Director of Services and Care Transitions

Responsibilities

• Provide direct supervision and leadership to all clinical staff within the Recuperative Care program, including RNs, LVNs, and medical assistants.
• Establish and maintain clinical standards, protocols, and workflows to ensure high-quality, evidence-based care.
• Monitor clinical performance metrics and implement quality improvement initiatives.
• Ensure compliance with all regulatory, licensing, and accreditation requirements.
• Lead the enhancement and expansion of the organization’s care management programs, including ECM (Enhanced Care Management) and related services.
• Develop scalable models that integrate clinical, behavioral health, and social services.
• Support the development and implementation of standardized case management workflows, documentation practices, and client engagement protocols across programs.
• Develop strategies to improve client acuity management, service prioritization, and caseload efficiency while maintaining quality of care.
• Utilize data and outcomes to drive continuous improvement and demonstrate impact.
• Aid in the development of KPIs and performance improvement plans related to clinical and case management effectiveness, client outcomes, and service delivery standards.
• Partner closely with all CalAIM-related programs to ensure alignment, integration, and optimal performance across services.
• Collaborate closely with the Operations team to align clinical services with program workflows, capacity planning, and client needs.
• Promote interdisciplinary collaboration between clinical staff, behavioral health, and case management teams to support whole-person, client-centered care.
• Support efficient utilization of resources while maintaining high standards of care.
• Participate in program planning, budgeting, and performance management.
• Serve as a key member of the senior leadership team, contributing to organizational strategy, decision-making, and growth initiatives.
• Foster a culture of collaboration, accountability, and mission-driven service.
• Identify opportunities for innovation, partnerships, and funding to support program growth.
• Ensure care management services are culturally responsive, equitable, and aligned with organizational values and client-centered practices.
• Represent Illumination Health and Home in external meetings with healthcare partners, payers, and community stakeholders.

Qualifications

• Active Registered Nurse (RN) license in the State of California.
• Bachelor's of Nursing (BSN) is required.
• Minimum of 5–7 years of progressive leadership experience in healthcare programs.
• Experience managing clinical teams and overseeing care delivery in complex settings.
• Strong knowledge of care management models, including ECM and Medi-Cal populations.
• Experience overseeing interdisciplinary care coordination and case management services within healthcare or community-based programs.
• Experience developing and implementing workflows related to case management documentation, client engagement, and continuity of care.
• Experience working with underserved or vulnerable populations.

Preferred Experience

• Master’s degree in Nursing, Public Health, Healthcare Administration, or related field preferred.
• Experience in recuperative care, homeless services, or community-based healthcare.
• Knowledge of CalAIM Community Supports, discharge planning, utilization management, and care transition processes.
• Familiarity with trauma-informed care, motivational interviewing, harm reduction, and client-centered service delivery models.
• Proficiency in MS Office Suite i.e. Outlook, Word, Excel, Teams.

Benefits

• Medical Insurance funded up to 91% by Illumination Foundation (Kaiser and Blue Shield), depending on the plan.
• Dental and Vision Insurance.
• Life, AD&D and LTD Insurance funded 100% by Illumination Foundation.
• Employee Assistance Program.
• Professional Development Reimbursement.
• 401K with Company Matching.
• 15 days vacation PTO/year.
• 6 days sick PTO/year.
• 10 days holiday PTO/year.
• Potential eligibility for the Public Service Loan Forgiveness Program (PSFL) for federally qualified loans.