UM Clinical Team Lead: Care Coordination & Outcomes

MetroPlusHealth; New York (NY); Hybrid; USD 80,000 - 100,000; Full time

Job summary

MetroPlus Health in New York is seeking a Clinical Team Lead to manage both simple and complex medical cases to ensure high-quality patient care outcomes. The role involves the coordination of services and evaluating care alternatives under the guidance of the Vice President of Clinical Services.

Candidates should possess a High School Diploma or GED and 2-5 years of clinical experience, with a valid New York State license for Registered Nurse or related fields. This position offers a hybrid work model.

Qualifications

• 2-5 years' clinical experience in an acute or applicable care setting.
• UM/UR experience in managed care or hospital setting required.
• Valid New York State license for RN, LPN, or PT.

Responsibilities

• Manage both simple and complex medical cases effectively.
• Coordinate services to improve patient care outcomes.
• Review and approve care following established guidelines.
• Conduct medical record reviews as needed.

Skills

Care management

Clinical experience

Communication skills

Analytical skills

Education

High School Diploma or GED

Job description

MetroPlus Health in New York is seeking a Clinical Team Lead to manage both simple and complex medical cases to ensure high-quality patient care outcomes. The role involves the coordination of services and evaluating care alternatives under the guidance of the Vice President of Clinical Services.

Candidates should possess a High School Diploma or GED and 2-5 years of clinical experience, with a valid New York State license for Registered Nurse or related fields. This position offers a hybrid work model.