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Senior Clinical Training Advisor

Role overview

Qualifications

  • RN with 3 years of clinical nursing experience
  • Must hold and maintain a valid North Carolina clinical license
  • Background in operational, administrative, and clinical training

Responsibilities

  • Facilitate effective onboarding of clinical and non-clinical employees and contractors
  • Perform monthly clinical quality audits to review staff documentation, clinical decision making and processes
  • Collaborate with business area leaders to create and maintain training resources and documentation
  • Facilitate business area systems testing when upgrades or changes are needed

Key facts

Other skills

  • Collaboration
  • Problem Solving
  • Communication

About the company

Blue Cross NC logo

Blue Cross NC

Health Insurance (Payers)

It's an exciting time to work at Blue Cross and Blue Shield of North Carolina (Blue Cross NC). Health care is changing, and we're leading the way. We offer more than health insurance our customers can count on. We’re committed to better health and better health care − in our communities and beyond. Our employees bring energy and creativity to the workplace, and it shows in our innovative approach to improving the health and well-being of North Carolinians. Blue Cross NC is a fully taxed, not-for-profit company headquartered in Durham, North Carolina. We employ more than 5,000 people who are passionate about health care, and we serve more than 4.3 million members. Help us lead the charge for better health care by joining our award-winning team. Discover tremendous opportunities with us to do challenging and rewarding work. Opportunities that can lead you to a fulfilling career, work that can help others lead healthier, happier lives. Blue Cross NC is an independent licensee of the Blue Cross and Blue Shield Association.

Company details

Company typeXLarge
IndustryHealth Insurance (Payers)
Company size5001 - 10000

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Job description

Job Description

We're seeking a Senior Clinical Training Advisor to join the Clinical Coding Review team. You will facilitate a learning environment for clinical and non-clinical staff that results in effective new employee onboarding, ongoing quality improvement, and continuous learning. Through regular audits and trend analysis, determine training needs and develop clinical learning solutions, resource materials and/or process documentation to positively impact business goals and objectives. Act as staff resource for clinical decision making and systems or process assistance. Support business area with system testing and process automation efforts.

What You'll Do

Departmental Training

  • Responsible for effective onboarding of clinical and/or non-clinical employees and contractors through core curriculum maintenance for new hire training (i.e. foundational knowledge, departmental policies, processes and systems relevant to role).
  • Facilitate classroom training as well as role progression/preceptor coordination and monitoring of early performance for new employees; partner with business leaders to ensure business and training needs are met.
  • Partner with Enterprise Learning staff on adult learning best practices, curriculum maintenance, delivery planning and strategies to meet departmental needs and the utilization of technical enablements (i.e. Workday Learning, Degreed, BLOOM, mLevel, etc).
  • Develop and deliver new and reinforcement training based on needs (i.e. analysis of quality audit reviews, process changes); may include one on one/remediation training as needed.

Audit and Needs Assessment

  • Assess relevant training needs for staff based on review and analysis of audit results/trends, recurring staff questions or issues, system/process changes, and/or divisional compliance inputs.
  • Perform monthly clinical quality audits to review staff documentation, clinical decision making and processes; identify gaps to drive the design of ongoing learning solutions.
  • Coordinate or support other quarterly and/or biannual audits as required by business area.

Job Resources

  • Collaborate with business area leaders to create, organize/maintain and communicate relevant training resources, job aids and/or process documentation; may include maintenance of departmental knowledge management site (i.e. SharePoint).
  • Act as a day to day staff resource for assistance with clinical decision making, systems, documentation and process guidelines. 
  • Maintain knowledge of clinical updates, care patterns, medical policy, internal guidelines and regulatory and governmental rules and regulations and share with staff as required.

System Testing and Process Automation

  • Facilitate business area systems testing when upgrades or changes are needed; create necessary testing plans, job aids, and relevant tracking/documentation.
  • Support digital process automation efforts and deployed bots through testing, staff training, and implementation follow up.
  • Assist with identification of requirements related to system configuration changes.

What You Bring

  • RN with 3 years of clinical nursing experience.

  • Must hold and maintain a valid North Carolina clinical license.

Bonus Points (preferred qualifications)

  • Background in operational, administrative, and clinical training
  • Experience with healthcare, non-patient facing business administration functions

What You’ll Get 

  • The opportunity to work at the cutting edge of health care delivery with a team that’s deeply invested in the community  
  • Work-life balance, flexibility, and the autonomy to do great work   
  • Medical, dental, and vision coverage along with numerous health and wellness programs   
  • Parental leave and support plus adoption and surrogacy assistance   
  • Career development programs and tuition reimbursement for continued education   
  • 401k match including an annual company contribution   
  • Learn more   

Salary Range

At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets,  licensure and certifications and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs. 

*Based on annual corporate goal achievement and individual performance.
 

$81,068.00 - $129,708.00

Skills

Clinical Development, Clinical Documentation, Clinical Nursing, Clinical Supervision, Clinical Training, Health Care, Medical Knowledge, Medical Policy, Nursing Fundamentals, Patient Care

_____________________________________________________________________

JOB ALERT FRAUD: We have become aware of scams from individuals, organizations, and internet sites claiming to represent Blue Cross and Blue Shield of North Carolina in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All our career opportunities are published on https://bcbsnc.wd5.myworkdayjobs.com/en-US/BCBSNC. If you have already provided your personal information that you suspect is fraudulent activity, please report it to your local authorities. Any fraudulent activity should be reported to: HR.Staffing@BCBSNC.com.

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Marcus Rivera

Chief Revenue Officer

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