Clinical Services Trainer
Molina Healthcare Dallas, Texas; Austin, Texas; Fort Worth, Texas; Arlington, Texas; Corpus Christi, Texas; Plano, Texas; Lubbock, Texas; Laredo, Texas; Garland, Texas; Frisco, Texas; Irving, Texas; Hidalgo, Texas; San Antonio, Texas; El Paso, Texas; Edinburg, Texas; Gainesville, Texas; Houston, Texas; Nacogdoches, Texas Job ID 2025737KNOWLEDGE/SKILLS/ABILITIES
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.
JOB QUALIFICATIONS
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.
#PJHPO
#LI-AC1
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.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Job Type: Full Time Posting Date: 04/24/2024ABOUT OUR LOCATION
View Map- Telephonic Case Manager (RN) - MUST LIVE IN NEBRASKA OR IOWA Gothenburg Nebraska, Harrison Nebraska, Bridgeport Nebraska, Wayne Nebraska, Taylor Nebraska, Sutherland Nebraska, Omaha Nebraska, Lincoln Nebraska, Des Moines Iowa 04/12/2024
- Chief Medical Officer, Health Plan (Must reside in Kentucky) Louisville Kentucky 03/14/2024
- Third Party Resilience Manager United States, Louisville Kentucky, Lexington-Fayette Kentucky, Bowling Green Kentucky, Owensboro Kentucky, Covington Kentucky, Georgetown Kentucky, Richmond Kentucky, Florence Kentucky, Nicholasville Kentucky 03/29/2024
- Analyst, Business (Remote) United States, Louisville Kentucky, Richmond Kentucky, Florence Kentucky, Nicholasville Kentucky, Lexington-Fayette Kentucky, Owensboro Kentucky, Covington Kentucky, Georgetown Kentucky 05/03/2024
No recently viewed jobs.
View All JobsNo saved jobs.
View All Jobs