Job Information
CareFirst Training & Quality Specialist, (Hybrid) (MD-DC-Northern VA) in Baltimore, Maryland
Resp & Qualifications
PURPOSE:
Reporting to the Supervisor or Manager of Case Management, this role provides relevant new hire and supportive ongoing training/professional development which create and maintain a motivated, skilled and effective team through which organizational goals are achieved. This role supports the Federal Employee Program line of business. We are looking for an experienced professional in the greater Baltimore metropolitan area who is willing and able to work in a hybrid model. The incumbent will be expected to work a portion of their week from home and a portion of their week at a CareFirst location based on business needs and work activities/deliverables that week.
ESSENTIAL FUNCTIONS:
Designs, develops and/or facilitates instructor led training and development programs. Consistently delivers a quality program in the formal didactic, virtual or informal setting using adult learning principles. Uses instructional design principles to scope, review, modify, and redesign training materials to reflect current research and best practices and align with culture, core principles and strategic goals.
Assesses learning needs, designs, develops, organizes, implements, and evaluates educational programs (orientations, continuing education, and in-services) that facilitate the professional growth, knowledge and skill development, competency, applicable regulatory standards, and attainment of standards of care for care managers or other clinical and non-clinical team members.
Organizes and supports the educational activities of the team, which includes regular or ad hoc educational sessions, webinars, learning tools, assisting with departmental development-related meetings, and providing other support.
Identifies educational opportunities in support of influencing stakeholder behavior and bending cost trends.
Acts as a mentor, providing feedback and coaching as the trainees apply the didactic content to real-world job duties.
Provides supportive oversight following the initial orientation period to ensure thorough understanding and incorporate all information presented during the training/orientation program and are prepared to successfully launch into performing core job duties.
Reviews accuracy and effectiveness of curriculum and content, providing timely and constructive feedback to associates and people leaders on their performance during training for development and learning opportunities.
Collaborates to identify best practices so that those practices can be shared in an efficient and expeditious manner to improve care delivery, member experience or other critical business deliverables.
Reviews randomized selected care plans and/or case reviews to assess quality and appropriateness. Delivers feedback to people leaders on quality trends.
QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education Level: Bachelor's degree in nursing, Healthcare Administration or related field OR in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience.
Experience: 8 years' experience demonstrating increasing responsibility for training in relevant health care field experience in instructional design, curriculum development and implementation and program evaluation.
Licenses/Certifications
RN - Registered Nurse - DC State Licensure and Compact State Licensure Upon Hire Required.
Case Management Certification (CCM) Upon Hire Required.
Preferred Qualifications:
- Masters degree in nursing and/or Instructional Design.
Hybrid) (MD-DC-Northern VA)
Knowledge, Skills and Abilities (KSAs)
Excellent presentation skills, superior meeting facilitation skills, the ability to influence others, superior written and oral communication skills, including the ability to successfully interact with all levels of associates. Ability to train, mentor and give constructive feedback in group and individual settings Strong interpersonal skills and the ability to work with clinical and non-clinical staff. Ability to facilitate meetings in an efficient and effective manner. Experience with computer programs such as Microsoft Word, Excel, Access, PowerPoint and Outlook.
Licenses/Certifications
RN - Registered Nurse - DC State Licensure and Compact State Licensure Upon Hire Required.
Case Management Certification (CCM) Upon Hire Required.
Salary Range: $75,888 - $150,722
Travel Requirements Estimate Amount: Hybrid, visits to office at least 1-3 per quarter or as needed to meet business needs.
Salary Range Disclaimer
The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilites of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements).
Department
Department: FEP Care Management
Equal Employment Opportunity
CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.
Where To Apply
Please visit our website to apply: www.carefirst.com/careers
Federal Disc/Physical Demand
Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on health care programs.
PHYSICAL DEMANDS :
The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted.
Sponsorship in US
Must be eligible to work in the U.S. without Sponsorship.
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REQNUMBER: 20491
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