Clinical Staff Education Manager RN

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POSITION SUMMARY / RESPONSIBILITIES

Serves as a Manager to the Community

First Health Plan (CFHP) Clinical Services support staff. Also

serves as the clinical expert, educator, researcher and mentor to

the Clinical Services team. Reviews healthcare service delivery and

provides standardized training programs for plan staff to improve

quality, control medical costs and ensure compliance with all state

and federal regulations and guidelines. Collaborates with the

integrated team to assess quality and implement clinical training

programs to facilitate standardized delivery of services and

provide optimal outcomes for CFHP Members. Responsibilities

include, but are not limited to : day-to-day management of assigned

support staff; prepare, facilitate, monitor, evaluate and document

training activities; assess training needs for new and existing

employees; identify internal and external training programs to

address competency gaps; partner with internal stakeholders

regarding employee training needs; and, develop training aids such

as manuals and handbooks.

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EDUCATION / EXPERIENCE

Registered Nurse licensure is required.

Master's degree is highly preferred. Certification in health or

education field highly preferred. Minimum six (6) years of clinical

care, quality management or managed care experience is required.

Knowledge of InterQual screening criteria and coding resources

(DRG, ICD and CPT) is required. Knowledge of Medicaid, community

resources, alternate funding programs, Texas Health and Human

Services Commission and Texas Department of Insurance standards and

NCQA in a managed care setting is required. Demonstration of

experience in curriculum development and implementation of adult

learning principles is preferred. Demonstrated teaching experience

and knowledge of adult education principles, ability to deliver and

evaluate adult education programs is preferred. Minimum of two (2)

years of management and / or teaching experience is required,

preferably in a healthcare environment, providing training and

support to users of industry-standard PC systems and applications

and other job-specific applications. Direct, recent experience with

electronic learning development, curriculum design, training

methodologies, and online education is preferred.

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LICENSURE / CERTIFICATION

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Current licensure in the State of Texas as an RN is required.

Current certification from an appropriate professional agency, such

as Case Management Society, is highly preferred.