Team Leader - RN

Take on a leadership role where clinical expertise, team development, and operational excellence come together to improve healthcare delivery. As a Registered Nurse Team Leader, you will oversee departmental activities, guide nursing and non-nursing staff, and ensure that utilization management services meet established quality and compliance standards. You will collaborate with physicians, medical directors, care management professionals, and other healthcare stakeholders to support appropriate, patient-centered care decisions. Through data analysis and performance monitoring, you will identify opportunities to improve workflows, optimize resources, and strengthen departmental outcomes. This role offers the opportunity to coach professionals, drive continuous improvement, and contribute to effective healthcare resource management. Join a collaborative environment where sound clinical judgment, accountability, and strategic thinking make a meaningful difference.

• Education: Associate degree in Nursing or a Registered Nurse diploma is required. A bachelor's degree in Nursing or a related field is preferred.

• Clinical experience: Three to six years of clinical nursing experience, along with at least two years of supervisory experience.

• Professional licensure: An active, unrestricted Registered Nurse license issued by the State of Michigan is required.

• Utilization management expertise: At least three years of utilization management or utilization review experience in an acute care, health plan, or managed care setting is preferred.

• Clinical criteria knowledge: Demonstrated proficiency in applying and interpreting InterQual criteria, including Post Acute Care subsets, to support medical necessity and level-of-care determinations is preferred.

• Regulatory and quality knowledge: Familiarity with National Committee for Quality Assurance (NCQA) utilization management standards, accreditation requirements, and quality improvement processes is preferred. Knowledge of Centers for Medicare & Medicaid Services (CMS) regulations is an advantage.

• Leadership capabilities: Experience leading teams, coaching employees, resolving conflicts, managing change, facilitating collaborative problem-solving, and improving departmental performance is preferred.

• Care coordination experience: Background in care coordination or leadership of care coordination teams, including collaboration with care management professionals and medical directors, is preferred.

• Clinical judgment and analytical skills: Strong critical thinking, clinical decision-making, organizational, planning, and analytical abilities, with experience monitoring quality metrics, regulatory compliance, and operational performance.

• Communication and interpersonal skills: Excellent written and verbal communication skills, with the ability to work effectively with physicians, interdisciplinary teams, senior leadership, employees, and external stakeholders.

• Operational and technical proficiency: Working knowledge of standard PC applications, healthcare information systems, and mainframe systems is preferred. The ability to analyze reports, identify trends, and translate findings into actionable improvements is essential.

• Time management and adaptability: Strong prioritization skills and the ability to manage competing demands while meeting regulatory deadlines, staffing needs, and operational objectives.

• Commitment to patient-centered care: A demonstrated commitment to high-quality, compliant, and appropriate healthcare services, with an emphasis on continuous improvement and responsible resource utilization.

• Additional requirements for on-site assignments: Where applicable, candidates must be able to travel daily to an assigned facility, maintain proof of automobile liability coverage, and have a valid Michigan driver's license and reliable personal transportation.