Market Clinical & Operations Excellence Educator

Job Summary:

The Market Clinical & Operations Excellence Educator is responsible for developing training curricula that meets regulatory requirements and aligns with organizational goals, ensuring that staff are equipped with the necessary skills to provide high-quality care. In addition, the Educator reviews and optimizes existing market operation processes to drive efficiency and effectiveness across the organization, by fostering strategic collaboration among teams.

Essential Functions:

• Oversee new staff orientation in collaboration with CSU and the clinical team
• Partner with clinical leadership to enable continuous improvement and accuracy of content for new staff orientation
• Conduct annual evaluation of new hire training and monthly trainings to ascertain educational needs for present and future
• Research developments in the fields of case management for best practice and incorporate case management state and accreditation requirements into the education and training
• Act as resource for case management/care coordination staff to identify development needs and identify potential solutions
• Identify and address any knowledge or skill gaps by developing and evaluating targeted educational programs to enhance competencies.
• Collaborate with the case management and care coordination teams to identify process gaps and implement improvements
• Serve as a regional liaison to facilitate continuity and enhance clinical practice education
• Maintain records of annual trainings with collaboration from clinical team.
• Maintain e-manuals and quick tools to be used as resources for Care Management/Care Coordinator
• Assist with User Acceptance Testing when updates are made to the electronic medical record system
• Coordinate with the reporting team to collaborate on trends and reporting triggers within the electronic medical record system. Develop & deliver educational materials as necessary
• Serve as the Subject Matter Expert for new market launches within Integrated Care, defining workflows in accordance with contractual requirements and developing training curricula for new clinical teams
• Offer expertise in navigating the electronic medical record and case management/care coordination processes for regulatory audit presentations
• Participate in the implementation of new business initiatives relevant to the role
• Provide care management insights for new product implementations by leveraging a deep understanding of care management workflows, electronic medical record (EMR) functionalities, and industry best practices
• Collaborate with cross-functional teams to ensure that new products are effectively integrated into existing care management processes, enhancing operational efficiency and improving patient outcomes
• Support clinical staff with 1:1 review of processes and documentation systems and reinforcing best practices and consistency
• Act as clinical documentation process subject matter expert for multiple markets under the Integrated Care umbrella
• Identify risk areas within operational processes and contribute to the development of process improvement initiatives
• Perform any other job duties as requested

Education and Experience:

• Completion of an accredited Registered Nursing (RN) or Social Work degree program is required
• Advanced degree associated with clinical licensure is preferred
• Minimum of three (3) years of Case Management experience is required

Competencies, Knowledge and Skills:

• Ability to translate staff needs into a diverse range of learning and performance improvement strategies
• Develop tailored educational programs and initiatives that enhance care management performance and support growth.
• Training/teaching experience and demonstrated knowledge of adult learning environment
• Excellent written and verbal communications skills with strong public speaking abilities
• Demonstrate ability to develop, prioritize, and achieve goals including clear, measurable objectives and maintaining focus on priorities
• Demonstrates the ability to adapt to changing circumstances while driving progress toward established goals
• Ability to work independently and collaboratively in a team environment and lead initiatives from concept to implementation
• Strong time management and organizational skills
• Ability to develop, prioritize and accomplish goals
• Build and maintain positive relationships to promote teamwork and facilitate productive discussions
• Effective listening, critical thinking, and problem-solving skills with attention to detail
• Demonstrate strong interpersonal skills and professionalism in all interactions with colleagues, clients, and stakeholders to represent organizational values and ensure respectful and inclusive workplace culture
• Ability to interact effectively with all levels of management and adapt to multiple organizational layers
• Customer service oriented with change resiliency
• Ability to multi-task and remain flexible
• Effectively communicate ideas and information, actively listening to others and fostering a collaborative work environment.
• Proficiency in Microsoft Office Suite (Word, Excel and PowerPoint) and clinical documentation systems

Licensure and Certification:

• Current, unrestricted Registered Nurse (RN) licensure, Licensed Social Worker (LSW) or Licensed Independent Social Worker (LISW) in state of practice is required
• Case Management certification is preferred
• Employment in this position is conditional pending successful clearance of a driver’s license record check. If the driver’s license record results are unacceptable, the offer will be withdrawn or, if you have started employment in this position, your employment in this position will be terminated
• Employment in this position is conditional pending successful clearance of a criminal background check. If the criminal background results are unacceptable, the offer will be withdrawn or, if you have started in this position, your employment in this position will be terminated

Working Conditions:

• General office environment; may be required to sit or stand for extended periods of time
• Perform reasonable travel, which could include overnight travel, to fulfill the responsibilities of the position
• Flexible hours, including possible evenings

Compensation Range:
$70,800.00 - $113,200.00 CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.

Compensation Type:
Salary

Competencies:
- Create an Inclusive Environment - Cultivate Partnerships - Develop Self and Others - Drive Execution - Influence Others - Pursue Personal Excellence - Understand the Business

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an inclusive environment that welcomes and supports individuals of all backgrounds.

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