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RN Case Management Trainer

Watertown, MA · Healthcare
RN Case Management Educator / Trainer – Health Plan
Boston, MA (Watertown)
 
Case Management Trainer Job Summary:
 
  • Development and oversight of all internal educational programs, including ascertaining CEU and CCM credits to ensure care management team is knowledgeable in all current CM practice guidelines
  • Maintains educational calendar and works with staff preceptors
  • Supports accurate documentation and process improvement opportunities
  • Acts as resource to all department staff at all levels
  • Gather, document and maintain department policies, processes, workflows, and job aids.
  • Responsible to keep database current and accurate for staff and provide education regarding updates and changes.
  • Develop key program metrics and capabilities to present to internal and external stakeholders
  • Identification and documentation of program scope, timelines, goals, operational and outcome success measures
  • Ensures NCQA compliance through tracking mechanisms for audits
  • Produces and delivers presentations to internal and external customers
  • Develop end to end program content, tools, and resources as determined by department needs. This includes maintaining specific required format for IS team to build in clinical system platform.
 
Case Management Trainer Background:
  • Valid, unrestricted state Registered Nurse (R.N.) license
  • Bachelor’s Degree in Nursing (BSN) or related field is preferred.
  • Certified in Case Management (CCM/ACM) preferred
  • Roughly 3-5 years’ clinical experience, including Managed Care Health Plans.
  • Prefer around 2-3 years’ experience in Case Management and/or discharge planning / transitional care, ideally for a Managed Care Organization (Health Plan, IPA, HMO, TPA, etc).
  • Requires 5-7 years of experience training healthcare staff in any capacity, including developing and presenting materials for training RNs.
  • Familiar with Commercial, Medicare, and Medicaid plans is a plus.
  • Strong computer proficiency (MS Office) and presentation skills are necessary.
  • Able to transform assignments from high-level objectives into independently established detailed goals.
  • Excellent verbal and written communication skills, as well as exceptional critical thinking skills.
 
#CLINICAL
 
#Care1
PRASHANT PATEL
STRATEGIC DIRECTOR, EXECUTIVE SEARCH DIVISION

CareNational
prashant@carenational.com
480.646.3275 (CALL – TEXT – FAX)
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