Operations UM Training Specialist
1 week ago
Integra Partners is seeking an experienced nurse educator to join our Operations Training & Development team as an Operations UM Training Specialist, specializing in Utilization Management (UM) processes.
Key Responsibilities:- Develop and maintain the UM training curriculum for both administrative and clinical processes
- Develop and deliver comprehensive training programs for UM clinical staff on writing clear and concise clinical summaries, applying medical necessity criteria effectively, and composing complex denial letters that meet regulatory standards
- Ensure all training materials and methods comply with healthcare regulations and are written at appropriate grade levels for clarity and accessibility
- Stay current with industry standards, regulatory requirements, and best practices in clinical documentation and utilization management and update training documents as required
- Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN) certification from an accredited nursing program required
- Current, active LPN/LVN license
- Minimum of 2 years of experience in clinical nursing, with at least 4 years in Utilization Management
- 2+ Years of experience in Training & Development, healthcare experience preferred in a training environment
- Integra Partner's business model and its role in providing health care services to our customers
- In-depth understanding of Integra Partner's business processes and technical systems that support our core operations
- Working knowledge of Eloomi, Integra Partner's new learning management tool
- Develop and implement new hire and refresher training programs for UM staff and other select operational areas
- Implement and maintain Integra's new learning management software
- Develop best-in-class learning content based on different learner personas
Integra Partners is an equal opportunity employer. We are committed to providing reasonable accommodations and will work with you to meet your needs. If you are a person with a disability and require assistance during the application process, please don't hesitate to reach out.
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