Care Management Clinical Trainer

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🔥 0 minutes ago

🦞 Maine – Remote

🦞 Maine – Remote

💵 $86.9k - $107.4k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

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Martin's Point Health Care

WebsiteLinkedInAll Job Openings

501 - 1000 employees

🛡️ Insurance

📦 Logistics

💼 Consulting

Insurance • Logistics • Consulting

Martin's Point Health Care is a healthcare organization committed to serving its local communities through high-quality primary and specialty care services. The organization places a strong emphasis on creating a positive workplace culture, recognizing employee contributions, and fostering workforce diversity. Martin's Point Health Care offers a range of career opportunities across various departments, from healthcare providers to corporate roles, and supports employee growth through competitive compensation, development programs, and generous perks. Additionally, the company is recognized for its community impact efforts, raising significant funds for community organizations and encouraging employee volunteerism.

📋 Description

• Develop and conduct live, virtual, and recorded training sessions for new hires and existing staff on case management programs and workflows • Collaborate with leadership to map, develop, optimize, and manage departmental clinical workflows • Author and maintain step-by-step job aids, reference guides, and desktop procedures • Standardize, review, and control version history for internal clinical and operational documentation • Build, organize, and maintain the department SharePoint site and training assets • Incorporate NCQA, CMS Medicare, and DHA TRICARE regulatory requirements into training materials • Audit staff documentation after training to identify knowledge gaps and implement remedial coaching as needed • Support compliance with performance benchmarks while improving quality, optimizing cost, and improving patient experience

🎯 Requirements

• Bachelor’s Degree in Health Science, Nursing, or related field required • Minimum 5 years of clinical case management experience within a managed care organization or health insurer with Medicare Advantage required • Combined experience facilitating live, virtual, and hybrid classrooms in a corporate healthcare or managed care setting required • Experience building QA audit tools, analyzing performance metrics, and creating remediation plans • Demonstrated experience with NCQA case management accreditation standards, audit preparations, and HEDIS quality metrics required • Excellent oral and written communication and presentation skills required • Strong organizational skills, ability to work independently, and ability to prioritize work required • Competence with computers and business applications • Microsoft Excel, Visio, Word, PowerPoint, Outlook, and Access required • Proven background in adult learning principles and instructional design • Proven track record of building comprehensive training curriculums from scratch and translating complex medical workflows into digestible learning paths • Position is not eligible for immigration sponsorship • Master’s degree in Nursing, Healthcare Administration, or Public Health preferred • Certified Case Manager (CCM) or American Case Management Association (ACMA) certification preferred • TRICARE experience preferred • Proficiency in health IT systems, specialized Case Management platforms, Electronic Health Records, and clinical data analytics reporting tools preferred • Proficiency in SharePoint administration preferred

🏖️ Benefits

• Medical insurance • Dental insurance • Vision insurance • Retirement savings with employer contributions • Paid time off • Volunteer time off • Pie day • Other employee benefits • Potential additional compensation, including incentive or commission-based programs, where applicable