RN Case Management / Utilization Management Trainer - Relocation Offered!

General Summary of Position

The trainer, Clinical Operations MFC DC, is a critical role that ensures the success of our newly hired RN Case Managers, Case Manager Social Workers, and other members of the Case Management / Clinical Operations staff. This associate will be responsible for the onboarding and ongoing training of our staff using a standard curriculum that adheres to state and other regulatory requirements. Working with Case Management Leadership, this trainer will develop and maintain the curriculum for the Case Management / Clinical Operations department. Associate training will be conducted in person and virtual. The Trainer will have impact across MFC DC and Maryland health plan. The trainer will utilize performance data to determine training effectiveness and areas for improvement and share summary of findings with clinical leaders and Quality Improvement Committee (QIC). The trainer will maintain current knowledge about NCQA, contract requirements, healthcare / industry trends, District regulations, and other compliance standards. The trainer will assist with audits of staff documentation and their adherence to department processes and policies.

This position is on-site and will require regular travel to both our Maryland and DC locations

Key Responsibilities

• Demonstrates behavior consistent with MedStar Health mission, vision, goals, objectives and patient care philosophy.
• Contributes to the achievement of established department goals and objectives and adheres to department policies, procedures, quality standards, and safety standards. Complies with governmental and accreditation regulations.
• Maintains current knowledge of MedStar Family Choice benefits and services available for enrollees.
• Develops and maintains a curriculum, workflow, and processes for each role in Clinical Operations and ensure staff adhere to organizational standards and best practices.
• Develops and maintains orientation and training schedule.
• Offers personalized guidance and support to clinical operations team to improve performance and skill building.
• Conducts ad hoc training to support staff with identified challenges with adhering to workflows and processes.
• Conducts assessments to identify gaps in knowledge or skills among staff and provide written feedback to the clinical leaders.
• Develops and leads quality improvement initiatives to enhance staff performance and clinical outcomes.
• Develops and utilizes reports to share data on training activities, participant feedback, and performance improvements strategies then share with clinical leaders.
• Monitors staff compliance with annual and ad hoc mandatory trainings.
• Organizes and maintains a repository that houses training materials, schedules, etc.
• Maintains current knowledge about NCQA, contract requirements, healthcare / industry trends, District regulations, and other compliance standards.
• Assists with audits of staff documentation and their adherence to department processes and policies.
• Demonstrates proficiency with all MedStar Family Choice software systems that support the clinical operation.
• Participates in evaluating and updating of the software systems to improve efficiencies and productivity.
• Participates and contribute to meetings (staff meetings, committee meetings, etc.
• Uses performance data to determine training effectiveness and areas for improvement and shares summary of findings with clinical leaders and Quality Improvement Committee (QIC).

What We Offer

Qualifications

This position has a hiring range of $87,318 - $157,289