Clinical Systems Trainer RN

About this role

Clinical Systems Trainer RNThe Clinical Systems Trainer is responsible for training staff in the correct and effective use of decision tools used for utilization management activities and assess staff readiness to begin their specific role in the Division at the conclusion of training. As new initiatives and functionalities arise, they work jointly with Clinical Operations leadership to identify training opportunities and implement strategies to ensure ongoing training needs are met. They are responsible for onboarding and orientation of new clinical employees to clinical guideline tools (InterQual); they author guidelines from regulatory requirements or customize from nationally recognized clinical content or organizational criteria to meet CareOregon’s needs. They lead the ongoing training of clinical staff as new guidelines are developed. They develop training and reference materials to ensure staff have the tools needed to streamline operational workflows and overall meet regulatory compliance. They support audit activities as requested.

NOTE: This position is work from home, but you must reside in Oregon or SW WA. The schedule is either M-F or 4 ten-hour days Tuesday - Friday.Estimated Hiring Range:
$113,940.00 - $139,260.00Bonus Target:
Bonus - SIP Target, 5% AnnualCurrent CareOregon Employees: Please use the internal Workday site to submit an application for this job.
Essential Responsibilities
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.
Implements 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.
Experience and/or Education
Required

Registered Nurse (RN) license

Minimum 2 years of clinical experience working with clinical guidelines

Preferred

Experience in clinical content creation or medical writing

Experience with InterQual

Experience with training and onboarding

Experience applying Oregon Medicaid and Medicare coverage guidelines

Knowledge, Skills and Abilities Required
Knowledge

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

Skills and Abilities

Ability to work with minimum supervision

Ability to develop, test, and evaluate programmatic initiatives

Strong abilities in building relationships with multiple entities

Excellent written and verbal communication skills

Ability to work independently and as part of a team

Strong attention to detail and organizational skills

Ability to manage multiple projects and meet deadlines

Strong people management skills, including the ability to coach and motivate teams

Excellent critical thinking, analytical and problem-solving skills; ability to effectively analyze program goals and objectives to determine successes and opportunities for improvement

Ability to communicate effectively, both verbally and in writing, including strong presentation and change management skills

Ability to influence and build consensus

Ability to work in an environment with matrix reporting

Ability to work effectively with diverse individuals and groups

Ability to learn, focus, understand, and evaluate information and determine appropriate actions

Ability to accept direction and feedback, as well as tolerate and manage stress

Ability to see, read, hear, speak clearly and perform repetitive finger and wrist movement for at least 6 hours/day

Ability to work effectively with diverse individuals and groups

Ability to learn, focus, understand, and evaluate information and determine appropriate actions

Ability to accept direction and feedback, as well as tolerate and manage stress

Ability to see, read, and perform repetitive finger and wrist movement for at least 6 hours/day

Ability to hear and speak clearly for at least 3-6 hours/day

Working Conditions
Work Environment(s): ☒ Indoor/Office ☐ Community ☐ Facilities/Security ☐ Outdoor Exposure
Member/Patient Facing: ☒ No ☐ Telephonic ☐ In Person
Hazards: May include, but not…