Clinical Team Lead

Job DescriptionMercy Care is a not-for-profit Medicaid managed-care health plan, serving Arizonans since 1985. We provide access to physical and behavioral health care services, to people who are eligible for Medicaid. Our members include families, children, seniors, and individuals who have developmental/cognitive disabilities. We hold multiple contracts with AHCCCS, Arizona's Medicaid agency, and deliver services throughout the state. Mercy Care is administered by Aetna, a CVS Health company. Our staff is employed by Aetna and CVS Health. This gives Mercy Care the resources of a national organization, and still allows us to bring our members the familiarity and presence of a local team of people who put our members at the center of everything we do. Fully remote: Monday - Friday 8am - 5pm, Saturdays will be required on rotation (about once every 2 months). Occasional holidays as needed. Travel only to attend monthly office meetings once COVID restrictions are lifted.The Team Lead is accountable to leadership to support the day to day operations of the team. This position has no supervisory oversight of staff, but requires a solid understanding of the workflows, policies and procedures to ensure the team is producing at a successful level. The Team Lead supports the onboarding of new staff as well as quality monitoring and assignment triage. The Team Lead is a single point and first line of contact for staff for clinical issues. They may lead projects as assigned. The Team Lead provides ongoing communication and updates to leadership and contributes and participates in team meetings. The role requires promoting cooperation and team-building between all department members. Responsibilities Include but are not limited to: Serve as a resource to team members 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 Develop, implement and support program policies desktops and job aids Utilize critical thinking skills to raise the level of team performance Mentor the team; monitoring and providing feedback regarding performance relative to best practices 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 direct manager as directed May have responsibility for their own case load work Expectations is to be in office when necessary Respond to issues and inquiries as needed Sedentary work involving periods of sitting, talking, hearing, work requires visual acuity to perform close inspection of hand written and computer generated documents as well as a PC monitor. Auditing staff for quality improvements and best practicesRequired Qualifications Unrestricted RN license in the state of Arizona 5+ years of clinical experienceCOVID RequirementsCOVID-19 Vaccination RequirementCVS 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.Preferred Qualifications 2+ years Knowledge of Managed Care/ Utilization ManagementEducationBSNBusiness OverviewAt Aetna, a CVS Health company, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.We are committed to maintaining a diverse and inclusive workplace. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, gender, gender identity, age, disability or protected veteran status. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.

Created: 2025-11-15