Clinical Auditor/Trainer RN
2 weeks ago
MJHS is seeking a highly skilled Clinical Auditor/Trainer RN to join our team. As a key member of our Medical Management department, you will play a critical role in training and auditing our utilization management clinical staff.
Key Responsibilities- Develop and deliver training programs for UM clinical staff, incorporating adult learning principles and best practices.
- Conduct regular audits and monitoring of day-to-day processes to ensure compliance with company policies and procedures.
- Assess individual staff performance and report findings to the Medical Management team.
- Oversee coordinator staff assigned to assist with documentation gathering, report running, and meeting management.
- Bachelor's degree in nursing, with a Master's degree preferred.
- Current RN licensure in New York State.
- At least 5 years of experience in utilization management in a managed care or healthcare setting.
- 2 years of experience in instructional design and program development, with familiarity with adult learning concepts.
- Prior experience delivering classroom and virtual instructor-led training.
- Prior motivational interviewing training experience.
- Experience using Interqual Guidelines.
- Knowledge of utilization management and organizational determination principles.
MJHS offers a dynamic and supportive work environment, with opportunities for professional growth and development. If you are a motivated and experienced Clinical Auditor/Trainer RN, we encourage you to apply for this exciting opportunity.
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Clinical Auditor/Trainer RN
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New York, New York, United States MJHS Full timeJoin Our Team as a Clinical Auditor/Trainer RNWe are seeking a highly skilled and experienced Clinical Auditor/Trainer RN to join our team at MJHS. As a key member of our Utilization Management (UM) team, you will play a critical role in ensuring the delivery of high-quality healthcare services to our patients and members.Key Responsibilities:Develop and...
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