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RN Care Management Clinical Team Lead - Remote
<p><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;">Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start<strong> Caring. Connecting. Growing together.</strong></span></p><p><br><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;">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.</span></p><p><br><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;">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.</span></p><p> </p><p><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;"><strong>Primary Responsibilities:</strong></span></p><ul><li><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;">Onboarding new teammates, provide training for the assigned work and monitor quality of work performance during the probationary period</span></li><li><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;">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</span></li><li><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;">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</span></li><li><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;">Manage patient and provider escalations or grievances by providing research into the inquire and provide a summary to the leadership for actions needed</span></li><li><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;">Manage health plan escalations in collaboration with the delegation oversight team</span></li><li><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;">Development and maintenance of all job aids that support system and processes for the assigned team</span></li><li><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;">Support for organizational realignment and change management by providing training, document updates and communication</span></li><li><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;">Support resource planning and allocation by reviewing daily assignments, shifting resource assignments when necessary to manage daily workloads</span></li><li><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;">Teammate scheduling when applicable</span></li><li><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;">Internal messaging and communication on upcoming changes and plans for operational readiness related to membership, programs, regulations or health plan changes </span></li><li><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;">Technology training and change readiness monitoring in support of system modifications</span></li><li><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;">Post implementation program/process monitoring and re-training to assure quality and performance meet team goals</span></li><li><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;">Implementation and monitoring of process changes needed to support CAP remediation in close collaboration with the Delegation oversight team </span></li><li><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;">Works with teams to bring forward patients for IDT collaboration</span></li><li><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;">Monitors team caseloads and productivity and make recommendations to leadership for workforce management</span></li></ul><p><br><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;"><strong>Professional Competencies:</strong></span></p><ul><li><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;">Demonstrate knowledge of PC applications including MS Office Suite </span></li><li><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;">Ability to use written and oral communication skills</span></li><li><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;">Ability to read and interpret data</span></li><li><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;">Skill in writing clear, grammatically correct, easy–to-use instructional documentation </span></li><li><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;">Ability to identify learning needs, set goals and seek educational opportunities </span></li><li><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;">Ability to analyze problems and formulate appropriate plans, solutions and courses of action </span></li><li><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;">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</span></li><li><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;">Ability to work with frequent interruptions </span></li><li><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;">Ability to establish and maintain cooperative working relationships with individuals at all levels of the organization and affiliates </span></li><li><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;">Ability to maintain confidentiality of patient and all related entity business matters of the organization and its partners </span></li><li><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;">Ability to manage detail and work with accuracy </span></li><li><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;">Ability to recognize and act appropriately in situations where patient care needs exceed medical certification </span></li><li><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;">Skill in working with a team; ability to collaborate on projects with colleagues </span></li><li><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;">Skill in working effectively under deadlines and changing priorities</span></li></ul><p><br><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;"><strong>Skills:</strong></span></p><ul><li><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;">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</span></li><li><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;">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</span></li><li><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;">Integrates Lean principles, practices, and tools to improve operational efficiency, reduce costs and increase customer satisfaction</span></li><li><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;">Perform all duties in a manner which promotes and supports the Core Values and Mission Statement</span></li><li><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;">Working knowledge of health care delivery systems</span></li><li><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;">Work as an interdisciplinary team member with members, physicians, administration, staff and other managers</span></li><li><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;">Frequently follow written and oral instructions and complete routine tasks independently</span></li><li><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;">Ensures confidentiality of patient information following HIPAA guidelines and company policies</span></li><li><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;">Attends/completes training to meet requirements of the job position and as needed or mandated by company policies and regulations</span></li><li><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;">Has regular and predictable attendance</span></li></ul><p><br><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;">*Note: This job description is not comprehensive of all duties/responsibilities performed. Management retains the right to alter this job description at any time. *</span></p><p><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;"><strong>The information listed above is not comprehensive of all duties/responsibilities performed. This job description is not an employment agreement or contract. Management has the exclusive right to alter this job description at any time without notice.</strong></span></p><p><br><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;">You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.</span></p><br><br><p><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;"><strong>Required Qualifications:</strong></span></p><ul><li><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;">Unrestricted RN license </span></li><li><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;">California license </span></li><li><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;">3+ years of broad-based clinical experience and an expert in their respected function</span></li></ul><p><br><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;"><strong>Preferred Qualifications:</strong></span></p><ul><li><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;">Bachelor’s degree </span></li><li><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;">BLS if working in a clinical setting</span></li></ul><p><br><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;">*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy</span></p><p><br><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;">Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800 to $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.</span></p><p><br><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;"><strong>Application Deadline: </strong>This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.</span></p><p style="text-align:center;"><br><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;"><i>At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.</i></span></p><p style="text-align:center;"> </p><p style="text-align:center;"> </p><p style="text-align:center;"><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;"><i>UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.</i></span></p><p style="text-align:center;"><br><span style="font-family:Tahoma, Geneva, sans-serif;font-size:10px;"><i>UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.</i></span></p>