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

Overview 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. Caring. Connecting. Growing together. Primary Responsibilities Responsible for onboarding new teammates, providing training for assigned work, and monitoring quality of work performance during the probationary period. In collaboration with the management team, provide ongoing training to teammates identified through quality auditing where opportunities are identified to improve performance or productivity. 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 researching the inquiry and providing a summary to leadership for actions needed. Manage health plan escalations in collaboration with the delegation oversight team. Develop and maintain all job aids that support system and processes for the assigned team. Support 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. Schedule teammates when applicable. Communicate internal messaging on upcoming changes and plans for operational readiness related to membership, programs, regulations, or health plan changes. Provide technology training and change readiness monitoring in support of system modifications. Monitor post‑implementation programs/processes and re‑train to assure quality and performance meet team goals. Implement and monitor process changes needed to support CAP remediation in close collaboration with the delegation oversight team. Work with teams to bring forward patients for IDT collaboration. Monitor team caseloads and productivity and make recommendations to leadership for workforce management. Professional Competencies Demonstrate knowledge of PC applications including MS Office Suite. Use written and oral communication skills. Read and interpret data. Write clear, grammatically correct, easy‑to‑use instructional documentation. Identify learning needs, set goals, and seek educational opportunities. Analyze problems and formulate appropriate plans, solutions, and courses of action. Communicate with age‑specific sensitivity and listen actively, responding to internal and external customers in a timely, competent manner both verbally and nonverbally. Work with frequent interruptions. Establish and maintain cooperative working relationships with individuals at all levels of the organization and affiliates. Maintain confidentiality of patient and all related entity business matters of the organization and its partners. Manage details and work with accuracy. Recognize and act appropriately in situations where patient care needs exceed medical certification. Collaborate on projects with colleagues. Work effectively under deadlines and changing priorities. Skills Promote a positive and productive work environment by acting maturely and responsibly, performing job responsibilities, and conducting oneself in a professional, courteous, and respectful manner toward fellow employees, physicians, and patients. Relate to other people beyond giving and receiving instructions: get along with co‑workers or peers without exhibiting extreme behavior, perform work activities requiring negotiating, instructing, supervising, persuading, or speaking with others, and respond openly and appropriately to feedback regarding performance from a supervisor. Integrate Lean principles, practices, and tools to improve operational efficiency, reduce costs, and increase customer satisfaction. Perform all duties in a manner that promotes and supports the Core Values and Mission Statement. Have working knowledge of health care delivery systems. Work as an interdisciplinary team member with physicians, administration, staff, and other managers. Follow written and oral instructions and complete routine tasks independently. Ensure confidentiality of patient information following HIPAA guidelines and company policies. Attend and complete training to meet job requirements and as needed or mandated by company policies and regulations. Maintain regular and predictable attendance. Required Qualifications Associate’s Degree in a 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 Bachelor’s Degree. Supervisory experience. Project management experience. Benefits Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. The hourly pay for this role will range from $35.00 to $62.50 per hour based on full‑time employment. In addition to salary, we offer a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401(k) contribution (all benefits are subject to eligibility requirements). We comply with all minimum wage laws as applicable. Remote Work Policy Employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy. Equal Employment Opportunity 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. Drug‑Free Workplace All candidates are required to pass a drug test before beginning employment. #J-18808-Ljbffr Stryker Corporation