Company Overview
We are a local, non-profit, Managed Care Organization (MCO), offering Children’s Medicaid (STAR) and CHIP programs. We also offer plans through the Health Insurance Marketplace. Community has a network of 10,000 doctors, 77 hospitals, and is proud to be more than 400,000 Members strong! Our mission is to improve the health and well-being of underserved Texans by opening doors to healthcare and health-related social services. Community Health Choice is a LOCAL non-profit health plan. At Community, we genuinely CARE for and SERVE our Community. We are a TRUSTED partner who RESPECTS our Members and their families, opens doors to high-quality healthcare, and makes the process EASY. Even more simply, we say, Community Cares. The team members of Community Health Choice are trustworthy, caring individuals who work collaboratively with our members, providers and community partners. We are courageous, creative and responsive as we serve members and the community. Our Care Management team offers: • Health education • Programs for asthma, diabetes and high-risk pregnancy
About the job
JOB SUMMARY
The Learning & Development Training Specialist – Clinician is responsible for collaborating with various departments throughout the organization to identify and implement training related to STAR+PLUS. In this role the clinical trainer will facilitate required components of Service Coordination training, ensure appropriate application of policies and procedures are imbedded into training resources. The clinical trainer will serve as a subject matter expert as needed to develop new trainings and/or revise existing content as business needs evolve. It is the responsibility of the clinical trainer to collaborate with applicable departments to map out training plans and schedules, to develop targeted and role-specific training, and conduct skills assessments. The clinical trainer will complete requested and/or identified opportunities for reskilling/upskilling to address any identified gaps.
As a clinical member of the Learning & Development team, you will act as a learning delivery and/or program/project management office (PMO) manager. This will promote effective and leading-edge programs that align with the Learning & Development strategy to achieve desired business outcomes. The clinical trainer is responsible for the direction, coordination, implementation, and completion of projects to achieve business goals. Develop and execute an optimum delivery and/or project management strategy through collaboration with the Learning & Development leaders, Talent Attraction department, and other business leaders, as applicable.
JOB SPECIFICATIONS
Collaborates with Medical Affairs leadership and subject matter experts to develop a strategic plan for STAR+PLUS Service Coordination training. This position is responsible for developing a robust training plan that meets contractual guidelines as indicated by federal and state regulators.
Collaborate with Medical Affairs leadership to ensure required regulatory test are administered. Analyze test/audit finding related to assessments, documentation, authorizations, and other Service Coordination duties to identify trends impacting best practices within the organization.
Regularly evaluate training effectiveness through assessments, feedback, and performance metrics.
Provide ongoing support to program staff, offering guidance and resources for continuous learning. Facilitate in-person and virtual training sessions, incorporating interactive elements to enhance participant engagement using current technology.
Collaborate with other members of Learning and Development team to maximize new and existing employees understand the life cycle of the STAR+PLUS member throughout each department and establish/update role-specific training as needed.
Other duties as assigned.
QUALIFICATIONS:
- Education/Specialized Training/Licensure: RN, RUG Certification required.
- BSN, Person Centered Training Instructor preferred.
- Work Experience (Years and Area): At least 3-5 years of experience in a managed care health plan as a service coordinator and at least 3-5 years of experience training/precepting/coaching in STAR+PLUS Service Coordination.
- Experience in Auditing, Utilization Management, Level 1 Service Coordination, Experience in clinical program development.
- Software Proficiencies: Microsoft (Outlook, Word, PowerPoint, Excel
- Articulate, Canva, Rise 360, Camtasia
How to Apply:
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