description

Director of Clinical Operations

ProMedix Health | Santa Ana, CA | On-Site | $140,000 – $180,000

About ProMedix

ProMedix Health is a virtual care platform delivering RPM and CCM programs to patients through partnerships with primary care physicians, IPAs, and health systems. We combine clinical staffing, operational infrastructure, and proprietary technology to enable continuous care management outside traditional office visits. We are in an active growth phase and building a healthcare data and AI platform designed to identify early indicators of disease progression and acute health events.

The Role

The Director of Clinical Operations owns the operational and compliance infrastructure of ProMedix's care management programs. You will manage the nursing and care management teams, enforce CMS documentation standards, build the SOPs that make the operation scalable, and ensure every patient encounter supports both clinical quality and compliant billing. This role reports to the Vice President of Operations.

The right candidate is a clinically credentialed RN who has grown into operations and management, is fluent in CMS requirements for RPM and CCM, and is energized by building clinical systems in a fast-growing company. Bedside clinicians without operations experience and administrators without clinical credentials are equally not the right fit — we need both.

Core Responsibilities

Team Leadership & Performance

Manage nursing staff and care coordinators: supervision, performance accountability, coaching, and development
Set and monitor productivity standards: panel capacity, documentation completion, patient engagement, and alert response times
Recruit and onboard clinical staff as the team scales; build training and onboarding programs

CMS Compliance & Documentation

Own CMS compliance across all CCM and RPM programs - documentation standards, billing alignment, and audit readiness at all times
Conduct regular internal audits; identify deficiencies, implement corrections, and track remediation to closure
Train clinical teams on documentation expectations that support medical necessity and produce defensible records
Work with billing and revenue cycle partners to ensure documentation consistently supports billed services

Clinical Workflows, SOPs & Credentialing

Build and maintain SOPs for all clinical workflows: onboarding, monitoring, care plan development, escalation, and disenrollment
Ensure workflows are consistent, scalable, and compliant across all physician partners
Manage the enrollment-to-clinical handoff and resolve workflow bottlenecks before they affect outcomes or billing
Ensure licensure and credentialing requirements remain current for all clinical staff

Performance Reporting

Monitor key indicators: nurse productivity, patient engagement, monitoring activity, care management time, alert response times, and patient retention
Provide leadership with clear, regular visibility into clinical program performance

Required Background

You must have:

Active RN license in California, in good standing - BSN required
5+ years of clinical operations or care management leadership experience
Working knowledge of CMS requirements for CCM and RPM - compliant, billable, and audit-ready documentation
Demonstrated ability to manage and develop a clinical team
Experience building clinical documentation standards, SOPs, and workflows in a compliance-sensitive environment
Familiarity with EHR systems in a care management context
Comfort operating in a build-phase environment where processes are actively evolving

Useful but not required:

MSN or advanced clinical or healthcare administration degree
Experience with Medicare Advantage, value-based care, or telehealth environments
Prior involvement in CMS audit preparation or formal compliance program management

You'll Fit Here If

You consider clinical credibility and operational discipline equally part of your professional identity
Documentation quality is a standard you hold without being asked
You're energized by building systems, not just running them
You can hold a team accountable while doing the coaching work that prevents the same miss next month
You want to build something meaningful in chronic care - not inherit a legacy program and maintain it

Compensation & Benefits

$140,000 – $180,000 annually (California Pay Transparency Act, SB 1162)
Performance-based bonus
Medical, dental, and vision insurance
401(k) with company match
Life insurance

The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.

Work Location: 100% on-site, Santa Ana, CA. Remote and hybrid arrangements are not available for this role.

Equal Opportunity Employment

ProMedix Health is an Equal Opportunity Employer providing equal employment opportunities regardless of race, color, religion, sex, national origin, age, disability, genetic information, marital status, sexual orientation, gender identity, military or veteran status, or any other characteristic protected by applicable law.

California Applicants: Employment is at-will. ProMedix participates in E-Verify. Offers may be contingent on background checks per California ICRAA/FCRA. Reasonable accommodations available upon request. ProMedix maintains a drug-free workplace.

Pay: $140,000.00 - $180,000.00 per year

Work Location: In person

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remote credentialing coordinator jobs in orange, ca

Director of Clinical Operations

IT Specialist (SYSANALYSIS)

Registered Nurse CLC GEC Activation

Physician (Interventional Radiology)

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