RN Care Management Clinical Team Lead - Remote

UnitedHealth Group•Los Alamitos, CA

2d•Remote

About The Position

The Clinical Team Lead will provide operational support to managers and supervisors for the assigned program. The Team lead is an individual contributor. Team lead assignments will be highly dependent on operational needs and priorities. The team leader will work closely with leaders to use data and reporting to identify and prioritize supports needed. They will act as subject matter experts for system and program support. You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. Prefers Southern California, but candidates could live outside of California if they have a good candidate.

Requirements

Demonstrate knowledge of PC applications including MS Office Suite
Ability to use written and oral communication skills
Ability to read and interpret data
Skill in writing clear, grammatically correct, easy–to-use instructional documentation
Ability to identify learning needs, set goals and seek educational opportunities
Ability to analyze problems and formulate appropriate plans, solutions and courses of action
Knowledge of age specific communication is needed with the ability to listen actively and respond to internal and external customers in a timely, competent manner both verbally and nonverbally
Ability to work with frequent interruptions
Ability to establish and maintain cooperative working relationships with individuals at all levels of the organization and affiliates
Ability to maintain confidentiality of patient and all related entity business matters of the organization and its partners
Ability to manage detail and work with accuracy
Ability to recognize and act appropriately in situations where patient care needs exceed medical certification
Skill in working with a team; ability to collaborate on projects with colleagues
Skill in working effectively under deadlines and changing priorities
All staff members are to promote a positive and productive work environment by acting maturely and responsibly, satisfactorily performing his or her job responsibilities and conducting themselves in a professional, courteous, and respectful manner toward fellow employees, physicians and patients
Must relate to other people beyond giving and receiving instructions: (a) get along with co-workers or peers without exhibiting behavioral extreme; (b) perform work activities requiring negotiating, instructing, supervising, persuading, or speaking with others; and (c) respond openly and appropriately to feedback regarding performance from a supervisor
Integrates Lean principles, practices, and tools to improve operational efficiency, reduce costs and increase customer satisfaction
Perform all duties in a manner which promotes and supports the Core Values and Mission Statement
Working knowledge of health care delivery systems
Work as an interdisciplinary team member with members, physicians, administration, staff and other managers
Frequently follow written and oral instructions and complete routine tasks independently
Ensures confidentiality of patient information following HIPAA guidelines and company policies
Attends/completes training to meet requirements of the job position and as needed or mandated by company policies and regulations
Has regular and predictable attendance
Unrestricted RN license
California license
3+ years of broad-based clinical experience and an expert in their respected function

Nice To Haves

Bachelor’s degree
BLS if working in a clinical setting

Responsibilities

Onboarding new teammates, provide training for the assigned work and monitor quality of work performance during the probationary period
In collaboration with the management team will provide ongoing training to teammates identified through quality auditing where opportunities are identified to improve performance or productivity
In collaboration with the management will develop and provide training to teams for all new, updated processes and workflows. Training attendance will be documented and submitted with the Operational Support team
Manage patient and provider escalations or grievances by providing research into the inquire and provide a summary to the leadership for actions needed
Manage health plan escalations in collaboration with the delegation oversight team
Development and maintenance of all job aids that support system and processes for the assigned team
Support for organizational realignment and change management by providing training, document updates and communication
Support resource planning and allocation by reviewing daily assignments, shifting resource assignments when necessary to manage daily workloads
Teammate scheduling when applicable
Internal messaging and communication on upcoming changes and plans for operational readiness related to membership, programs, regulations or health plan changes
Technology training and change readiness monitoring in support of system modifications
Post implementation program/process monitoring and re-training to assure quality and performance meet team goals
Implementation and monitoring of process changes needed to support CAP remediation in close collaboration with the Delegation oversight team
Works with teams to bring forward patients for IDT collaboration
Monitors team caseloads and productivity and make recommendations to leadership for workforce management