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Clinical Services Trainer

Company: Molina Healthcare
Location: Edinburg
Posted on: May 7, 2024

Job Description:

Provides standardized training programs for plan staff to improve quality, control medical costs and ensure compliance with state and federal regulations and guidelines. -
Responsible for the development and implementation of training curriculum for Utilization Management, Case Management, and LTSS staff.

  • Responsible for evaluation of training effectiveness to ensure staff understanding and readiness.
  • Educates staff on Molina standard programs and systems

    • Works with Health Plan leaders to ensure state specific regulations are included in training materials
    • Educates licensed staff regarding proper clinical judgment and approaches to proper decision making
    • Trains inter-disciplinary teams to collaborate in order to improve member quality of life and to control costs
    • Assists Care Review Clinicians with methods to present cases at multidisciplinary rounds
    • Ensures healthcare services staff understand professional standards of documentation

    • Implements new employee orientation for health care service staff

      • Provides training for current staff for new programs or key initiatives
      • Provides training for system implementations and upgrades
      • Reeducates staff when deficiencies in performance are identified.

      • Ensures staff attendance is recorded for trainings for record keeping and compliance.
      • Acts as an information and problem-solving resource for healthcare services staff.
      • 30% travel required.

        Required Education
        Completion of an accredited Registered Nurse (RN) Program and an Associate's or bachelor's degree in Nursing,
        Required Experience

        • 3 or more years in case, disease, or utilization management; managed care; or medical/behavioral health settings.
        • Experience demonstrating knowledge of adult educational/ learning theory and practice.
        • Experience working independently and handling multiple projects simultaneously.
        • Experience demonstrating knowledge of applicable state, and federal regulations/requirements.
        • Proficient in MS/Word, Excel, PowerPoint. - - - - - - - - - - - - - - - - - - - - - - - -

          Required License, Certification, Association

          • Active, unrestricted State Registered Nursing (RN) License
          • Must have valid driver's license with good driving record and be able to drive within applicable state or locality with reliable transportation.

            Preferred Education
            Bachelor's Degree in Nursing
            Preferred Experience

            • 5 or more years in case, disease, or utilization management; managed care; or medical/behavioral health settings.
            • One year of training delivery and/or development experience. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

              Preferred License, Certification, Association
              Certified Case Manager (CCM), Utilization Management Certification (CPHM), Certified Professional in Health Care Quality, or other related certification.
              To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
              Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
              - Pay Range: $54,373.27 - $117,808.76 / ANNUAL
              *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Keywords: Molina Healthcare, Edinburg , Clinical Services Trainer, Human Resources , Edinburg, Texas

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