Clinical Systems Trainer RN

Clinical Systems Trainer RN

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The 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 - $139,260.00

Bonus Target:

Bonus - SIP Target, 5% Annual

Current CareOregon Employees: Please use the internal Workday site to submit an application for this job.

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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 in