Clinical Services Trainer
Job Details
KNOWLEDGE/SKILLS/ABILITIES
Provides standardized training programs for plan staff to improve quality, control medical costs and ensure compliance with state and federal regulations and guidelines.
Responsible for the development and implementation of training curriculum for Utilization Management, Case Management, and LTSS staff.
- Responsible for evaluation of training effectiveness to ensure staff understanding and readiness.
- Educates staff on Company standard programs and systems
◦ Works with Health Plan leaders to ensure state specific regulations are included in training materials
◦ Educates licensed staff regarding proper clinical judgment and approaches to proper decision making
◦ Trains inter-disciplinary teams to collaborate in order to improve member quality of life and to control costs
◦ Assists Care Review Clinicians with methods to present cases at multidisciplinary rounds
◦ Ensures healthcare services staff understand professional standards of documentation
- Implements new employee orientation for health care service staff
◦ Provides training for current staff for new programs or key initiatives
◦ Provides training for system implementations and upgrades
◦ Reeducates staff when deficiencies in performance are identified.
- Ensures staff attendance is recorded for trainings for record keeping and compliance.
- Acts as an information and problem-solving resource for healthcare services staff.
- 30% travel required.
JOB QUALIFICATIONS
Required Education
Completion of an accredited Registered Nurse (RN) Program and an Associate's or bachelor’s degree in Nursing,
Required Experience
- 3 or more years in case, disease, or utilization management; managed care; or medical/behavioral health settings.
- Experience demonstrating knowledge of adult educational/ learning theory and practice.
- Experience working independently and handling multiple projects simultaneously.
- Experience demonstrating knowledge of applicable state, and federal regulations/requirements.
- Proficient in MS/Word, Excel, PowerPoint.
Required License, Certification, Association
- Active, unrestricted State Registered Nursing (RN) License
- Must have valid driver's license with good driving record and be able to drive within applicable state or locality with reliable transportation.
Preferred Education
Bachelor's Degree in Nursing
Preferred Experience
- 5 or more years in case, disease, or utilization management; managed care; or medical/behavioral health settings.
- One year of training delivery and/or development experience.
Preferred License, Certification, Association
Certified Case Manager (CCM), Utilization Management Certification (CPHM), Certified Professional in Health Care Quality, or other related certification.
#PJHPO
#LI-AC1
To all current Company employees: If you are interested in applying for this position, please apply through the intranet job listing.
Company offers a competitive benefits and compensation package. Company is an Equal Opportunity Employer (EOE) M/F/D/V.
Sign up and search through 21,558 curated jobs in the Healthcare Edition:
SIGN UP & APPLY
More Interviews
Guaranteed in 30 Days
We guarantee that you will
get more job interviews
in 30 days after using our resume writing services or we will rewrite
your resume for free.