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Director of Clinical Operations (Licensed NP), Hospital-at-Home

Maribel Health

Maribel Health

Administration · Full-time
St. Louis, MO, USA
150,000 – 180,000 USD per year
Posted on Wednesday, January 25, 2023

About us

Maribel Health’s mission is to make home the center of the health system. Maribel was created to enable forward thinking health systems to lead as care transitions to the home, including the successful launch and operation of Hospital-at-home (HaH) and other advanced care capabilities. As a technology-enabled operating partner of health systems, we enhance capabilities and integration of existing home and community organizations as a way expand total health system capacity.

Maribel’s unique difference is our people -- a team of clinical leaders, technologists, and operators with a unique depth and breadth of transformational redesign experience, a passion to enable individuals to remain at home, and an industry-changing hospital-at-home model.

About the job

Maribel Health is looking for an outstanding clinical leader (NP license required) with a strong clinical care background and team-building skills who has overall responsibility for Hospital-at-Home (HaH) clinical operations.

The Director of Clinical Operations (DCO) orchestrates the full-spectrum clinical and operations model through proactive leadership and management, creative problem-solving, and vigilant, real-time responsiveness to ensure that all patient needs are met effectively and compassionately. The Director of Clinical Operations builds (where necessary) and oversees the HaH Command Center.

The DCO is responsible for the clinical-operating model and coordination within and across the hospital, command center, and home-based operations.

Scope of Responsibilities include:

Clinical Leadership

  • Day-to-day clinical leadership, operational management, and coordination of the full HaH continuum: hospital, command center, and home-based care teams.
  • Developing the clinical model in partnership with the Medical Director and Executive Director, ensuring effective clinical operations execution at all times, and providing patient oversight and monitoring for the entire HaH program in collaboration with the health system partner’s clinical leadership.
  • Leading daily HaH multidisciplinary rounds to organize care and ensure appropriate staffing allocations for virtual and in-person visits to proactively and effectively meet patients’ needs.
  • Establishing clinical operations standards for all ancillary services and critical results reporting.
  • Leading and driving the daily HaH admission process with the Medical Director and health system partner clinicians.
  • Overseeing the logistics and home operations with support of the command center.
  • Establishing clinical operations program and staff performance objectives and expectations to ensure the reliable delivery of high quality, compassionate care.
  • Coordinating with all community clinical and operational partnerships required to ensure the HaH program’s success.
  • Building a clinical model that honors the clinician-patient relationship and promotes excellence in care delivery and patient/family engagement.
  • Delivering clinical care in alignment with the partner health system’s guiding principles and standards of care.
  • Recruiting and onboarding clinical staff, including ensuring attainment of necessary provider privileges (per state boards and health system standards) and training and coaching clinical staff to ensure proficiency and capabilities for high performance within the HaH program that reflect the health system partner’s and Maribel’s values and culture.
  • Developing and implementing Maribel’s HaH clinical operations model in a manner consistent with the partner health system’s objectives, standards, and policies, while building and maintaining a culture of responsiveness, safety, and multi-disciplinary/multi-agency collaboration, that achieves high standards of cooperation, performance, and quality.

Program Oversight

  • Ensuring that key HaH clinical performance metrics (admission volumes, patient and family experience, quality performance, etc.) are achieved and setting clinical operations targets and action plans to achieve program performance and growth consistent with Maribel’s and our partner health system’s strategic priorities.
  • Building HaH program confidence and trust with hospitalists, ED physicians and other clinical stakeholders and coordinating connections across our partner health system’s departments and functions (e.g., hospital, command center, home health, billing, compliance, etc.)
  • Overseeing the clinical model design, reporting, dashboards, policies and procedures to ensure that program quality performance and patient standards are both measured and achieved.
  • Establishing a quality improvement framework and continuous improvement model with standardized processes to ensure the quality and safety of care delivered through the HaH program.
  • Managing monthly Mortality and Mobility conferences and other clinical program evaluation and reporting approaches.
  • Instituting clinical practices that ensure that patient and caregiver experience is of the highest quality and that all patients are treated with compassion, dignity, and respect to inspire patient, provider, and public confidence.

Operational Success

  • Proactively recruiting HaH patients into the program and continuously improving patient screening, identification, and capture rates.
  • Developing strong relationships with clinicians and key clinical leaders in the Emergency Department and inpatient units for early referrals into the HaH program.
  • Building a talented clinical team that is agile, quick-learning and comfortable with a fast pace to support ongoing evolution of the HaH clinical and operational models.
  • Developing effective communication processes and standards to ensure interdisciplinary clinical team coordination and to support effective care.
  • Creating clinical workflows that integrate siloed clinical teams in the hospital, command center, and home settings.
  • Ensuring that the HaH program operates at the highest clinical standards with 24/7 coverage and immediate response systems to ensure high quality care.

Program Operations

  • All program management and staffing for the HaH program.
  • Oversight of all clinical programs and operational models from referral to admission, daily visits, multidisciplinary rounding, discharge processes, care coordination, and communication across the HaH team and the partner health system.
  • Clinical model execution that is reliably delivered with safe practices.
  • Team-based clinical relationship development, coordination, and consistent communication with clinical and operational staff.
  • Clinical model oversight of hospital-based operations for patient identification, recruitment, and logistics of all ancillary services required for admission (e.g., acute medications, DME, infusions, medical meals, oxygen, etc.) in coordination with the HaH command center and home-based care team.
  • Operational management of the HaH command center functions including virtual care, care coordination, central supply chain and logistics, and all incoming communications into the HaH program.
  • Oversight and management of the home operations teams including APRN, RN, EMT, and other care providers (e.g., PT, OT, HHA, etc.)
  • Management of remote patient monitoring and clinical protocol design with appropriate alerts and triage in collaboration with clinical and technology leaders.
  • Development, implementation and maintenance of all HaH procedures and policies.
  • Coordination of clinical technology tools and communication practices to meet HaH program needs including telehealth, remote monitoring, medical records, and clinician- team-based communication.

Job Type: Full-time

Pay: $150,000.00 - $180,000.00 per year


  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Employee assistance program
  • Flexible spending account
  • Health insurance
  • Health savings account
  • Life insurance
  • Paid time off
  • Retirement plan
  • Vision insurance

Medical specialties:

  • Internal Medicine


  • Monday to Friday
  • On call
  • Weekend availability

Ability to commute/relocate:

  • St. Louis, MO: Reliably commute or planning to relocate before starting work (Required)