The cache manager process is, indeed, running. I even did a brief strace on it to be sure it was actually working. There is nothing in the logs that indicates an issue. In fact, the only thing in the logs is expected http requests.

Output of nginx -V:

[root@nginx01-dpl ~]# nginx -V
nginx version: nginx/1.2.8
built by gcc 4.4.7 20120313 (Red Hat 4.4.7-3) (GCC)
TLS SNI support enabled
configure arguments: --user=nginx --group=nginx --prefix=/usr/share/nginx --sbin-path=/usr/sbin/nginx --conf-path=/etc/nginx/nginx.conf --error-log-path=/var/log/nginx/error.log --http-log-path=/var/log/nginx/access.log --http-client-body-temp-path=/var/lib/nginx/tmp/client_body --http-proxy-temp-path=/var/lib/nginx/tmp/proxy --http-fastcgi-temp-path=/var/lib/nginx/tmp/fastcgi --http-uwsgi-temp-path=/var/lib/nginx/tmp/uwsgi --http-scgi-temp-path=/var/lib/nginx/tmp/scgi --pid-path=/var/run/nginx.pid --lock-path=/var/lock/subsys/nginx --with-http_ssl_module --with-http_realip_module --with-http_addition_module --with-http_xslt_module --with-http_image_filter_module --with-http_geoip_module --with-http_sub_module --with-http_dav_module --with-http_flv_module --with-http_gzip_static_module --with-http_random_index_module --with-http_secure_link_module --with-http_degradation_module --with-http_stub_status_module --with-http_perl_module --with-mail --with-file-aio --with-mail_ssl_module --with-ipv6 --add-module=/builddir/build/BUILD/nginx-1.2.8/ngx_cache_purge-2.0 --with-cc-opt='-O2 -g -pipe -Wall -Wp,-D_FORTIFY_SOURCE=2 -fexceptions -fstack-protector --param=ssp-buffer-size=4 -m64 -mtune=generic' --with-ld-opt=-Wl,-E