Role OverviewThe Care Guide Team Lead is a hybrid clinical and people management role for a senior Registered Nurse who is ready to step into leadership - without leaving the clinical work behind. Reporting directly to the Senior Clinical Manager, Care Guides, this person will manage a caseload of up to 40 active members while directly leading a pod of 5-7 Care Guide RNs. This includes owning their performance, development, coaching, and formal evaluations.
As Leap scales its Care Guide team, the Team Lead is the first line of clinical leadership: the resource Care Guides turn to when they hit complex clinical situations, the person who catches quality and performance issues before they reach the Senior Clinical Manager, and a key driver of a team culture built around clinical excellence. Clinical credibility with your team is non-negotiable - this role requires an active Registered Nurse license.
Key ResponsibilitiesPeople Management & Direct Report Oversight- Directly manage 5-7 Care Guide RNs - their daily work, development, performance, and wellbeing are your responsibility.
- Conduct weekly 1:1s with each direct report, providing consistent clinical coaching, real-time feedback, and career development support.
- Own formal performance evaluations for all direct reports - set goals, track progress, deliver written reviews, and make compensation recommendations in partnership with the Senior Clinical Manager.
- Address performance concerns early and directly - document issues, create improvement plans when needed, and loop in the Senior Clinical Manager on anything that requires escalation.
- Manage scheduling, PTO coverage, and workload balancing across your pod.
- Lead onboarding for new Care Guide hires into your pod - clinical orientation, documentation standards, early-stage feedback, and ramp-to-full-panel support.
- Participate in Care Guide hiring panels and contribute clinical and cultural assessment.
Clinical Work - Up to 40 Active Members- Carry a personal caseload of up to 40 active members as primary clinical contact throughout their home infusion therapy journey.
- Deliver RN-level medication education to patients and caregivers - drug mechanisms, administration protocols, side effect management, adverse event triage, and what to expect at every stage of treatment.
- Conduct pre-infusion clinical check-ins to verify medication receipt, confirm patient comprehension, and address clinical concerns before treatment day.
- Conduct post-infusion follow-up to assess patient experience, document outcomes, and address any adverse events.
- Route accurate, time-sensitive post-infusion documentation to providers within SLA.
- Coordinate with nursing agencies on appointment confirmation and scheduling exceptions for your panel.
- Receive clinical handoff packages from Intake Coordinators and maintain clinical continuity from onboarding through active treatment.
Clinical Escalation & Pod Quality- Serve as the first clinical escalation point for your pod - handle complex clinical questions, resolve blockers, and route issues to the Senior Clinical Manager only when they genuinely require senior judgment.
- Monitor pod-level quality metrics: patient NPS, pre/post-infusion check-in completion, and documentation SLA compliance.
- Identify clinical quality or documentation gaps within the pod and drive corrections - through direct coaching, process changes, or escalation as appropriate.
- Serve as a role model for Leap's clinical documentation standards and patient engagement approach.
- Contribute to SOPs, clinical checklists, and training materials as the team scales.
Required Skills & Experience- Active Registered Nurse (RN) license - required. No exceptions.
- 5+ years of clinical experience, with at least 2-3 years in infusion therapy, home health, or specialty nursing.
- At least 6 months as a Care Guide at Leap, or equivalent patient coordination experience at the RN level, with a strong performance record.
- Prior experience managing, formally evaluating, or directly developing other clinical staff - not just informal mentorship.
- Demonstrated ability to give direct, honest, and constructive feedback - including to peers and in difficult performance conversations.
- Ability to manage a patient caseload of up to 40 active members while actively leading a team of 5 RNs.
- Strong clinical communication skills across patients, providers, nursing agencies, and internal teammates.
- Highly organized and self-directed; able to manage clinical and leadership priorities in a fully remote environment.
- Resides in California, Washington, Nevada, Oregon, or Idaho and available for full-time M-F, 10 AM-6 PM PST hours.
Preferred Qualifications- Prior charge nurse, lead coordinator, or formal supervisory experience.
- Infusion-specific certifications (CRNI or equivalent).
- Experience building or improving clinical workflows, SOPs, or training materials.
- Fluency in Spanish (spoken and written).
At Leap, we're building an outlier company with real impact - and that takes focus, energy, and commitment. If that excites you, we'd love to hear from you.
