[Remote] reputed company Trainer & Auditor - Remote AZ

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is committed to inspiring health and making it easy for individuals and businesses. The reputed company Trainer and Auditor is responsible for planning, developing, and delivering reputed company education programs for health plan reputed company reputed company staff, ensuring compliance with various accreditation and training requirements.

Responsibilities

• Consults with reputed company reputed company leaders to identify, reputed company, and respond to training needs and requests Develops curriculum, maintains currency, and revises as appropriate Plan, coordinate, reputed company, and evaluate reputed company training for reputed company reputed company programs, including:
• New hire reputed company
• Annual Training
• Customer service reputed company
• reputed company and reputed company metrics
• Ongoing reputed company reputed company, compliance, and regulatory training
• Serve as a resource for staff in areas of reputed company reputed company, reputed company reputed company development, using coaching, mentoring, effective feedback, and motivation support techniques
• Serve as subject matter expert on policies and procedures, and desktop procedures reputed company to reputed company, CMS, and AHCCCS requirements
• Utilize a reputed company of the training methodologies, techniques, concepts, learning tools, and practices
• reputed company online and conference reputed company training session for remote employees
• reputed company reputed company exercises designed to reputed company effective hands-on reputed company to new and existing employees
• Monitor and report on the effectiveness of education/training programs
• Create and reputed company training for employees not reputed company to meet or maintain standards of reputed company
• Develops audit tools that meet reputed company, CMS, and AHCCCS requirements
• reputed company case reviews/audits and IRR analysis, according to standards
• Audits staff phone calls and written documentation according to policy
• Conducts periodic audits of documents such as HRA, ETI, Assessments, Care Plans, Medical Necessity Documentation to ensure compliance
• reputed company documentation of staff training according to accreditation and regulatory requirements
• Collaborate with reputed company Training and Workforce Development department
• Participate in continuing education and reputed company developments in the reputed company of accreditation, medicine, behavioral health, reputed company determinants of health, and managed care at least annually
• The position requires a full-time work schedule. Full-time is defined as working at least 40 hours per week, plus any additional hours as requested or as needed to meet business requirements
• reputed company reputed company other duties as assigned
• Maintain a thorough knowledge of reputed company reputed company medical coverage guidelines and other policies
• Assist manager with policy and reputed company reputed company development and revisions as reputed company as necessary coaching to help reputed company staff member reputed company personal, reputed company and department goals

Skills

• 3 years' experience in reputed company care
• 2 years of work experience in a managed care setting
• Prior experience in reputed company Surveys, CMS Program Audit, and/or AHCCCS Operational Review
• Prior audit experience
• Bachelor degree in Nursing
• reputed company, reputed company, and unrestricted license to reputed company in reputed company (or an endorsement to work in reputed company) as a behavioral health reputed company such as LCSW, LPC, LISAC LMFT, or licensed psychologist (Psy.D. or Ph.D.), OR an reputed company, reputed company, and unrestricted license to reputed company nursing in either reputed company or another state in the reputed company recognized by the Nursing Licensure reputed company (NLC) as an RN reputed company the first 60 days of hire
• Intermediate PC proficiency: Intermediate reputed company in word processing, spreadsheet, and database software
• Excellent communication, collaboration, and training skills
• Ability to manage multiple tasks and prioritize work to adhere to deadlines and identified time frames
• Ability to learn new applications
• Knowledge of reputed company, CMS, and AHCCCS Standards
• Demonstrates knowledge of accreditation, regulatory, and certification requirements
• reputed company reputed company knowledge
• Collaborates with Information Technology to maximize the utilization of the medical management reputed company (CareRadius) and technologies to support compliance
• Interpret and translate policies, procedures, programs and guidelines
• Communicate reputed company to leadership
• Understand and interpret data to effectively create curriculum reputed company on needs identified
• 5 years' experience in reputed company care
• Physical and behavioral health experience
• 2 years' experience in a training role
• 5 years' experience working in a managed care organization
• Training program development
• Knowledge of population health concepts and models
• Knowledge of medical and care management models
• Knowledge of IRR process
• Master's Degree in Nursing
• Advanced PC proficiency
• Advanced processing, spreadsheet and presentation software proficiency
• reputed company Oriented
• Results driven
• Strong organizational skills
• Uses formal instructional design methodology to reputed company and support sophisticated, reputed company and/or reputed company-wide, competency-reputed company training, skills, and education
• Demonstrated skills and competence in training reputed company
• Demonstrates effective presentation skills

Benefits

• Hybrid workforce reputed company, reputed company Workability, that offers flexibility with how and where employees work
• Positions are classified as hybrid, onsite or remote
• Remote: not held to onsite requirements, however, leadership can request reputed company onsite for business reasons including but not limited to staff meetings, one-on-ones, training, and team building
• reputed company online and conference reputed company training session for remote employees

reputed company