Senior Director, Clinical Operations

Overview

The Senior Director, Clinical Operations is a senior clinical and administrative leadership role responsible for enterprise-wide case development operations coordination, executive leadership support, donor management oversight, regulatory compliance, and administrative excellence across LiveOnNY’s Case Development functions. The position reports directly to the Chief Clinical Officer and provides dedicated operational and administrative support to both the Chief Clinical Officer and the Vice President of Clinical Operations.

Working in close partnership with Clinical Operations Leadership, the Senior Director, Clinical Operations supports alignment between executive clinical leadership and day-to-day Case Development operations. The role drives execution of clinical and operational priorities, monitors critical operational activities, coordinates follow-through, supports clinical decision-making and escalation, and promotes alignment and integration across Contact Center and Field operations.

The Senior Director, Clinical Operations works within the authority delegated by the Chief Clinical Officer and organizational leadership. The role is intended to strengthen the operational capacity of the Chief Clinical Officer and Vice President of Clinical Operations while promoting regulatory compliance, operational consistency, and reliable execution of critical Case Development priorities.

The Senior Director, Clinical Operations works collaboratively, within the delegated operational framework established by Clinical Operations Leadership, with all organizational departments involved in the donation process, including, but not limited to Case Development, Family Engagement, Allocation and Placement, Surgical Recovery, Hospital Engagement, Education and Training, Operational Intelligence, Data Science, Quality, Compliance, Information Technology, Human Resources, Finance, and Communications.

All services performed in this role must be conducted in compliance with applicable federal and state laws, regulations, and oversight requirements, including but not limited to CMS, New York State, FDA, OPTN, and all applicable LiveOnNY policies, standard operating procedures (SOPs), and directives.

This exempt position requires the Senior Director, Clinical Operations to devote full professional time, attention, and best efforts to LiveOnNY. The Senior Director, Clinical Operations shall remain available to fulfill the position’s leadership and operational responsibilities inside and outside standard business hours as LiveOnNY’s needs dictate. The Senior Director, Clinical Operations shall not undertake outside employment, consulting, or business activity, whether compensated or uncompensated, without advance written approval from the Chief Operating Officer in accordance with LiveOnNY’s Conflicts of Interest Policy.

Responsibilities

ESSENTIAL DUTIES AND RESPONSIBILITIES

The responsibilities described below identify the principal duties and responsibilities of the Senior Director, Clinical Operations. They are representative of the position and are not intended to be an exhaustive list of every responsibility that may be assigned. The Senior Director, Clinical Operations shall perform all duties assigned by Clinical Operations Leadership or their designee that are consistent with the responsibilities of the position and the operational needs of LiveOnNY.

• EXECUTIVE CLINICAL AND ADMINISTRATIVE SUPPORT

• Provide executive level clinical, operational, and administrative support to the Chief Clinical Officer and Vice President of Clinical Operations.

• Coordinate, organize, and track clinical operations priorities, directives, projects, decisions, deliverables, and required follow-up.

• Prepare executive briefings, operational summaries, reports, analyses, presentations, meeting materials, agendas, and decision-support materials.

• Maintain structured tracking systems for assigned initiatives, including owners, deadlines, dependencies, status, barriers, and required executive decisions.

• Facilitate timely follow-through on matters assigned by the Chief Clinical Officer or Vice President of Clinical Operations and escalate delays, risks, or unresolved barriers.

• Coordinate information across clinical leaders so executive leadership receives accurate, timely, and actionable operational information.

• Support preparation for leadership meetings, regulatory activities, audits, case reviews, performance discussions, and other clinical operations forums.

• CASE DEVELOPMENT OPERATIONAL INTEGRATION

• Work closely with Clinical Operations Leadership to support coordinated execution across Case Development operations.

• Facilitate alignment of Contact Center and Field workflows, handoffs, escalation pathways, documentation expectations, clinical practices, and operational priorities.

• Monitor cross-functional issues affecting the continuum from referral intake and triage through donor evaluation, management, allocation, and recovery.

• Identify operational gaps, competing priorities, unresolved dependencies, or communication breakdowns and facilitate appropriate follow-up with accountable leaders.

• Support coordinated implementation of approved operational changes across Contact Center and Field functions.

• Promote consistent communication between executive clinical leadership and Case Development leaders regarding expectations, decisions, priorities, and required actions.

• Provide clinical and administrative support during increased activity, complex operational circumstances, or other significant Case Development needs.

• ADVANCED CLINICAL SUPPORT AND CASE ESCALATION

• Apply advanced nursing and Nurse Practitioner knowledge to support clinical review, operational problem-solving, and escalation of complex donor-management issues within delegated authority.

• Serve as a clinical resource to executive and Case Development leadership regarding donor evaluation, clinical information, donor management, suitability considerations, and operational risks.

• Review case information, clinical trends, and operational concerns to identify matters requiring escalation to the Chief Clinical Officer, Vice President of Clinical Operations, Medical Director, or other appropriate leaders.

• Support clinical case review and follow-up, including identification of opportunities for improved practice, documentation, communication, or escalation.

• Facilitate timely access to appropriate clinical expertise and organizational resources when complex cases require additional review.

• Maintain clinical practice within applicable licensure, credentialing, organizational policy, and delegated scope of responsibility.

• OPERATIONAL PERFORMANCE, DATA, AND EXECUTIVE REPORTING

• Monitor assigned clinical operations indicators, dashboards, Case Development trends, organ yield information, documentation measures, staffing indicators, quality findings, and other performance information.

• Analyze operational information and synthesize findings into concise executive-level summaries identifying trends, risks, barriers, and matters requiring action or decision.

• Partner with Case Development leaders, Quality, Operational Intelligence, Data Analytics, and other functions to validate information and support accurate performance reporting.

• Track actions resulting from performance reviews, case reviews, occurrences, audits, leadership meetings, and executive directives through completion.

• Support development and monitoring of measurable improvement actions and evaluate whether implemented changes are producing intended operational results.

• Maintain reliable records of decisions, assignments, follow-up actions, and completion status for assigned initiatives.

• QUALITY, REGULATORY READINESS, AND PROCESS IMPROVEMENT

• Support Clinical Operations readiness for CMS, OPTN, and other applicable regulatory activities.

• Collaborate with Quality and Compliance on audits, occurrences, investigations, corrective actions, policy implementation, and regulatory follow-up involving Clinical Operations.

• Assist with review and development of policies, procedures, work instructions, job aids, workflows, and controlled documents affecting Case Development operations.

• Identify recurring operational or clinical process gaps and facilitate cross-functional improvement efforts with accountable leaders.

• Support translation of audit, performance, and case-review findings into sustained operational improvements.

• Coordinate with Education and Training when identified gaps require formal education, retraining, competency validation, or other learning interventions.

• Handle confidential clinical, personnel, operational, quality, regulatory, and organizational information with appropriate discretion.

• PROJECT AND INITIATIVE MANAGEMENT

• Lead or coordinate clinical operations projects assigned by the Chief Clinical Officer or Vice President of Clinical Operations.

• Develop project plans, timelines, milestones, responsibility assignments, status reporting, and escalation pathways for assigned initiatives.

• Coordinate multidisciplinary workgroups and ensure decisions, action items, owners, and deadlines are clearly documented and communicated.

• Monitor execution against approved plans and identify barriers requiring leadership intervention.

• Facilitate implementation of approved clinical and operational initiatives across affected departments.

• Provide executive leadership with concise status updates, outstanding decisions, risks, and recommended next steps.

• CROSS-FUNCTIONAL COLLABORATION

• Maintain effective working relationships with Case Development, Family Engagement, Hospital Services, Donor Center Operations, Allocation and Placement, Recovery Services, Quality, Compliance, Education and Training, Operational Intelligence, Information Technology, Human Resources, Finance, Legal, and other organizati...