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　　Position Summary

　　Administers processes to coordinate and facilitate comprehensive care for individuals by assessing their needs, developing personalized care plans, and coordinating services across healthcare providers. Serves as advocate for patients, ensuring effective communication, resource utilization, and continuous monitoring of their progress to promote positive outcomes and enhance overall well-being. The Clinical Team Lead is accountable to leadership to support the day to day operations of the team. This position has no supervisory oversight of staff. However, does require a solid understanding of the workflows, policies and procedures to ensure the team is functioning at a successful level, as evidenced by meeting performance guarantees and plan sponsor expectations. The role requires promoting cooperation and team-building between all department members.

　　Fundamental Components/Expectations

　　Serve as a content model expert for the regional team

　　Mentor team regarding best practice standards, quality of interventions, problem resolution and critical thinking

　　Provide support to the CM staff in real time

　　Provide support ongoing to ensure adherence to plan sponsor performance targets

　　Must be able to articulate the requirements to meet each performance goal

　　Provides ongoing education to staff regarding opportunities and processes

　　Will review and have a solid understanding of Policies and Procedures and support these

　　Will provide support and education related to critical thinking and problem solving

　　Escalated Case resolution and team education post resolution

　　Communicate effectively with a variety of audiences

　　Conducts routine data cleaning to ensure that the electronic health records (EHR) system contains data that is accurate and reliable

　　Collaborate effectively with various levels of peers, leaders, and cross-functional partners to maintain quality metrics and understand/influence opportunities for process improvement.

　　Organized and able to prioritize tasks:

　　Assists Supervisors with reports as assigned to understand trends and how best to maintain high level of service

　　Designs complex collaboration tools to facilitate effective clinical teamwork and information sharing on clinical outcomes.

　　Identifies opportunities to help clinical case managers schedule appointments, coordinate referrals, and share important documents securely.

　　installs reporting tools and dashboards to help identify trends, measure the impact of interventions, and inform decision-making for quality improvement initiatives.

　　Maintain adjusted caseload

　　May assist with project logistics including agenda, meeting arrangements and minutes

　　Collect and write up success stories as needed

　　Precept Staff as needed

　　Serve as a Subject Matter Expert regarding daily workflows

　　Support a positive work environment that promotes the concept of teamwork

　　Team Lead will consult frequently with the Regional Supervisor/Manager and keep line of communication open

　　Team Leads may assume the task list duties for CM PTO and work those cases accordingly

　　Required Qualifications

　　Active unrestricted KS State Licensure in applicable functional area- RN or Clinical BH license (Ex - LCPC, LCSW, LMFT or LMHC).

　　3+ years clinical experience required.

　　Willing and able to travel up to 25% of their time to meet members face to face within the west region of KS ( Northwest, west central and Southwest).

　　Reliable transportation required; Mileage is reimbursed per our company expense reimbursement policy.

　　Preferred Qualifications

　　3+ years of managed care experience.

　　Requires proficiency with computer skills which includes navigating multiple systems and keyboarding

　　Excel experience preferred

　　Time efficient and highly organized

　　Exceptional communication skills

　　Ability to mentor and support staff to meet business needs

　　Working knowledge of problem solving and decision making skills.

　　Working knowledge of medical terminology.

　　Working knowledge of digital literacy skills.

　　Ability to deal tactfully with customers and community.

　　Ability to handle sensitive information ethically and responsibly.

　　Ability to consider the relative costs and benefits of potential actions to choose the most appropriate option.

　　Ability to function in clinical setting with diverse cultural dynamics of clinical staff and patients.

　　Education:

　　For RN license - Minimum of Associate degree required.

　　For BH license Bachelors degree required and Master's preferred.

　　Pay Range

　　The typical pay range for this role is:

　　$60,522.80 - $129,600.00

　　This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits

　　CVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated.

　　You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.

　　CVS Health is committed to recruiting, hiring, developing, advancing, and retaining individuals with disabilities. As such, we strive to provide equal access to the benefits and privileges of employment, including the provision of a reasonable accommodation to perform essential job functions. CVS Health can provide a request for a reasonable accommodation, including a qualified interpreter, written information in other formats, translation or other services through [email protected] If you have a speech or hearing disability, please call 7-1-1 to utilize Telecommunications Relay Services (TRS). We will make every effort to respond to your request within 48 business hours and do everything we can to work towards a solution.