Training and Education Coordinator

Training And Education Coordinator

The Training and Education Coordinator will design the training program for the Utilization Management (UM) Department's data platforms, medical necessity software, and department policies and procedures in consultation with UM Supervisors and Managers.

Responsibilities

Develops clinical nursing training program courses to include training materials, guides, and schedules training sessions of new UM staff in collaboration with UM Supervisors and Managers and facilitates ongoing training. Conducts training and / or works with other subject matter experts to prepare and conduct trainings for both new staff and ongoing staff development. Maintains training and education records, as needed. Provides training for clinical staff that may include those with Continuing Education Units (CEU). Creates effective written training materials and tools to support learning. Writes and / or provides input on operational desk procedures. Serves as Registered Nurse InterQual Certified Instructors. Reviews and updates job descriptions and department processes. Monitors progress of trainees through one-on-one observation and audit results. Provides feedback to Supervisors and Managers on staff performance relating to accuracy of work and ability to apply lessons. Audits UM Department database systems and procedures. Audits all key operational functions to ensure accuracy levels are maintained. Prepares reports of staff results and distributes to staff's immediate supervisor / manager. Assists in re-training nurses and other staff in need of remediation and supervision. Prepares team audit results trending reports and recommends training sessions based on trends. Supports auditing activities and recommends training topics for staff based on audit results. Reviews and supports all activities related to auditing, tracking, and documenting staff performance of operational processes with an emphasis on ensuring data and other work output is accurate. Produces audit reports to identify trends for training opportunities. Participates in process improvement activities. May provide back-up to other positions as required, including working as a nurse coordinator role. Other duties as assigned.

Qualifications

Education and Experience

Bachelor's degree, licensure as a Registered Nurse in the State of California, or minimum five (5) years' experience as a Registered Nurse preferably in a managed care and knowledge of Medi-Cal; or equivalent combination of education and experience. Licensure as a Registered Nurse in the State of California. Experience working with database systems. Previous utilization management experience, including work with medical necessity criteria tools preferred.

Special Skills, Licenses and Certifications

Experience in training and developing training materials and step-by-step guides. Working knowledge of demographic systems. Proficient in computer applications such as Microsoft Word, Excel, PowerPoint and Visio. Knowledge of managed care concepts, policies, and procedures. Ability to understand, interpret, and prepare documentation related to regulatory requirements.

Performance Based Competencies

Excellent oral and written communication and interpersonal skills and patience. Ability to establish and maintain effective working relationships and handle sensitive communication with diplomacy. Audit experience preferred. Excellent organizational skills with ability to prioritize assignments, maintain accurate records, and meet deadlines. Ability to use good judgment in making decisions within scope of authority and handle sensitive issues with tact and diplomacy.

Work Environment And Physical Demands

Ability to use a computer keyboard and a 10-key calculator. More than 70% of work time is spent in front of a computer monitor. When required, ability to move, carry, or lift objects of varying size, weighing up to 30 lbs.

All HealthPlan employees are expected to :

• Provide the highest possible level of service to clients;
• Promote teamwork and cooperative effort among employees;
• Maintain safe practices; and
• Abide by the HealthPlan's policies and procedures, as they may from time to time be updated.

HIRING RANGE : $56.98 - $74.07

IMPORTANT DISCLAIMER NOTICE

The job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this job description are representative only and not exhaustive or definitive of the tasks that an employee may be required to perform. The employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or work environment change.