Clinical Team Lead - Work From Home

The Team Lead will:
- Serve as expert in contractual regulations.
- Serve as a content model expert and mentor to the team regarding practice standard, quality of interventions, problem resolution and critical thinking.
- Ensure adherence to plan sponsor performance targets.
- Implement and support program policies and procedures.
- Utilize critical thinking skills to raise the level of team performance.
- Training
- Mentor the team, monitoring and providing feedback regarding performance relative to best practices;
- New-hires: Request access, plan orientation, schedule CORE training, train new-hires, perform quality audits on work completed, orient to UM, state contract requirements, Desktops/Job Aids, TAT, productivity goals, and serve as mentor after training completed
- Act as a role model for the Aetna values, particularly regarding company policies on confidentiality.
- Communicate effectively with a variety of audiences.
- Well organized and able to prioritize tasks.
- Support a positive work environment that promotes the concept of teamwork.
- Support to Supervisors as directed.
- May have responsibility for their own caseload work.
- Respond to issues and inquiries as needed.
- Collaborate with other market Team Leads on shared projects
- Complete quality audits on new hires per policy and quarterly as assigned
- Assist manager with other tasks as assigned including PTO calendar and holiday schedule
- Be on leadership on-call schedule for weekends
- Assists with High Dollar Case reporting and presentation
- Attend meetings when the manager is unable to attend
- Coordinates assistance with other states and departments as needed

Required Qualifications

Must have Active, current and unrestricted compact RN licensure licensure in state of residence.

Must be willing to and able to work Monday- Friday with occasional weekend/holidays

Requires proficiency with computer skills which includes navigating multiple systems and keyboarding and Microsoft suite
2 or more years clinical and managed care experience requiredPreferred Qualifications
Ability to mentor and support staff to meet business needs
Exceptional communication skills
Time efficient and highly organized
2 or more years experience with performance improvement projects
Performance Improvement and Quality Improvement (PIP/QIP) experience required

Education

• Associates degree required
• BSN preferred

Anticipated Weekly Hours
40Time Type
Full timePay Range

The typical pay range for this role is:$60,522.00 - $129,615.00This 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.Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.Great benefits for great peopleWe take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

For more information, visit https://jobs.cvshealth.com/us/en/benefitsWe anticipate the application window for this opening will close on: 09/02/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Client-provided location(s): Austin, TX

Job ID: CVS-R0656362

Employment Type: FULL_TIME

Posted: 2025-08-30T19:43:48