Remote Utilization Review Jobs in Meridian, ID (NOW HIRING)

Executes the learning and development priorities for the company's training needs. Responsible for developing, scheduling and conducting group and/or one-on-one training, for both virtual and classroom settings. At times it is necessary to conduct classes with virtual participants both face-to-face and virtually; virtual facilitation and technical skills are required for this reason. Training will be developed and delivered for both newly hired and existing staff on policies, standards, computer systems, service delivery expectations, quality monitoring and regulation and accreditation specifics. Collaborates with COE leaders and workgroup project managers to identify, prioritize and respond to training needs of staff. Although primarily supports COE training, may be expected to lead and/or support other initiatives and programs (i.e. Leadership Programs, competency development, and new business implementations). Includes additional departmental responsibilities and tasks such as learning management system administrator, training material development and maintenance, audit and completion reports and special projects.

• Maintains subject matter expertise with company policies, COE and site procedures and systems, and clinical care management processes.
• Provides classroom and/or one-on-one instruction for new employees on company policies, COE and site procedures and systems, and clinical care management processes.
• Provides instruction for both newly hired clinical staff, staff being cross-trained on other accounts, and sustainment training for existing staff.
• Utilizes a variety of learning interventions in response to individual learning styles.
• Collaborates with Corporate Clinical Operations, IT Project Management, Talent Development and other stakeholders to work on projects, influence change management, drive training strategy and coordinate project rollouts.
• Serves as an advocate for learning and change management in project planning meetings and effectively communicate project plans, milestones and training strategy on an ongoing basis.
• Leads and/or co-leads the overall design, development and delivery of Clinical and other learning products/services/interventions, including specific needs analysis, learning outcomes definition, structure and design of learning product, implementation plan, communication with relevant stakeholders and follow up evaluations to demonstrate learning transfer.
• Leads and/or supports business/systems migrations and new office openings by developing training plan, agendas/schedules, developing/customizing content, delivering training and mentoring staff, including COE and special projects.
• Participates in clinical management team to develop and implement clinical services and training strategies that address performance gaps.
• Analyzes performance and develop, in consultation with clinical and quality management, improvements in clinical processes.
• Works with quality management in preparing materials for customer audits and accreditation visits to appropriately reflect adherence to policies and procedures and improvements in work processes.
• Assures site is in compliance with training standards as required by state and national regulations, and develops new training as these regulations are updated.
• Researches, develops and maintains manuals and documentation of procedures, training program and support materials, and training/job aids for customer accounts and prepares materials as necessary for customer review and audit.
• Designs and develops appropriate and effective instructional materials and content in collaboration with other learning partners in the department
• Conducts developmental and refresher training for existing clinical staff to implement process changes, correct deficiencies and improve individual performance.
• Utilizes enterprise Learning Management System to share training resources and information, training materials, track training activity, report on progress, and support enterprise learning strategy.

The job duties listed above are representative and not intended to be all-inclusive of what may be expected of an employee assigned to this job. A leader may assign additional or other duties which would align with the intent of this job, without revision to the job description.
Other Job Requirements
Responsibilities
3+ years of experience in managed clinical care, formal training design and/or facilitation and coaching experience.
3+ years of experience post degree in psychiatric and/or substance abuse health care setting, including utilization review.
Licensure is required for this position, specifically a current license that meets State, Commonwealth or customer-specific requirements.
Ability to effectively prioritize and manage competing priorities; good time management skills.
Demonstrated understanding of training concepts and principles of adult learning.
Demonstrated ability to convert abstract ideas into concrete solutions, and ability to communicate technical information to non-technical customers.
Comfortable working in a fast-paced environment.
Strong facilitation and classroom management skills.
Strong verbal and written communication skills; ability to provide topic clarity to all levels.
Good interpersonal skills; ability to function independently and as a team member.
Understanding of managed care/healthcare operations.
Skilled in use of MS Word (creating tables, managing formatting, saving versions), Excel, PowerPoint (creating presentations, using animation), Outlook.
Excellent training documentation skills, including manuals, job aids and facilitator/learner materials.
General Job Information
Title
BH Clinical Trainer- Remote- Idaho
Grade
25
Work Experience - Required
Clinical, Training
Work Experience - Preferred
Education - Required
Associate - Nursing, Master's - Psychology, Master's - Social Work
Education - Preferred
License and Certifications - Required
LCSW - Licensed Clinical Social Worker - Care Mgmt, LMFT - Licensed Marital and Family Therapist - Care Mgmt, LMSW - Licensed Master Social Worker - Care Mgmt, LPC - Licensed Professional Counselor - Care Mgmt, PsyD - Doctorate of Psychology - Care Mgmt, PSY - Psychologist - Care Mgmt, RN - Registered Nurse, State and/or Compact State Licensure - Care Mgmt
License and Certifications - Preferred
Salary Range
Salary Minimum:
$64,285
Salary Maximum:
$102,855
This information reflects the anticipated base salary range for this position based on current national data. Minimums and maximums may vary based on location. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law.
This position may be eligible for short-term incentives as well as a comprehensive benefits package. Magellan offers a broad range of health, life, voluntary and other benefits and perks that enhance your physical, mental, emotional and financial wellbeing.
Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.
Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.