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Um Clinical Team Lead Jobs (NOW HIRING)

Impact Therapy LLC

Clinical Team Lead

Riverdale, GA · On-site

$51K - $53K/yr

Wellness resources Clinical Team Lead Department: Clinical Operations Reports To: Clinical Director Status: Leadership assignment + active clinical caseload Compensation: Monthly or Biweekly ...

New

Impact Therapy LLC

Clinical Team Lead

Riverdale, GA · On-site

$51K - $53K/yr

Clinical Team Lead Department: Clinical Operations Reports To: Clinical Director Status: Leadership assignment + active clinical caseload Compensation: Monthly or Biweekly leadership stipend ...

New

Impact Therapy LLC

Clinical Team Lead

Riverdale, GA · On-site

$51K - $53K/yr

Clinical Team Lead Department: Clinical Operations Reports To: Clinical Director Status: Leadership assignment + active clinical caseload Compensation: Monthly or Biweekly leadership stipend ...

New

Project Renewal

Clinical Team Lead

New York, NY · On-site

$70K - $75K/yr

Title: Clinical Team Lead Program: Support and Connection Center Salary Range: $70,000 - $75,000 Program Overview: The Support and Connection Center provides 24/7 short-stay, engagement ...

Project Renewal Inc.

Clinical Team Lead

Manhattan, NY · On-site

$70K - $75K/yr

Clinical Team Lead Program: Support and Connection Center Salary: $70,000 - $75,000 per year Program Overview: The Support and Connection Center provides 24/7 short-stay, engagement, stabilization ...

UCP of Maine

Clinical Team Lead

Bangor, ME · On-site

The Clinical Team Lead is a member of the Behavioral Health Home and Children's Case Management teams and collaborates with the team to assist in fulfilling client needs and program expectations. The ...

DOCS, LLC

Clinical Team Lead

Grove City, OH · On-site

Clinical Team Lead Company Overview At DOCS Dermatology Group, we are not just one of the largest dermatology practices in the nation; we are a dedicated community passionate about skin health! With ...

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Um Clinical Team Lead information

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$36K

$81.2K

$156K

How much do um clinical team lead jobs pay per year?

As of Sep 12, 2026, the average yearly pay for um clinical team lead in the United States is $81,196.00, according to ZipRecruiter salary data. Most workers in this role earn between $60,000.00 and $90,000.00 per year, depending on experience, location, and employer.

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For Um Clinical Team Lead jobs, the most frequently searched job titles are:

Utilization Management (UM) Clinical Team Lead

Manhattan, NY • On-site

MetroPlusHealth
Insurance Services • 1 - 5K employees
Learn more about MetroPlusHealthexternal

Other

Re-posted 13 days ago

MetroPlusHealth rating

6.7

Company rating: 6.7 out of 10

Based on 9 frontline employees who took The Breakroom Quiz

Job description

Empower. Unite. Care.
MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day.
About NYC Health + Hospitals
MetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlusHealth network includes over 27,000 primary care providers, specialists and participating clinics. For more than 30 years, MetroPlusHealth has been committed to building strong relationships with its members and providers.
Position Overview:
The Clinical Team Lead, under the direction of the Vice President of Clinical Services, is primarily responsible for managing both simple and complex medical cases to achieve high-quality patient care outcomes and minimize unnecessary medical expenses, through the coordination of services, both outpatient and inpatient. The Clinical Team Lead will assist the provider in directing care to the most appropriate setting, evaluating alternative care plans, and assessing outcomes through outreach to the members.
Work Shifts
9:00 AM - 5:00 PM
Duties & Responsibilities
  • Performs care management including hospital admission certification, continued stay review, discharge planning, outpatient, and ancillary services review, etc., following established MetroPlusHealth Utilization Management policies, procedures, and protocols.
  • Oversee the coordination and delivery of comprehensive, quality healthcare and services for all members requiring care management in a cost-effective manner.
  • Interacts and obtains relevant clinical information from members' PCP and other providers; approves care that meets established criteria; and refers all other cases to the MetroPlusHealth Physician Advisor/Medical Director.
  • Inform member and provider of Utilization Management determinations and treatment alternatives.
  • Identifies utilization trends and potential member needs by means of generating reports of encounter data, pharmacy data review, and new member health assessment forms.
  • Evaluate member needs for referred cases (from providers or member self-referred).
  • Assists all departments with the resolution of members' problems related to utilization management issues.
  • Performs all Utilization Management activities in compliance with all regulatory agency requirements.
  • Conducts medical record reviews as appropriate to case management functions.
  • Participate in Medical Management grand rounds with the Physician Advisor.
  • Performs all other duties as assigned
Minimum Qualifications
  • High School Diploma General Equivalency Diploma (GED) required; and
  • 2-5 years' clinical experience in an acute or applicable care setting.
  • UM/UR experience in managed care or hospital setting required
Licensure and/or Certification Required:
  • Valid New York State license and current registration to practice as a Registered Professional Nurse (RN), License Practical Nurse (LPN), or Physical Therapist (PT) issued by the New York State Education Department (NYSED).
Professional Competencies:
  • Integrity and Trust
  • Customer Focus
  • Excellent communication, written and analytical skills.
  • Knowledge of computer systems.

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