Care Management Clinician – Team Lead

PACIFICSOURCE

. Manage Clinical Care Managers for assigned lines of business .

Posted 10/14/2026full-timeRemote • North Carolina • 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 advocacy, assessment, planning, and resource management. Possesses strong leadership skills to manage and develop teams while ensuring effective service delivery and compliance with health plan standards.

Highest-signal resume keywords

Clinical Case ManagementRegistered Nurse (RN) LicenseCertified Case Manager (CCM)Health Plan ExperienceSupervisory Experience

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 EvaluationAdvocacyAssessmentResource Management

Soft Skills

Effective CommunicationAdult Education SkillsGroup Leadership SkillsProblem-SolvingInterpersonal Skills

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 InsuranceState Mandated BenefitsLean MethodologiesEvidence-Based ToolsProcess Improvement

About the role

Key responsibilities & impact

Manage Clinical Care Managers for assigned lines of business
Hire, train, coach, counsel, and evaluate team member performance
Lead development, implementation, operation, and maintenance of assigned programs, services, or functions
Monitor daily workflow, caseloads, task distribution, volume, timelines, accuracy, customer service, and performance measures
Provide orientation, ongoing supervision, training, evaluation, and leadership to assigned team members
Participate in hiring decisions with the Director and/or Health Services Manager and Human Resources
Assist with process improvement and interdepartmental processes using lean methodologies and visual boards
Serve as liaison with PacificSource departments and community partners
Serve on internal and external committees as required
Utilize and promote evidence-based tools
Maintain a modified caseload
Facilitate investigation and resolution of process-related issues and conflicts
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 policies, procedures, and processes to team members
Facilitate team operations through information sharing, problem-solving recommendations, and standardization of Health Services operations
Represent the Health Services Department internally and externally
Meet department and company performance and attendance expectations
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
Ability to deal effectively with people who have various health issues and concerns
Strong analytical and organizational skills with 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
Ability to read and comprehend written and spoken English
Ability to communicate clearly and effectively
Ability to stoop and bend, sit and/or stand for extended periods, perform repetitive motions, and lift/carry files and business materials

Benefits

Comp & perks

Equal opportunity employment
Ergonomically configured equipment
Professional development through orientation, training, coaching, and ongoing leadership
Work-from-home arrangement
Paid travel for approximately 5% of work time