Quantum Health
  • - Clinical Services
  • Columbus, OH, USA
  • Full Time

Job Title: Clinical Team Lead

Working Group:  Clinical Operations

Reports to:  Pod Manager

Purpose: The Clinical Team Lead is responsible for working in partnership with the POD Management Team and clinical staff in the assigned POD(s) to ensure consistency of clinical activities within Quantum Health's clinical program. This position will also serve as a coach and role model to promote Quantum Health's mission and core values.

Duties and responsibilities:

  • Provides ongoing coaching, education and mentorship for Pod clinical staff
  • Provide clinical Pod support to include: triage PSR (Patient Service Representative) questions and provide clinical guidance as indicated, triage clinical questions and resolve/delegate appropriately, be available as clinical resource/support for Pod Manager, Assistant Pod Manager, PSR Team Lead, and Pod clinical staff.
  • Communicates and collaborates with the clinical team/Pod management team within the Pod to assist member/provider in the care coordination process
  • Leads daily huddles for collaboration of workload and case discussions
  • Works with the Pod manager in communicating client/benefit changes that affect the clinical role or function within the Pod.
  • Maintains a working knowledge of all clinical workflows and policies
  • Provides clinical updates and education during Pod meetings
  • Assist with training/mentoring of new clinical staff within the Pod
  • Support the Pod manager in assuring smooth integration of clinical functions within the Pod
  • Assists with evaluation/monitoring of clinical pod members
  • In conjunction with Technical Operations and other clinical team members, responsible for monitoring and adjusting daily clinical work load within the Pod.
  • Other duties as assigned by the Pod Manager/Clinical Management

 Skills and Qualifications:

  • Active unrestricted license as a Registered Nurse in the State of Ohio
  • Minimum of two years clinical experience
  • Experience in care management/coordination programs and services
  • Experience in mentoring and/or coaching in a clinical setting
  • Diverse knowledge base of role and function of all nursing functions within the Pod
    • Strong ability to communicate effectively with members and providers  in implementing  clinical services program functions
    • Ability to make decisions that are timely and well thought out that achieve results consistent with business goals and organizational culture
    • Ability to work independently and self-directed with limited need for day to day supervision
    • Possess excellent time management skills
    • Ability to function in a team environment that requires effective collaboration, role blending & direct communication
    • Possess excellent verbal and written communication skills
    • Computer literate with the ability to use Microsoft office suite software
    • Certification in case management preferred or ability to achieve within 1 year of acceptance of position
    • Understanding of self-funded insurance plans and the business associates roles and functions i.e.   (TPA PBM, Network, Stop loss carrier)

Join our Quantum culture which rewards hard work while having fun!  Benefits include:

  • 3 weeks paid vacation
  • Medical/dental/vision insurance including domestic partner benefits
  • 401k (up to 4% match)
  • On-site amenities include fitness facility, ping pong tables, serenity room
  • Paid maternity and paternity leave for births and adoptions
  • Free beverages, snacks and ALWAYS fresh-popped popcorn

Want to join our winning culture?  Then apply today at http://www.quantum-health.com/careers/

 




This position has been closed and is no longer available.
Quantum Health

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