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Health Information Representative FT Evening
2 months ago
The Director II (Clinical Operations – Training) will lead the operational components to develop, implement and oversee an ongoing comprehensive clinical training curriculum for medical management teams, including Utilization Management, Case Management, Long Term Services and Supports and Medical Directors.
The incumbent will be responsible for the development of each department's core competency training as well as content-specific clinical and industry best practice approaches for clinical care teams.
Additionally, the incumbent will be responsible for initiating and/or further developing desktop procedures and other artifacts and toolkits for internal and external health network partners' training needs.
Duties & Responsibilities:- Cultivates and promotes a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.
- Directs and assists the team in carrying out department responsibilities and collaborates with the leadership team and staff to support short- and long-term goals/priorities for the department through training and curriculum.
- Manages and oversees the clinical training team members, including assigning and evaluating work, making recommendations on hiring, training and setting goals, conducting performance evaluations and recommending and implementing corrective actions up to and including termination.
- Partners with all clinical operations department leadership to set initiative, execution, approach and mobilize resources across all phases of delivery.
- Designs, implements and oversees clinical training programmatic approach, including all new employee orientation, refresher training, ad-hoc/custom content and clinical practice material.
- Works with internal and health network key stakeholders to ensure the operational launch and long-term strategy for key CalOptima Health clinical program's training and learning initiatives.
- Collaborates with leadership and across departments to ensure the successful launch of key CalOptima Health initiatives and to ensure the initiatives function successfully within the CalOptima Health environment.
- Provides oversight and coordinates with other support resources/teams as needed for key deliverables.
- Partners with CalOptima Health's leadership to leverage opportunities for program enhancement and growth in the context of CalOptima Health's strategic plan.
- Completes other projects and duties as assigned.
Bachelor's degree in Nursing, Education, Healthcare Administration, Public Health or related field required.
7 years of experience in clinical operations leadership and/or training directly responsible for content development required.
5 years of experience in clinical programs in a managed care environment required.
5 years of progressive leadership experience, including direct supervision of staff required.
Experience in clinical operations/medical management program design and implementation including desktop procedures, workflows and oversight to ensure ongoing application of content required.
An equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above is also qualifying.
Preferred Qualifications:Master's degree in Nursing, Healthcare Administration, Public Health or related field.
Active Certified Case Manager (CCM) certification.
Experience working at a director level, with a successful track record of training new programs and initiatives.
Experience in successfully writing and managing program policies, procedures and materials.