Case Manager, RN, Team Lead- Inpatient

Case Mgmt Team Lead

A Brief Overview
Under the general supervision of the Department Manager and in accordance with established policies, procedures, and professional guidelines, the Case Management Team Lead provides clinical leadership and operational support to the Case Management Department. This role is accountable for coordinating daily departmental activities, including staffing, scheduling, and workflow, to ensure safe, efficient, and compliant care coordination services. The Team Lead provides hands‑on mentorship, side‑by‑side support, and skill development for team members while promoting collaboration across departmental disciplines and interdisciplinary partners. The role identifies strengths, trends, and opportunities in clinical practice, escalates process improvement opportunities to leadership, and applies strong problem‑solving skills to support real‑time intervention. All duties are performed in alignment with Tampa General Hospital's mission, vision, values, and service excellence standards.



What you will do

• Oversees daily staffing, scheduling, and workflow to ensure appropriate coverage and continuity of utilization and case management services.
• Delivers side‑by‑side support, mentorship, and skill development to team members to promote clinical excellence, consistency, and adherence to utilization and care coordination standards.
• Ensures team members perform duties in accordance with professional standards, hospital policies, payer requirements, and regulatory guidelines.
• Guides staff in interpreting medical necessity criteria, evaluating appropriateness of services, and obtaining timely authorizations from managed and commercial payers.
• Serves as an escalation resource for complex clinical, authorization, discharge, or payer‑related issues and supports appropriate resolution prior to leadership involvement.
• Identifies trends, strengths, and improvement opportunities in clinical practice and workflow and escalates themes to departmental leadership.
• Applies critical thinking and problem‑solving skills to address workflow challenges, clinical barriers, and payer issues in real time.
• Promotes collaboration among physicians, nursing, social work, finance, and ancillary departments to support safe, timely patient care transitions.
• Arranges staff coverage as needed and provides direct coverage when necessary to meet patient care demands.
• Supports onboarding, orientation, and ongoing education of new employees, students, and assigned personnel.
• Demonstrates professionalism, accountability, teamwork, and customer service while consistently applying Tampa General Hospital service excellence standards of AKTiVe principles.