Case Management Clinician Trainer

PacificSource Health Plans • Helena, MT

307d • Remote

About The Position

Looking for a way to make an impact and help people? Join PacificSource and help our members access quality, affordable care! PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, national origin, sex, sexual orientation, gender identity or age. Diversity and Inclusion: PacificSource values the diversity of the people we hire and serve. We are committed to creating a diverse environment and fostering a workplace in which individual differences are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths.

Requirements

• Minimum of four (4) years of nursing or clinical behavioral health experience with varied health care exposure and experience required.
• Registered nurse with current unrestricted state licenses(s) or Licensed Clinical psychologist, LCSW, or comparable behavioral health professional with extensive experience and/or credentials.
• Certified Case Manager Certification (CCM) as accredited by CCMC strongly desired at time of hire.
• Thorough knowledge and understanding of medical and behavioral health processes, diagnoses, care modalities, procedure codes including health insurance and state-mandated benefits.
• Ability to use computerized systems for data recording and retrieval.
• Ability to work independently with minimal supervision.

Nice To Haves

• Experience in teaching or coaching preferred.
• Six (6) months of experience within PacificSource Health Services Department preferred.

Responsibilities

• Provide and/or coordinate all initial new hire training.
• Identify training department needs and arrange for continued education for all Behavioral Health (BH)/Physical Health (PH) Clinical staff.
• Develop and maintain desktop and resource materials.
• Facilitate and coordinate training of clinical mentor, and subject matter expert roles within Health Services.
• Active participation in policy and desk top reference development.
• Develop, maintain, and present training programs in coordination with Health Services Leadership Team.
• Develop, organize, and maintain a centralized electronic system of reference tools and training materials.
• Standardize and maintain training materials to reflect current practice & compliance standards.
• Ensure regulatory compliance with all state and federal guidelines as well as other accrediting entities.
• Work with Health Services Team Leaders in all aspects of training.
• Identify ongoing training needs for all Clinicians.
• Act as clinical liaison and subject matter expert on the medical management platform.
• Assist with quarterly audit processes.
• Ensure that each new hire is provided with the tools to successfully begin their new position.
• Attend Policy and Procedure meetings and participate in initiating, reviewing and editing of policies when relevant.
• Utilize lean methodologies for continuous improvement.
• Practice and model effective communication skills: both written and verbal.

Benefits

• Flexible telecommute policy
• Medical, vision, and dental insurance
• Incentive program
• Paid time off and holidays
• 401(k) plan
• Volunteer opportunities
• Tuition reimbursement and training
• Life insurance
• Options such as a flexible spending account

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Insurance Carriers and Related Activities
• Education Level: Bachelor's degree