Clinical Manager Jobs in California
Clinical Manager jobs in California are among the most active in the country, concentrated in hospital systems, outpatient networks, behavioral health, and home health agencies, with openings at every level from entry-level coordinator through senior director. The largest hiring markets are Los Angeles, San Francisco, and San Diego, where established employers like Kaiser Permanente, Sutter Health, and Dignity Health maintain deep clinical management teams. Demand is strongest in behavioral health program management, care coordination, and ambulatory care operations. Find a role that fits below and apply directly.
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Ascendis Pharma is a dynamic, fast-growing global biopharmaceutical company with locations in Denmark, Europe, and the United States. Today, we're advancing programs in Endocrinology Rare Disease and Oncology.
Here at Ascendis, we pride ourselves on exceptional science, visionary leadership, and skilled and passionate colleagues.
Guided by our core values of Patients, Science, and Passion, we use our TransCon® drug development platform to fulfill our mission of developing new and potentially best-in-class therapies to address unmet medical needs.
Our culture fosters a place where skilled, adaptable, and highly resourceful professionals can truly make their mark. We offer a dynamic workplace for employees to grow and develop their skills.
The Sr. Clinical Trial Manager (Sr CTM) is responsible for effective conduct of Ascendis’ global and regional clinical trials. As a key member of the cross-functional team driving one or more Ascendis’ clinical trials to completion according to agreed timelines and quality, the Sr. CTM contributes directly to Ascendis’ focus on making a meaningful difference in patients’ lives and is part of a global organization with locations in US, Germany and Denmark.
The role will be based in Palo Alto, CA or be remote and reports to the Director, Clinical Operations.
Key Responsibilities
- Foster and maintain favorable clinical site and investigator relationships. Including conducting and/or supporting informational calls for sites and investigators.
- Support in planning and conducting investigator meetings, if applicable.
- Review and/or approve of IP release packages.
- Review monitoring reports for compliance to study protocols, regulations and ICH/GCP. Track and manage monitoring report metrics. If applicable, serve as a backup monitor to the monitoring team.
- Generate and utilize metric reporting (e.g. CTMS, DM Query Trends, Outstanding Monitoring Reports) to ensure that the study is conducted per plans and communicates issues to Director and CRAs as appropriate.
- Ensure accurate reporting of Protocol Deviations and follows up with monitoring team of any subsequent re-SDV and close out of PDs if applicable.
- Provides any assistance with findings from Protocol Deviation Review Team meetings and disseminates any applicable information to the CRA team.
- Conducts monitoring meetings, creating agendas and meeting minutes which may include but is not limited to: monitoring team training and tracking, report quality issues, site level issues/trends in data and EDC metrics reporting.
- Assist in coordinating study specific training or re-training for the internal study team, internal monitoring team and site staff as appropriate.
- Responsible for the ongoing development and maintenance of Trial Master File and Investigator Site Files in Veeva Vault which includes quarterly eTMF reviews. Assists CRAs in ensuring eTMF completeness, eTMF audit findings and resolutions.
- Manages and/or supports vendor management for central laboratory, central IRB, central imaging, patient concierge services, and site payment systems including but not limited to: portal access management for sites and internal teams, report review, sample tracking, metrics review, document reviews and meeting participation
- Facilitate EDC and IRT access requests for site teams.
- Facilitate CRA team access to internal Ascendis systems such as TMF, EDC and vendor systems (e.g. IRT).
- Assist and manage CRA transition meetings which may include creating and/or reviewing transition documentation
- Run Study Team Meetings including providing agendas and meeting minutes.
- Reviews site information/informed consents and completes associated checklists as per Ascendis SOPs.
- Support central and site IRB/IEC and regulatory submissions, as needed.
- Accountable to assist sites, internal staff and CRAs with the preparation for GCP audits
- Maintains CTMS including but not limited to: site and site staff contact information, study level and site level milestones, regulatory submissions and approvals on both study and site level.
- Escalate pertinent CRA performance and site compliance issues when necessary.
- Collaborate with Director of Clinical Operations, data management and CRAs to ensure data quality and compliance with data cleaning timelines.
- Assist CRAs and sites with supply shipment/tracking, sample tracking and IMP shipment tracking and management.
- May review and approve Vendor Data Clarification Forms.
- Prioritize and escalate issues, as needed.
- May develop or assist in developing study related clinical documents (e.g. clinical plans, Informed Consent Form templates, study specific forms and manuals, CRF completion guidelines, study trackers, PSV/SIV slides and other training materials).
- May be responsible for management of clinical vendors (e.g. labs, IP, patient diary, home health care) in conjunction with Associate Director.
- May be responsible for development, review and/or implementation of vendor documentation.
- May perform clinical data review of patient profiles, data listings and summary tables, including query generation
- May meet with Associate Director, Clinical Operations on a regular basis to report deliverables, timelines and employee development.
Requirements
- Bachelor’s degree or master’s degree in natural or health sciences (biology, pharmacology, pharmaceutical sciences or equivalent) preferred, or equivalent work experience.
- Demonstrates mastery knowledge of ICH-GCP, relevant Ascendis SOPs and Work Instructions and regulatory guidance, as well as the ability to implement
- Working knowledge of clinical management techniques and tools
- Direct work experience in a cross-functional environment
- 7+ years of combined experience in managing/monitoring Phase 1, 2, or 3 clinical trials.
- High proficiency in English with strong communication and presentation skills
- Experience managing and overseeing vendors
- Experience in performing clinical site monitoring visits, including remote visits
- Ability to prioritize and to work independently on assigned tasks, manage timelines, and to present ideas to sites / stakeholders clearly and effectively
- High proficiency with Veeva Systems (Clinical Vault eTMF, Veeva EDC), CTMS, Endpoint IRT and Microsoft Office (Outlook, Word, Excel, PowerPoint).
- Possibility to travel up to 20% of the time domestically for investigator meetings, meetings with remote employees, co-monitoring, if needed.
The estimated salary range for this position is $160-170K DOE. Actual salary determination is dependent on a variety of factors some of which include: experience, qualifications, and geographic location. This position may be eligible for a discretionary annual bonus or an incentive compensation plan (eligibility varies based on role and position level), discretionary stock-based long-term incentives, paid time off, and a comprehensive benefits package.
Benefits
- 401(k) plan with company match
- Medical, dental, and vision plans
- Company-offered Life and Accidental Death & Dismemberment (AD&D) insurance
- Company-provided short and long-term disability benefits
- Unique offerings of Pet Insurance and Legal Insurance
- Employee Assistance Program
- Employee Discounts
- Professional Development
- Health Saving Account (HSA)
- Flexible Spending Accounts
- Various incentive compensation plans
- Accident, Critical Illness, and Hospital Indemnity Insurance
- Mental Health resources
- Paid leave benefits for new parents
A note to recruiters:
We do not allow external search party solicitation. Presentation of candidates without written permission from the Ascendis Pharma Inc Human Resources team (specifically from: Talent Acquisition Partner or Human Resources Director) is not allowed. If this occurs your ownership of these candidates will not be acknowledged.
See All 349+ Clinical Manager Jobs in California
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Find Clinical Manager JobsClinical Manager Jobs by City in California
Where California roles are concentrated, by current openings.
Clinical Manager Job Market in California
A snapshot from current California openings, updated as new roles post.
Who's Hiring
- Independent Living Systems15

- Revolution Medicines12

- Sutter Health10

- Gilead Sciences6

- ACES ABA5

Top Industries Hiring
- Healthcare & Medical Services27
- Biotechnology & Pharmaceuticals20
- Insurance12
- Education5
- Non-Profit & Social Services5
What California Employers Look For
The qualifications that appear most often in clinical manager jobs across California.
- Active California RN license or other California-recognized clinical credential required
- Bachelor's degree in nursing, healthcare administration, or a related clinical field
- Minimum three to five years of direct clinical experience in a relevant care setting
- Prior supervisory or team leadership experience in a clinical or patient care environment
- Proficiency with electronic health record systems such as Epic or Cerner
- Knowledge of California Title 22 regulations and Joint Commission accreditation standards
Clinical Manager Jobs in California: Frequently Asked Questions
How do you become a clinical manager in California?
Most clinical manager roles in California require an active California RN license issued by the California Board of Registered Nursing, combined with a bachelor's degree in nursing or healthcare administration and several years of bedside or clinical experience. Many employers also prefer or require a Master of Science in Nursing or an MHA. Candidates with leadership experience in California's regulated acute care or behavioral health settings are consistently prioritized.
Which companies hire clinical managers in California?
Employers hiring clinical managers in California right now include Independent Living Systems, Revolution Medicines, and Sutter Health, based on current listings on Migrate Mate as of August 2026. California's large integrated health systems, regional medical centers, and county public health departments are among the most consistent sources of clinical management openings in the state.
Which California cities have the most clinical manager jobs?
Los Angeles, San Diego, and San Francisco have the most clinical manager openings in California. Los Angeles and San Francisco lead because of their dense concentration of academic medical centers, large integrated health systems, and county health departments, while San Diego's mix of military health, biotech-affiliated clinics, and established hospital groups drives consistent demand in that market as well.
Are there remote clinical manager jobs in California?
Yes, but they're rare. Clinical manager roles are largely site-based because they involve direct oversight of staff, patient care operations, and regulatory compliance in physical care settings. About 45% of clinical manager openings tied to California are remote or hybrid as of August 2026, and those positions tend to be in utilization management, case management oversight, or telehealth program coordination rather than traditional unit or department management.
How can I get hired as a clinical manager in California with little or no experience?
The most realistic entry path is moving from a senior clinical role into a charge nurse or assistant manager position within a California hospital or outpatient network. Large California employers like Kaiser Permanente and Sutter Health run internal leadership development programs that prepare high-performing clinicians for management roles without requiring prior management titles. Earning a California RN license, pursuing a BSN if you hold an ADN, and volunteering for committee or quality improvement work strengthens a candidate's profile considerably.
Where can I find and apply to clinical manager jobs in California?
You can find and apply to clinical manager jobs in California on Migrate Mate, which lists current California openings across hospital systems, outpatient networks, and behavioral health organizations. Find roles that fit your experience and specialty and apply directly through each listing.
See All 349+ Clinical Manager Jobs in California
Find roles in California that match your experience and apply in just a few clicks.
Find Clinical Manager Jobs