Clinical Systems Trainer, RN

🔥 0 minutes ago

🌲 Oregon – Remote

🌲 Oregon – Remote

💵 $113.9k - $139.3k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

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CareOregon

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 1994

🏥 Healthcare

📦 Logistics

🛡️ Insurance

Healthcare • Logistics • Insurance

CareOregon is a community-focused health plan that provides coordinated physical, behavioral, dental and social-support services to Oregon Health Plan members, serving more than 500,000 people. The organization operates provider and member portals, offers care coordination, telehealth, language and tribal services, community grants and outreach, and programs addressing social determinants of health such as housing, nutrition and transportation.

📋 Description

• Conduct onboarding training sessions for newly hired clinical staff in utilization management workflows • Develop and maintain job aids to support core workflows • Facilitate remediation training for identified deviation by individuals and/or teams from policies, procedures, and processes • Lead ongoing training refresher sessions for clinical staff • Build evaluation of staff training and provides feedback to respective managers • Responsible for departmental reporting of aggregate training activities • Track all activities which can be used as support documentation for CMS or OHA audits • Identifies training opportunities and implements strategies to ensure ongoing training needs are met • Assist in internal and external audits as requested • Implement strategies to ensure staff comply with internal or external plan of corrections • Develop, review, and update clinical content, ensuring accuracy and relevance • Ensure all content complies with current clinical standards and regulations • Maintain up-to-date knowledge of clinical practices and Medicare and Medicaid guidelines • Assist in the development of training materials and educational resources • Participate in quality improvement initiatives and projects • Design, develop, and update clinical content through the review and understanding of information gathered from regulatory and organizational requirements • Collect and incorporate feedback from internal customers to ensure clinical accuracy and usability • Perform Quality Assurance testing of clinical content and create and maintain clinical documentation • Serve as a clinical resource for both internal customers, including training of new content both created and as part of the product • Collaborate with Medical Directors and Clinical Operations leadership team for organizational criteria • Participate in developing project plans, monitoring tasks and ensuring on-time delivery of clinical content

🎯 Requirements

• Registered Nurse (RN) license • Minimum 2 years of clinical experience working with clinical guidelines • Experience in clinical content creation or medical writing • Experience with InterQual • Experience with training and onboarding • Experience applying Oregon Medicaid and Medicare coverage guidelines • Proficiency with nationally accepted clinical guidelines, such as InterQual or MCG • High degree of competence in continual improvement, project management, change management, and program development • Knowledge of clinical workflows • Knowledge of learning collaborative and practice facilitation strategies • Strong computer literacy • Basic understanding of software development phases

🏖️ Benefits

• medical, dental, vision, life, AD&D, and disability insurance • health savings account • flexible spending account(s) • lifestyle spending account • employee assistance program • wellness program • discounts • multiple supplemental benefits (e.g., voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre-tax parking, pet insurance, 529 College Savings, etc.) • retirement plan with employer contributions • paid holidays • volunteer time • jury duty • bereavement leave