Lead Trainer - Clinical Services (Remote in GA)

Job Title

This position will offer remote work flexibility, but the individual hired for the position must reside in Georgia. Mentors provide team leadership to training staff responsible for the development and implementation and evaluation of comprehensive educational and training curriculum for Utilization Management, Case Management, and LTSS staff. Creates and delivers clinical training programs for clinical staff across the enterprise to orient employees to Molina clinical methodology, along with policies, processes and systems. Ensures all Molina clinical team members are positioned to improve quality, control medical costs, and ensure compliance with state and federal regulations and guidelines. Leads and manages classes, adapting to trainee skill level, specific backgrounds, changing priorities and operating environments as needed. Training includes clinical new employee orientation, development and delivery for implementations, training and partnerships on clinical initiatives, and optimization efforts. Collaborates and / or leads special projects.

Job Duties

Team Leadership

Provides direction and guidance to the training team to ensure implementation of activities that align with Molina programs and protocols. Assists Manager with data for team member performance reviews. Provides employee development and recognition; and assists with selection, orientation and mentoring of new staff.

Design and Development of Clinical Training

Collaborates with team members, managers, and stakeholders to develop and design training content, including identification of goals, objectives, critical success factors and success measures. Serves as a subject matter expert on assigned clinical specialty area. Consults with clinical organizations across Molina to understand clinical business training needs. Develops and tailors clinical content on various topics using clinical expertise gained through previous experience in either UM or CM. Applies critical thinking skills, clinical / professional judgement, and breaks down complex information into simplified categories so it is easier for learners to understand and apply. Creates and uses clinical case scenarios to simulate how training participants will navigate systems and apply their skills and knowledge on the job. Maintains working knowledge of state specific regulations to ensure references and resources are included in training materials.

Preparation and Delivery of Training

Works with Health Plan leaders to ensure state specific regulations are included in training materials. Prepares the learning environment for classroom setup, systems setup, course materials, media, and on-line learning. Educates regarding proper clinical judgment and approaches to decision making. Draws upon previous CM / UM experience to direct trainees and provide them with best practices for working as a member of an inter-disciplinary clinical team. Educates inter-disciplinary / integrated care teams on the best ways to leverage their unique clinical backgrounds and knowledge to effectively collaborate in order to improve member quality of life and to control costs. Train / educate healthcare services staff on professional standards of documentation. Reeducate staff via group facilitation and / or individual coaching when deficiencies in performance are identified to mitigate skill gaps.

Evaluation of Training & Trainee Performance

Evaluates training effectiveness to ensure staff understanding and readiness. Analyzes and determines training needs / problems and provides clear and timely verbal and written feedback of issues to team members and management. Participates in committees and / or workgroups as a liaison between the training team and workgroup to ensure alignment with training and influence best practices. Collaborates and / or leads special projects, such as supporting training efforts for enterprise growth and new clinical programs or systems. Provides post-implementation support, serving as a subject matter expert for trainees to consult with for information and problem solving as the learner begins to apply new skills and knowledge on the job.

Job Qualifications

Required Education : Completion of an accredited Registered Nurse (RN) Program and an Associate's or Bachelor's Degree in Nursing. OR Bachelor's Degree in a social science, psychology, counseling, gerontology, public health, social work, or health related field. OR LVN / LPN with an additional 4 years of related experience in lieu of a Bachelor's Degree

Required Experience / Knowledge, Skills & Abilities : 3 or more years in case, disease or utilization management; managed care; or medical / behavioral health settings. 3 or more years in a training, auditing and / or quality management role in a managed care environment. Experience working independently and handling multiple projects simultaneously. Experience designing, facilitating training, coaching, development and operational feedback to individuals and teams. Experience using business knowledge to make recommendations for process remediation or improvement. Strong team leadership qualities and ability to lead and achieve results. Knowledge of adult educational / learning theory and practice. Knowledge of applicable state, and federal regulations / requirements. Experience demonstrating knowledge of applicable state, and federal regulations / requirements. Proficient in MS / Word, Excel, PowerPoint.

Preferred Education : Bachelor's Degree in Nursing

Preferred Experience : 3-5 years of facilitation and / or training experience. 5 or more years in case, disease or utilization management; managed care; or medical / behavioral health settings.

Preferred License, Certification, Association : Active, unrestricted State Registered Nursing (RN) or State Clinical Social Worker / Counseling (or related field) License Certified Case Manager (CCM), Utilization Management Certification (CPHM), Certified Professional in Health Care Quality, or other related certification.