RN Case Management and Training Specialist

Join our team as a vital RN Case Management and Training Specialist! In this essential role, you will play a key part in ensuring the success of our newly hired RN Case Managers, Case Manager Social Workers, and the entire Case Management / Clinical Operations staff. You will be responsible for the onboarding and ongoing training of our exceptional team using a standardized curriculum that aligns with state and regulatory requirements. Collaborating with Case Management Leadership, you will develop and maintain training materials for the Case Management / Clinical Operations department. Training will be delivered both in person and virtually, impacting operations across the organization.

As a Trainer, you will leverage performance data to evaluate training effectiveness and identify areas for improvement, reporting findings to clinical leaders and the Quality Improvement Committee (QIC). Staying current with NCQA, compliance standards, healthcare trends, and regulations is crucial. You will also assist with audits of staff documentation and adherence to established processes and policies.

Key Responsibilities

• Embrace and demonstrate MedStar Health's mission, vision, goals, and patient care philosophy.
• Support the achievement of departmental goals and comply with policies, procedures, quality, and safety standards.
• Stay informed about MedStar Family Choice benefits and services for enrollees.
• Design and enhance the curriculum, workflows, and processes for Clinical Operations roles, ensuring alignment with organizational best practices.
• Create and manage training schedules for orientation and ongoing development.
• Provide tailored guidance and support to improve performance and skill development within the clinical operations team.
• Conduct specialized training sessions to address workflows and process adherence challenges.
• Assess staff knowledge and skill gaps, delivering constructive feedback to clinical leaders.
• Utilize and share reports on training activities, participant feedback, and performance improvement strategies with clinical leaders.
• Ensure compliance with mandatory and annual training requirements among staff.
• Organize and maintain a comprehensive repository for training materials and schedules.
• Keep up-to-date on NCQA, contract requirements, healthcare trends, and compliance standards.
• Assist in audits of staff documentation to verify compliance with departmental policies.
• Demonstrate proficiency with all MedStar Family Choice clinical operation software systems.
• Contribute to the evaluation and enhancement of software systems for increased efficiency and productivity.
• Engage actively in departmental and committee meetings.

Nursing Benefits

Qualifications

This position offers a competitive hiring range of USD $87,318.00 - USD $157,289.00 annually.