Rn Manager, Healthcare Services Training - Long Beach, United States - Molina Healthcare
Description
JOB TITLE:
MANAGER, HEALTHCARE SERVICES TRAINING (RN)
For this role, we are seeking a Healthcare Services Manager to oversee our Clinical Training staff. Contribute strategic recommendations to upper management for growth improvements and systems expertise. Solid experience in Clinical Systems Technology and change management. Lead efforts in CLINICAL CARE ADVANCE and PEGA UM systems training for Case Management and Utilization Management staff. Hands-on knowledge with PEGA or Clinical Care Advance (CCA) development and testing. Develop content for systems improvements.
REGISTERED NURSE preferred.
Job Description:
Job Summary
Manages all activities associated with the development, implementation, and evaluation of training for the enterprise. Ensures employee compliance with training endeavors. Takes leadership role in evaluating/implementing new training opportunities.
Knowledge/Skills/Abilities
Responsible for clinical training teams supporting one or more of the following activities: utilization management (prior authorizations, inpatient/outpatient medical necessity, etc.), case management, transition of care, health management, and/or member assessment.
Responsible for the development, implementation, maintenance, and tracking of the Company's enterprise wide HCS training program, ensuring training compliance with state and federal regulatory and accrediting standards and implementation of the Molina Clinical Model.
Manages and evaluates team member performance; provides coaching, consultation, employee development, and recognition; ensures ongoing, appropriate staff training; holds regular team meetings to drive good communication and collaboration; and has responsibility for the selection, orientation, and mentoring of new staff.
Functions as a hands-on manager responsible for supervision, coordination of daily training activities, scheduling, management of training requests, and serves as a problem-solving and troubleshooting resource.
Ensures adequate staffing to support training, staff productivity and other performance indicators.
Maintains professional relationships with internal and external stakeholders and collaborates with cross-functional teams to ensure training content is relevant and meets the needs of our customers.
Manages a diverse team of Clinical Services Trainers responsible for delivering NEO, implementations, clinical initiatives and special projects.
Collaborates in the development of training content, design, technology and implementation efforts, including identification of goals, objectives, critical success factors and success measures.
Ensures training team is well-informed of changes in process that impact curricula; coordinates necessary train the trainer opportunities; and confirms that updates have been incorporated into New Employee Orientation.
Participates in committees and/or workgroups and evaluates and implements recommendations from the committees that are applicable to staff training.
Continuously seek and support new approaches, practices and processes to improve the
efficiency of training services offered.
Job Qualifications
REQUIRED EDUCATION:
Registered Nurse OR Bachelor's degree in Nursing, Public Health, Social Work, or related field.
REQUIRED EXPERIENCE:
5+ years of managed healthcare experience, including 3 or more years in one or more of the following areas: utilization management, case management, care transition and/or disease management.
Minimum 2 years of healthcare or health plan supervisory or managerial experience, including oversight of clinical staff.
Proven experience partnering with business leaders on training design and execution, instructional design, adult learning theory and deploying training through innovative solutions
Experience working within applicable state, federal, and third-party regulations.
Strong organizational and time management skills
Ability to multi-task and meet project deadlines
Attention to detail and self-proofing
Ability to work under mínimal supervision and has a high level of personal initiative
Ability to build relationships
Strong problem-solving mindset with the ability to synthesize multiple opinions and feedback
Strong oral, written, listening and presentation skills
Able to demonstrate a high level of confidentiality
Resourceful and creative with problem solving
REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:
If licensed
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