JOB SUMMARY

The Learning & Development Training Specialist - Clinician is responsible for collaborating with various departments throughout the organization to identify and implement training related to STAR+PLUS. In this role the clinical trainer will facilitate required components of Service Coordination training, ensure appropriate application of policies and procedures are imbedded into training resources. The clinical trainer will serve as a subject matter expert as needed to develop new trainings and/or revise existing content as business needs evolve. It is the responsibility of the clinical trainer to collaborate with applicable departments to map out training plans and schedules, to develop targeted and role-specific training, and conduct skills assessments. The clinical trainer will complete requested and/or identified opportunities for reskilling/upskilling to address any identified gaps.

As a clinical member of the Learning & Development team, you will act as a learning delivery and/or program/project management office (PMO) manager. This will promote effective and leading-edge programs that align with the Learning & Development strategy to achieve desired business outcomes. The clinical trainer is responsible for the direction, coordination, implementation, and completion of projects to achieve business goals. Develop and execute an optimum delivery and/or project management strategy through collaboration with the Learning & Development leaders, Talent Attraction department, and other business leaders, as applicable.

JOB SPECIFICATIONS AND CORE COMPETENCIES

Collaborates with Medical Affairs leadership and subject matter experts to develop a strategic plan for STAR+PLUS Service Coordination training. This position is responsible for developing a robust training plan that meets contractual guidelines as indicated by federal and state regulators.

Collaborate with Medical Affairs leadership to ensure required regulatory test are administered. Analyze test/audit finding related to assessments, documentation, authorizations, and other Service Coordination duties to identify trends impacting best practices within the organization.

Regularly evaluate training effectiveness through assessments, feedback, and performance metrics.

Provide ongoing support to program staff, offering guidance and resources for continuous learning. Facilitate in-person and virtual training sessions, incorporating interactive elements to enhance participant engagement using current technology.

Collaborate with other members of Learning and Development team to maximize new and existing employees understand the life cycle of the STAR+PLUS member throughout each department and establish/update role-specific training as needed.

Other duties as assigned.

QUALIFICATIONS:

Education/Specialized Training/Licensure: RN, RUG Certification required.

BSN, Person Centered Training Instructor preferred.

Work Experience (Years and Area): At least 3-5 years of experience in a managed care health plan as a service coordinator and at least 3-5 years of experience training/precepting/coaching in STAR+PLUS Service Coordination.

Experience in Auditing, Utilization Management, Level 1 Service Coordination, Experience in clinical program development.

Management Experience (Years and Area): N/A

Software Proficiencies: Microsoft (Outlook, Word, PowerPoint, Excel

Articulate, Canva, Rise 360, Camtasia

Community Health Choice

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Learning & Development Training Specialist - RN