Clinical Team Lead

Location: This position is located at our Dublin, OH campus.

Multistate Licensure: Quantum Health nurses must be willing and able to obtain and maintain nursing licensure in multiple states, as required by the business. All application and filing fees will be paid by Quantum Health.

Who we are

Founded in 1999 and headquartered in Central Ohio, we’re a privately-owned, independent healthcare navigation organization. We believe that no one should have to navigate the cost and complexity of healthcare alone, and we’re on a mission to make healthcare simpler and more effective for our millions of members. Our big-hearted, tech-savvy team fights to ensure that our members get the care they need, when they need it, at the most affordable cost – that’s why we call ourselves Healthcare Warriors®.

We’re committed to building diverse and inclusive teams – more than 2,000 of us and counting – so if you’re excited about this position, we encourage you to apply – even if your experience doesn’t match every requirement.

About the role

The Clinical Team Lead - Registered Nurse (RN) partners with our Pod leaders and assigned clinical professionals to ensure that all clinical activities within the assigned Pod consistently meet the Quantum Health clinical standards, facilitating high quality outcomes for our members and clients. This leader serves as a role model and coach to the clinicians and Care Coordinators within their team/Pod.

What you’ll do

Counsel Care Coordinators / Patient Service Representatives and provide clinical guidance as needed in a highly collaborative, phone/web conferencing contact center environment.

Triage clinical questions and resolve/delegate appropriately, be available as a clinical SME for Pod leaders and fellow clinicians.

Collaborate with the clinical team/Pod leaders to assist members and providers in the care coordination process.

Provide ongoing coaching, education, mentorship and evaluation for the Pod clinical staff; Assist with training/precepting of new clinical staff.

Monitor and adjust/delegate daily clinical workloads within the Pod.

Lead clinical huddles for collaboration of workload and case discussions.

Partner with Pod leaders in communicating client/benefit changes that affect clinical or Pod operations.

Maintain a working knowledge of all clinical workflows and policies; Provide clinical updates and education during Pod meetings.

All other duties as assigned.

What you’ll bring

Licensure: Active license in good standing as a Registered Nurse (RN) in Ohio required.

Education: Bachelor of Science in Nursing (BSN) preferred.

Certification: Active Certification in Case Management (CCM) preferred.

2+ years of clinical experience with direct patient care required; 5+ years preferred.

Experience leading nurses/clinicians preferred.

Strong administrative/technical skills; Comfort working on a PC using Microsoft Office (Outlook, Word, Excel, PowerPoint), IM/video conferencing (Teams & Zoom), and telephones efficiently.

Experience in care management/coordination programs and services preferred.

Excellent verbal and written communication skills. Comfortable communicating with members and providers via phone regularly throughout the day.

Ability to communicate effectively with members and providers in implementing clinical services; Translate complex clinical concepts for non-clinical audiences.

Strong administrative/technical skills; Comfort working on a PC using Microsoft Office (Outlook, Word, Excel, PowerPoint), IM/video conferencing (Teams & Zoom), and telephones efficiently.

Trustworthy and accountable behavior, capable of viewing and maintaining confidential information daily.

#LI-BH1

#LI-Onsite