Clinical Auditor/Trainer
4 days ago
The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms.
The Clinical Trainer/Auditor, under the direction of the UM Director, is responsible for training UM clinical staff, by being the primary support for the orientation, job-related training and continuing education. The trainer/auditor is responsible for all aspects of training, including content development using principles of adult learning, updating training materials based on company policies and procedures, regulatory changes, published best practice, clinical guidelines and overall workflow improvement strategies. The trainer/auditor is also responsible for conducting of both standard regulatory audits and monitoring of day-to-day processes for the UM team. The trainer/auditor is responsible for assessing overall compliance with policies/processes, as well as trending individual staff performance and reporting findings to the Medical Management team. This position is also responsible for oversight of any coordinator staff assigned to assist in documentation gathering, running reports, meeting management, etc.
Bachelor’s in nursing, required, Master’s preferred
Licensed RN, NY State
5 years of utilization management experience in a managed care or healthcare setting required
2 years’ instructional design and program development experience and familiarity with adult learning concepts preferred
Prior experience delivering classroom and virtual instructor led training preferred
Prior motivational interviewing training experience preferred
Experience using Interqual Guidelines required
Knowledge of the principals surrounding utilization management/organizational determination required
-
Clinical Compliance Auditor
3 weeks ago
New York, United States VIllageCare of New York Full timeAre you a Registered Nurse with a passion for ensuring compliance? Join our team at VillageCare as a Full-Time Clinical Compliance Auditor and take the next step in your career from the comfort of your own home. This fully remote position offers a competitive salary ranging from $102,000 to $115,000, providing a rewarding opportunity for professional growth...
-
Clinical Compliance Auditor
1 month ago
New York, United States VillageCare Full timeAre you a Registered Nurse with a passion for ensuring compliance? Join our team at VillageCare as a Full-Time Clinical Compliance Auditor and take the next step in your career from the comfort of your own home. This fully remote position offers a competitive salary ranging from $102,000 to $115,000, providing a rewarding opportunity for professional growth...
-
Clinical Compliance Auditor
4 weeks ago
New York, United States VillageCare Full timeAre you a Registered Nurse with a passion for ensuring compliance? Join our team at VillageCare as a Full-Time Clinical Compliance Auditor and take the next step in your career from the comfort of your own home. This fully remote position offers a competitive salary ranging from $102,000 to $115,000, providing a rewarding opportunity for professional growth...
-
Clinical Compliance Auditor
2 weeks ago
New York, New York, United States VillageCare Full timeAre you a Registered Nurse with a passion for ensuring compliance? Join our team at VillageCare as a Full-Time Clinical Compliance Auditor and take the next step in your career from the comfort of your own home. This fully remote position offers a competitive salary ranging from $102,000 to $115,000, providing a rewarding opportunity for professional growth...
-
Clinical Compliance Auditor
3 weeks ago
New York, United States Village Care Full timeJob DescriptionJob DescriptionAre you a Registered Nurse with a passion for ensuring compliance? Join our team at VillageCare as a Full-Time Clinical Compliance Auditor and take the next step in your career from the comfort of your own home. This fully remote position offers a competitive salary ranging from $102,000 to $115,000, providing a rewarding...
-
Clinical Trainer
2 weeks ago
New York, New York, United States NYC Health + Hospitals Full timeAbout NYC Health + Hospitals:Empower Every New Yorker — Without Exception — to Live the Healthiest Life PossibleNYC Health + Hospitals is the largest public health care system in the United States. We provide essential outpatient, inpatient and home-based services to more than one million New Yorkers every year across the city's five boroughs. Our large...
-
Healthcare Compliance Auditor
1 month ago
New York, United States MJHS Full timeOur Corporate team may not provide direct care, but we still touch people's lives in a very real and substantial way. The services we provide contribute greatly to the overall patient and member experience, supporting our reputation for excellence. Under the direction of the MJHS Compliance Officer and working closely with members of the MJHS Compliance...
-
New York, United States Amtex Systems Inc Full timeJob DescriptionJob DescriptionMedical Trainer/ Clinical Trainer Remote but need to visit NYC office once in every quarter Need candidate who can work on W2: cant sponsor Skills: AllscriptsM*ModalVisage or TelemedicineEPICArticulate is a plusDesigns, develops, delivers, and maintains highly effective and engaging learning content using multiple delivery...
-
RN Clinical Auditor
4 weeks ago
New York, United States Hospice of New York Full timeJob DescriptionJob DescriptionThis position will ensure that specific aspects of the clinical documentation are compliant with Federal and State requirements.You must be a Licensed Registered Nurse to do this role. (RN LICENSE NEEDED)Before applying please note the Hybrid schedule for this role:Orientation is onsite, in office/field experiences as assigned...
-
RN Clinical Auditor
4 weeks ago
New York, United States Hospice of New York Full timeJob DescriptionJob DescriptionThis position will ensure that specific aspects of the clinical documentation are compliant with Federal and State requirements.You must be a Licensed Registered Nurse to do this role. (RN LICENSE NEEDED)Before applying please note the Hybrid schedule for this role:Orientation is onsite, in office/field experiences as assigned...
-
RN Clinical Auditor
2 weeks ago
New York, United States Hospice Of New York Full timeJob DescriptionThis position will ensure that specific aspects of the clinical documentation are compliant with Federal and State requirements.You must be a Licensed Registered Nurse to do this role. (RN LICENSE NEEDED)Before applying please note the Hybrid schedule for this role:Orientation is onsite, in office/field experiences as assigned for 2 full...
-
New York City, United States Amtex Systems Inc Full timeAmtex Systems Inc is an information technology and talent solutions company offering talent and BI consulting to the companies in US for over 20 years. Our solutions are designed to fill resource gaps, by providing the right candidates who deliver value to the organization. Our propensity to nurture and build strong relationships with our clients helps us...
-
Clinical Trainer for Medical Assistants
13 hours ago
New Castle, United States Westside Family Healthcare Inc Full timeDescription:WESTSIDE IS LOOKING FOR A CLINICAL TRAINER TO HELP OUR MA TEAM GROW!JOIN THE TEAM TAKING CARE OF THE COMMUNITY!Westside Family Healthcare is a nonprofit organization that provides high quality primary medical care without regard to ability to pay. The Medical Assistant (MA) Clinical Trainer is either an MA or an RN who is responsible for...
-
Healthcare Compliance Auditor
2 weeks ago
New York, New York, United States Metropolitan Jewish Health System Full timeOverview: Our Corporate team may not provide direct care, but we still touch people's lives in a very real and substantial way. The services we provide contribute greatly to the overall patient and member experience, supporting our reputation for excellence. Why work for MJHS?: When you work with us you will receive comprehensive and affordable health and...
-
New York, United States Amtex Systems Inc Full timeAmtex Systems Inc is an information technology and talent solutions company offering talent and BI consulting to the companies in US for over 20 years. Our solutions are designed to fill resource gaps, by providing the right candidates who deliver value to the organization. Our propensity to nurture and build strong relationships with our clients helps us...
-
Clinical Trainer
2 days ago
New York, United States NYC Health + Hospitals Full time**About NYC Health + Hospitals**: **Empower Every New Yorker — Without Exception — to Live the Healthiest Life Possible** NYC Health + Hospitals is the largest public health care system in the United States. We provide essential outpatient, inpatient and home-based services to more than one million New Yorkers every year across the city’s five...
-
Billing Auditor-QA535207
2 months ago
New York, United States Institute for Comm Living Full timeJob DescriptionJob DescriptionNOTE: All applicants must comply with ICL's vaccination policy. Individuals selected for employment cannot begin working until they provide verification that they are fully vaccinated against COVID-19 (with an FDA-authorized vaccine).JOB SUMMARYThe Compliance Billing Auditor participates in the mission of the Department of...
-
New York, United States Amtex Systems Inc Full timeJob DescriptionJob DescriptionMedical Trainer/ Clinical Trainer with Allscripts and Articulate experience 1 day a week onsite in NYC Need candidate who can work on W2Skills: AllscriptsM*ModalVisage or TelemedicineEPICArticulate is a plusDesigns, develops, delivers, and maintains highly effective and engaging learning content using multiple delivery methods...
-
New York, United States Amtex Systems Inc Full timeJob DescriptionJob DescriptionMedical Trainer/ Clinical Trainer with Allscripts and Articulate experience 1 day a week onsite in NYC Need candidate who can work on W2: cant sponsor Skills: AllscriptsM*ModalVisage or TelemedicineEPICArticulate is a plusDesigns, develops, delivers, and maintains highly effective and engaging learning content using multiple...
-
EMR Systems Trainer
2 weeks ago
New York, United States Amtex Systems Inc. Full timeClinical Trainer- 2 Positions- MLong Term Contract (12+ Months)Mostly remote but may need to be onsite at NYC once in 3 months (no expenses paid)ResponsibilitiesDesigns, develops, delivers, and maintains highly effective and engaging learning content using multiple delivery methods including handouts, reference guides, walkthrough videos, micro/macro...
