Care Management Clinician Team Lead

PACIFICSOURCE

. Manage Clinical Care Managers for assigned lines of business .

Posted 10/14/2026full-timeRemote • Florida • United StatesSenior💰 $83,212 - $137,300 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates extensive experience in clinical case management, including supervision and training of team members, while effectively utilizing evidence-based tools and methodologies to improve processes and outcomes. Holds relevant certifications and licenses, ensuring compliance with health plan standards and regulations.

Highest-signal resume keywords

Clinical Case ManagementRegistered Nurse (RN) LicenseCertified Case Manager (CCM)Supervisory ExperienceHealth Insurance Knowledge

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Case Management PracticeUtilization ManagementBehavioral Health ManagementAnalytical SkillsOrganizational SkillsInformation Systems ProficiencyReport EvaluationProcess ImprovementEvidence-Based ToolsAdult Education/Teaching

Soft Skills

Accountable LeadershipCollaborationWritten CommunicationVerbal CommunicationCritical Thinking

Tools & Technologies

Microsoft WordMicrosoft ExcelMicrosoft PowerPointAudio-Visual Equipment

Certifications & Qualifications

Registered Nurse (RN) LicenseLicensed Professional Counselor (LPC)Licensed Marriage and Family Therapist (LMFT)Licensed Clinical Social Worker (LCSW)Certified Case Manager (CCM)

Industry Keywords

Health Plan ExperienceState Mandated BenefitsService FacilitationAdvocacyResource Management

About the role

Key responsibilities & impact

Manage Clinical Care Managers for assigned lines of business
Hire, train, coach, counsel, and evaluate team member performance
Participate in program development, implementation, operation, and maintenance
Supervise direct reports and provide guidance on company policies, procedures, and operations
Manage team quality, productivity, workflow, assignments, caseloads, timelines, accuracy, customer service, and performance measures
Monitor daily workflow and caseloads to ensure appropriate task distribution and processing
Orient and train new hires
Provide ongoing supervision, training, evaluation, and leadership, including annual reviews and involvement in promotions or terminations
Participate in hiring decisions with leadership and Human Resources
Assist with process improvement using lean methodologies and visual boards
Serve as liaison with PacificSource departments and community partners
Serve on internal and external committees as assigned
Promote and utilize evidence-based tools
Maintain a modified caseload
Investigate and resolve process-related issues and facilitate conflict resolution
Oversee and assist with service and information delivery to members, providers, employers, agents, and other customers
Provide backup to departmental teams or management staff
Communicate policy, procedure, and process changes to team members
Facilitate team operations, information sharing, problem-solving, and standardization of Health Services operations
Represent the Health Services Department internally and externally
Perform other duties as assigned

Requirements

What you’ll need

Minimum of five years clinical experience, including case management experience
Minimum of three years direct health plan experience in case management, utilization management, behavioral health, and/or disease/condition management strongly preferred
Prior supervisory experience preferred
Active, unrestricted Registered Nurse (RN) license, Licensed Professional Counselor (LPC), Licensed Marriage and Family Therapist (LMFT), or Licensed Clinical Social Worker (LCSW) credential required
Certified Case Manager Certification (CCM) accredited by CCMC required at time of hire or within two years of hire date
Knowledge of health insurance and state mandated benefits
Thorough knowledge and experience in case management practice, including advocacy, assessment, planning, communication, education, resource management, and service facilitation
Effective adult education/teaching and/or group leadership skills
Strong analytical and organizational skills
Experience using information systems and computer applications
Ability to develop, review, and evaluate utilization and case management reports
Strong computer skills, including Word, Excel, and PowerPoint
Ability to use audio-visual equipment
Ability to work independently with minimal supervision
Skills in accountable leadership, collaboration, written/verbal communication, critical thinking, decision making, influencing, active listening, and organizational planning
Ability to read and comprehend written and spoken English
Ability to communicate clearly and effectively
Ability to stoop, bend, sit and/or stand for extended periods, and perform repetitive typing, sorting, and filing
Light lifting and carrying of files and business materials
Travel approximately 5% of the time

Benefits

Comp & perks

Equal opportunity employment
Ergonomically configured equipment
Professional development through orientation, training, coaching, counseling, and ongoing evaluation
Team member support and leadership development
Employment remains at-will