Clinical Team Lead - Remote Work Opportunity

Position at a Glance:

• Location: Remote
• Compensation: Competitive Salary ($26-$36/Hour)
• Start Date: Immediate openings available
• Company: Workwarp (working for Aeetna)
• Position: Clinical Team Lead - Remote Work Opportunity

Position Summary:

As a Clinical Team Lead, you will play a vital role in coordinating comprehensive patient care by assessing needs, developing personalized care plans, and facilitating services across healthcare providers. You will serve as a patient advocate, ensuring effective communication, resource utilization, and continuous monitoring to promote positive outcomes and enhance overall well-being. You will be accountable for supporting the day-to-day operations of the team, ensuring workflow efficiency and performance goals are met. This role requires fostering collaboration and teamwork among all department members.

Fundamental Components & Expectations:

• Serve as a content model expert for the regional team.
• Mentor team members on best practices, quality of interventions, problem resolution, and critical thinking.
• Provide real-time support to Clinical Management (CM) staff.
• Ensure adherence to plan sponsor performance targets.
• Articulate requirements to meet performance goals.
• Provide ongoing education to staff regarding opportunities and processes.
• Review and support adherence to policies and procedures.
• Provide support and education related to critical thinking and problem-solving.
• Escalate resolved cases and provide team education post-resolution.
• Communicate effectively with diverse audiences.
• Conduct routine data cleaning to ensure data accuracy and reliability in the EHR system.
• Collaborate with peers, leaders, and cross-functional partners to maintain quality metrics and identify process improvement opportunities.
• Organize and prioritize tasks effectively.
• Assist supervisors with reports to understand trends and maintain high levels of service.
• Design complex collaboration tools to facilitate effective clinical teamwork and information sharing.
• Identify opportunities to assist clinical case managers with scheduling, referrals, and secure document sharing.
• Install reporting tools and dashboards to identify trends, measure intervention impact, and inform quality improvement initiatives.
• Maintain an adjusted caseload.
• Assist with project logistics (agendas, meeting arrangements, minutes).
• Collect and write up success stories.
• Precept new staff as needed.
• Serve as a Subject Matter Expert regarding daily workflows.
• Promote a positive work environment that fosters teamwork.
• Consult frequently with the Regional Supervisor/Manager and maintain open communication.

Required Qualifications:

• Active, unrestricted KS State License in the applicable functional area (RN or Clinical BH license - e.g., LCPC, LCSW, LMFT, or LMHC).
• 3+ years of clinical experience required.
• Willing and able to travel up to 25% of time to meet members face-to-face within the western region of KS (Northwest, west-central, and Southwest).
• Reliable transportation required; mileage reimbursed per company policy.

Preferred Qualifications:

• 3+ years of managed care experience.
• Proficiency with computer skills, including navigating multiple systems and Excel experience.
• Time-efficient and highly organized.
• Exceptional communication skills.
• Ability to mentor and support staff to meet business needs.
• Working knowledge of problem-solving and decision-making skills.
• Working knowledge of medical terminology.
• Working knowledge of digital literacy skills.
• Ability to deal tactfully with customers and community.
• Ability to handle sensitive information ethically and responsibly.
• Ability to consider the relative costs and benefits of potential actions to choose the most appropriate option.
• Ability to function in clinical settings with diverse cultural dynamics of clinical staff and patients.

USA Job Market Trends: The healthcare landscape is dynamic, with key trends including the continued growth of remote work, the increasing demand for technology and digital skills, and a strong need for healthcare professionals. The pandemic accelerated these trends, and companies are adapting to a more flexible and digitally-driven workforce. There is also a growing emphasis on health and well-being initiatives, diversity and inclusion, and continuous learning and development.

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