Trainer, Clinical Services

Job Title

Provides support for clinical training activities. Creates and delivers clinical training programs for clinical staff across the enterprise to orient employees to Molina clinical methodologies, policies, processes and systems. Ensures all Molina clinical team members are positioned to improve quality, control medical costs, and ensure compliance with state and federal regulations and guidelines. Responsible for the development, implementation, and delivery of training curriculum for utilization management, care management, and long-term services and supports (LTSS) staff. Leads classes, adapting to trainee skill level, specific backgrounds, changing priorities and operating environments as needed. Facilitates training for clinical new employee orientation, business implementations, clinical initiatives and optimization efforts.

Job Duties

• Collaborates with team members, leaders, and stakeholders to develop and design training content; identifies goals, objectives, critical success factors and success measures. • Serves as a subject matter expert (SME) on assigned clinical specialty area(s). • Consults with clinical leaders across Molina to understand clinical business training needs. • Develops and tailors clinical content on various topics using clinical expertise gained through previous experience in utilization management and/or care management. • Applies critical thinking skills, clinical/professional judgement, and breaks down complex information into simplified categories so it is easier for learners to understand and apply. • Creates and uses clinical case scenarios to simulate how training participants will navigate systems and apply skills and knowledge on the job. • Maintains working knowledge of state specific regulations to ensure references and resources are included in training materials. • Prepares the learning environment for classroom setup, systems setup, course materials, media, and online learning. • Provides education on proper clinical judgment and approaches to decision-making. • Draws upon previous care management/utilization management experience to direct trainees and share best practices for working as a member of an interdisciplinary clinical team. • Educates interdisciplinary/integrated care teams on best ways to leverage unique clinical backgrounds and knowledge to effectively collaborate, improve member quality of life and control costs. • Trains/educates healthcare services staff on professional standards of documentation. • Reeducates staff via group facilitation and/or individual coaching when deficiencies in performance are identified to mitigate skill gaps. • Evaluates training effectiveness to ensure staff understanding and readiness. • Analyzes and determines training needs/problems and provides clear and timely verbal and written feedback to team members and leadership. • Participates in committees and/or workgroups as a liaison between the training team and workgroup to ensure alignment with training and influence best practices. • Collaborates and/or leads special projects, including training efforts for enterprise growth and new clinical programs or systems. • Provides post-implementation support; serves as a resource SME for trainees to consult with as the learner begins to apply new skills and knowledge on the job.

Job Qualifications

REQUIRED QUALIFICATIONS :

• At least 2 years of experience in care management, utilization management, behavioral health, long-term care, or experience in a clinical delivery setting, and at least 1 year of training delivery and/or development experience, or equivalent combination of relevant education and experience. • Completion of an accredited nursing program or bachelor's degree in nursing, social science, psychology, counseling, gerontology, public health, social work, or health related field. • Knowledge of applicable state, and federal regulations/requirements. • Strong training capabilities. • Ability to provide performance feedback in a professional manner • Strong customer service acumen. • Process improvement experience. • Strong analytical and problem-solving skills. • Ability to work cross-functionally within a highly matrixed organization. • Ability to work independently and handle multiple projects simultaneously. • Strong verbal and written communication skills, and presentation skills. • Microsoft Office suite/applicable software program(s) proficiency.

PREFERRED QUALIFICATIONS :

• Active and unrestricted Registered Nurse (RN) or licensed social worker/counselor. • Certified Case Manager (CCM), Certified Professional in Health Care Quality (CPHQ), or other related certification.