Care Management Clinician Team Lead

Join PacificSource and help our members access quality, affordable care!

• →Take a leadership role in the development, implementation, and ongoing operation and maintenance of assigned programs, services, or functions.
• →Improve the performance of the department through effective oversight and coaching of team members, managing team performance and improving processes and outcomes. Monitor daily workflow and caseloads and other work processes of team to assure appropriate distribution and processing of tasks.
• →Responsible for the orientation and training of new hires.
• →Provide ongoing supervision, training, evaluation, and leadership to assigned team members. This may include annual reviews, involvement in promotions and/or terminations of employees.
• →Participate in hiring decisions in concert with Director and/or Health Services Manager and Human Resources.
• →Monitor, evaluate and take action on team assignments relating to volume, timelines, accuracy, customer service, and other quality and performance measures as appropriate.
• →Assist with process improvement and work with other departments to improve interdepartmental processes. Utilize lean methodologies for continuous improvement. Utilize visual boards to monitor key performance indicators and identify improvement opportunities.
• →Serve as liaison with other PacificSource departments or community partners to coordinate optimal provision of service and information. Serve on various internal and external committees as required or designated. Document and report any pertinent communications back to the team or department.
• →Utilize and promote use of evidence-based tools.
• →Maintain modified caseload consistent with assigned responsibilities.
• →Facilitate investigation and resolution of process-related issues as needed. Facilitate conflict resolution, including interfacing with affected departments and individuals, as appropriate.
• →Oversee and assist in providing exceptional service and information to members, providers, employers, agents, and other external and internal customers.
• →Practices and models effective communication skills; both written and verbal.
• →Provide backup to other departmental teams or management staff, as needed.

• →Meet department and company performance and attendance expectations.
• →Relate new or revised policies, procedures and/or processes to team members to ensure they have the most up‐to‐date and current information.
• →Facilitate team operations by discussions through the sharing of information and knowledge, identification of teamwork issues, development of problem‐solving recommendations, and recommendations of standardizing Health Services operations.
• →Represent the Heath Services Department, both internally and externally, as requested by Health Services Manager and/or Director.
• →Perform other duties as assigned.

We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business:

• We are committed to doing the right thing.

• We are one team working toward a common goal.

• We are each responsible for customer service.

• We practice open communication at all levels of the company to foster individual, team and company growth.

• We actively participate in efforts to improve our many communities-internally and externally.

• We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community.

• We encourage creativity, innovation, and the pursuit of excellence.

Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively.

Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.