Clinical Services Trainer - Laredo Texas

Company: Molina Healthcare
Location: Laredo, Texas
Posted On: 05/08/2024

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 Molina 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 Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
            Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
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            - Pay Range: $54,373.27 - $117,808.76 / ANNUAL
            *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. More...

                

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