Clinical Trainer RN - Registered Nurse - SWHR CIN - Full Time - Fort Worth

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RN/Registered Nurse
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20012219 Requisition #
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671 Total Views

Southwestern Health Resources is seeking to hire a Clinical Trainer to support our Utilization Management Department.

 

The address is 900 Jerome St, Suite 400, Fort Worth, Texas 76104

 

Salary range is $38.29/hour – Max 52.83/hour – based on relevant experience.

 
Work Schedule  

• Full-time: 40 hours per week, Days, 8am-5pm

 

In coordination with Clinical Leadership, the clinical trainer will support new and current clinical staff through on-boarding and focused remediation to assure quality and compliance with all Federal, State, and Plan regulation. The clinical trainer will be responsible for annual testing of employees to ensure competency. The essential job duties for this position are:

 
 

 Provides standardized training programs for staff to improve quality and ensure compliance with state and federal regulations and guidelines.

•  Responsible for evaluation of training effectiveness to ensure staff understanding and readiness.

•  Educates staff on SWHR programs and systems:

•  Provides nursing staff with clinical and educational support and guidance for the implementation of Southwestern Health

•  Educate licensed staff regarding proper clinical judgment and approaches to proper decision making.

•  Provides training for current staff for new programs or key initiatives.

•  Provided training for system implementations and upgrades.

•  Reeducates staff when deficiencies in performance are identified.

•  Updates job aides and SOPs as needed and ensures proper storage of documents.

•  Responsible for the development and implementation of training curriculum for Utilization Management staff and interrater reliability (IRR).

•  Works with leadership team to ensure state specific regulations are included in training materials.

•  Assists in eliminating boundaries to achieve integrated, efficient, and quality service.

•  Collaborate with Clinical Management

•  Serves as a resource to employees and customers as demonstrated by visibility and knowledge of issues.

•  Oversees and coordinates the process and education for all clinical practice programs, i.e., CEU opportunities.

•  Comply with all compliance, regulatory and process training within the specified timeline.

•  Completes documentation in applicable software system accurately

•  Implements new employee orientation for health care service staff.

•  Assists new staff with on-boarding, including initial set up of computer systems and various accesses required for each employee's job.

•  Performs other duties as assigned to support the education/QA initiatives departmental-wide

 

 The ideal candidate will possess the following qualifications:

•  Bachelor’s Degree Nursing required or

•  Master's Degree Nursing preferred

•  2 Years experience in Medicare Advantage or Managed Care required And

•  2 Years of clinical education, or Case Management experience in an acute or post-acute provider or other care company required .And

•  3 Years experience in Utilization Review, Discharge Planning and Medical Case Management in a hospital or post-acute care setting preferred.

•  RN - Registered Nurse Upon Hire And

•  CCM - Certified Case Manager preferred.

 
 


Skills:

•  Working knowledge of computers and basic software applications used in job functions such as word processing, graphics, databases, spreadsheets, etc.

•  Strong analytical and organizational skills.

•  Working knowledge and ability to apply professional standards of practice in work environment.

•  Knowledge of specific regulatory and managed care requirements.

•  Demonstrates proficiency in the application of health plan coverage guidelines, CMS coverage guidelines, and nationally recognized review criteria.

•  Demonstrates a solid understanding of managed care trends Medicare, and Medicaid regulations, reimbursement and the effect on utilization and outcomes of the different methods of reimbursement.

Southwestern Health Resources Clinically Integrated Network (SWHR CIN) is an affiliated company of Texas Health and UT Southwestern. If hired for this position, you will become a SWHR CIN employee rather than a Texas Health or UT Southwestern employee.


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