Offer summary

Qualifications:

Bachelor of Science in Nursing (BSN) preferred., Experience as a case manager or in a related field., Strong interpersonal, communication, and presentation skills., Knowledge of case management principles and relevant regulations..

Key responsabilities:

Deliver training sessions for healthcare staff on resource use and quality care.

Develop and administer training programs and materials for case managers.

Monitor and evaluate the effectiveness of training programs and case management practices.

Collaborate with staff and stakeholders to enhance service quality and training effectiveness.

Job description

Description

A Clinical Case and Utilization Management Training Manager focuses on educating healthcare staff about efficient resource use while maintaining quality care. The Case and Utilization Management Training Manager plays a crucial role in educating and guiding case managers to ensure effective and ethical practices.

FLSA Status	Exempt	Salary Range	$125,000- $155,000
Reports To	Principal & Executive Vice President	Direct Reports	Yes
Location	Remote	Travel	Up to 60%
Work Type	Regular	Schedule	Full Time

Clinical Responsibilities and Duties

Deliver computer applications training sessions for software in an instructor-led classroom style environment and in a web-based instructor-led environment
Utilize a variety of training methodologies, techniques, concepts, learning tools, and practices
Provide online and conference call training sessions for offsite employees
Develop the corresponding course curriculum for software applications as they are developed and implemented
Ensure that all related user training materials are updated to appropriately reflect changes to applications
Develop valid exercises designed to provide effective hands-on practice to new and existing employees
Monitor and report on the effectiveness of education/training programs
Create and develop training processes for employees not able to meet or maintain standards of excellence
Identify employee developmental/training needs and develop programs/initiatives to meet departmental needs
Create and maintain a positive, professional, vibrant and entertaining learning environment to engage group and individual trainees
Create and deliver comprehensive training programs for case managers, covering topics such as case management principles, assessment techniques, service coordination, and ethical practices.
Utilize various training methods, including classroom instruction, online modules, simulations, and role-playing, to cater to different learning styles.
Stay updated on current best practices and relevant regulations in the field of case management to ensure the training content is current and accurate.
Develop and administer assessments to evaluate the effectiveness of training programs and identify areas for improvement.

Program Evaluation and Improvement:

Monitor the performance of case managers and the impact of training programs on client outcomes.
Collect and analyze data to identify trends, patterns, and areas for improvement in case management practices.
Collaborate with program leadership to develop and implement strategies to enhance the quality and effectiveness of case management services.

Collaboration and Communication:

Work collaboratively with other staff members, including program directors, supervisors, and service providers, to ensure effective coordination of services.
Represent the training program at meetings, conferences, and other events to promote best practices and build relationships with stakeholders.
Maintain clear and effective communication with case managers, providing timely feedback and updates on training schedules, resources, and program changes.
Working with healthcare teams to optimize resource allocation and improve patient outcomes

Training Development:

Creating and delivering training programs on utilization review processes and compliance with healthcare regulations.

Policy Implementation:

Ensuring staff understand and adhere to guidelines for cost-effective care.

Performance Monitoring:

Evaluating the effectiveness of training and identifying areas for improvement.

Qualifications:

BSN preferred.
Experience as a case manager or in a related field.
Experience in training, coaching, or mentoring.
Strong interpersonal, communication, and presentation skills.
Ability to work independently and as part of a team.
Knowledge of case management principles, best practices, and relevant regulations.
Proficiency in Microsoft Office Suite and other relevant software.

Benefits:

As a firm passionate about health care, we’re deeply committed to the health and wellness of our own team members. We offer comprehensive, affordable insurance plans for our team and their families, and a host of other unique benefits, such as a yearly stipend for wellness-related activities and a paid parental leave program. You can learn more about our benefits offerings here: https://copehealthsolutions.com/careers/why-cope-health-solutions/.

About COPE Health Solutions
COPE Health Solutions is a national tech-enabled services firm powering success for health plans and for providers in risk arrangements. Our comprehensive NCQA certified population health management platform and highly experienced team brings deep expertise, experience, proven tools, and processes to improve financial performance and quality outcomes for all types of payers and providers. CHS de-risks the roadmap to advanced value-based payment and improves quality and financial performance for providers, health plans and self-insured employers. For more information, visit CopeHealthSolutions.com.

To Apply:
To apply for this position or for more information about COPE Health Solutions, visit us at https://copehealthsolutions.com/careers/open-positions/.

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