RN Care Management Clinical Team Lead - Los Angeles, CA - Hybrid

Requisition number: 2361548

Job category: Nursing

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 Caring. Connecting. Growing together.

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.

If you are located in Southern CA, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

• Responsible for 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

Professional Competencies:

• 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

Skills:

• 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

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.

Required Qualifications:

• Associate's Degree in related clinical field from an accredited college

• Current, unrestricted California RN license

• 3+ years of broad-based clinical experience and an expert in their respected function

• Acute inpatient experience

Preferred Qualifications:

• Bachelors Degree

• Supervisory experience

• Project management experience

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.

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 hourly pay for this role will range from $35.00 to $62.50 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

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.

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.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.