RN Team Leader: Clinical Operations & Utilization Mgmt

Jobgether; United States; Hybrid; USD 90,000 - 120,000; Full time

Benefits offered by this job

Leadership development

Collaborative healthcare teams

Remote work option

Job summary

Jobgether is seeking an experienced healthcare operations leader to oversee departmental operations, supervise staff, coordinate workloads, and drive improvements in quality and regulatory compliance. The role involves supporting clinical decision-making, managing utilization review, and coordinating with interdisciplinary teams to achieve optimal patient care and efficiency.

The position emphasizes leadership, change management, and collaboration with physicians and care management

Responsibilities

• Lead departmental operations: Plan, coordinate, and supervise assigned departments or functional areas to ensure efficient, cost-effective operations in accordance with organizational policies, procedures, and regulatory requirements.
• Supervise and develop staff: Oversee recruitment, onboarding, coaching, performance management, and professional development. Promote accountability, employee engagement, collaboration, and continuous improvement across the team.
• Coordinate workloads and resources: Prioritize and assign responsibilities, manage staffing requirements, adjust schedules and overtime when necessary, and implement corrective measures to address operational challenges.
• Improve processes and performance: Research internal and external best practices, identify opportunities to improve workflows, and recommend strategic changes to optimize technology, personnel, equipment, and departmental resources.
• Support clinical decision-making: Provide guidance to non-nursing staff on clinical matters and collaborate with medical consultants, medical directors, healthcare providers, and interdisciplinary teams to develop appropriate treatment plans and care goals.
• Oversee utilization management activities: Review clinical assessment triggers, care plan goals, and goal completion rates to support appropriate medical necessity determinations, care planning, and utilization review processes.
• Monitor quality and compliance: Analyze operational reports, staffing data, inventories, statistical trends, and departmental performance indicators to identify issues, measure outcomes, and implement improvement initiatives.
• Ensure regulatory and policy adherence: Apply relevant organizational policies, departmental procedures, utilization management standards, and applicable healthcare regulations to maintain compliant and high-quality services.
• Manage stakeholder relationships: Communicate effectively with internal and external stakeholders at all organizational levels, resolve inquiries and operational concerns, and foster productive working relationships with clinical and administrative teams.
• Support strategic resource planning: Recommend the acquisition of technology, tools, equipment, and other resources to improve departmental productivity, service quality, and operational effectiveness.

Job description

Jobgether is seeking an experienced healthcare operations leader to oversee departmental operations, supervise staff, coordinate workloads, and drive improvements in quality and regulatory compliance. The role involves supporting clinical decision-making, managing utilization review, and coordinating with interdisciplinary teams to achieve optimal patient care and efficiency.

The position emphasizes leadership, change management, and collaboration with physicians and care management