Care Guide Team Lead

Leap

4d•$100,000 - $110,000•Remote

About The Position

The Care Guide Team Lead is a hybrid clinical and people-management role for a senior Registered Nurse. Reporting directly to the Senior Clinical Manager, Care Guides, the Team Lead manages a caseload of up to 40 active members while leading a pod of 5–7 Care Guide RNs. The role owns team performance, development, coaching, and formal evaluations, and serves as the pod’s first line of clinical leadership. The position requires an active Registered Nurse license and is based remotely for candidates residing in California, Washington, Nevada, Oregon, or Idaho, with full-time Monday–Friday hours from 10 AM to 6 PM PST. The Team Lead provides clinical guidance for complex situations, identifies quality and performance issues, and helps foster a culture of clinical excellence. They also provide direct patient support throughout home infusion therapy, including medication education, pre- and post-infusion check-ins, documentation, and coordination with providers and nursing agencies.

Requirements

Active Registered Nurse (RN) license.
At least 5 years of clinical experience, including at least 2–3 years in infusion therapy, home health, or specialty nursing.
At least 6 months as a Care Guide at Leap, or equivalent RN-level patient coordination experience, with a strong performance record.
Prior experience managing, formally evaluating, or directly developing other clinical staff; informal mentorship alone is insufficient.
Ability to give direct, honest, and constructive feedback, including in difficult performance conversations.
Ability to manage a caseload of up to 40 active members while actively leading a team of 5 RNs.
Strong clinical communication skills with patients, providers, nursing agencies, and internal teammates.
Highly organized and self-directed, with the ability to manage clinical and leadership priorities in a fully remote environment.
Reside in California, Washington, Nevada, Oregon, or Idaho.
Available to work full-time Monday–Friday, 10 AM–6 PM PST.

Nice To Haves

Prior charge nurse, lead coordinator, or formal supervisory experience.
Infusion-specific certification such as CRNI or equivalent.
Experience building or improving clinical workflows, SOPs, or training materials.
Fluency in Spanish, spoken and written.

Responsibilities

Directly manage 5–7 Care Guide RNs, overseeing their daily work, development, performance, and wellbeing.
Conduct weekly one-on-one meetings with direct reports, providing clinical coaching, real-time feedback, and career development support.
Set goals, track progress, deliver written performance reviews, and make compensation recommendations in partnership with the Senior Clinical Manager.
Address performance concerns, document issues, create improvement plans when needed, and escalate matters to the Senior Clinical Manager as appropriate.
Manage scheduling, PTO coverage, and workload balancing across the pod.
Lead onboarding for new Care Guide hires, including clinical orientation, documentation standards, early-stage feedback, and support in building a full caseload.
Participate in Care Guide hiring panels and contribute clinical and cultural assessment.
Carry a personal caseload of up to 40 active members as their primary clinical contact throughout home infusion therapy.
Provide RN-level medication education to patients and caregivers, covering drug mechanisms, administration protocols, side-effect management, adverse-event triage, and treatment expectations.
Conduct pre-infusion check-ins to verify medication receipt, confirm patient understanding, and address clinical concerns.
Conduct post-infusion follow-up to assess patient experience, document outcomes, and address adverse events.
Send accurate, time-sensitive post-infusion documentation to providers within the required service-level agreement.
Coordinate with nursing agencies on appointment confirmation and scheduling exceptions for the Team Lead’s panel.
Receive clinical handoff packages from Intake Coordinators and maintain clinical continuity from onboarding through active treatment.
Serve as the pod’s first clinical escalation point, handling complex questions, resolving blockers, and routing issues to the Senior Clinical Manager when senior judgment is required.
Monitor pod-level quality metrics, including patient NPS, completion of pre- and post-infusion check-ins, and documentation SLA compliance.
Identify clinical quality or documentation gaps and drive corrections through coaching, process changes, or escalation as appropriate.
Model Leap’s clinical documentation standards and patient engagement approach.
Contribute to SOPs, clinical checklists, and training materials as the team scales.