Clinical Learning & Development Specialist jobs in United States
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Medical Mutual · 1 day ago

Clinical Learning & Development Specialist

Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio, providing peace of mind to over 1.2 million members. The Clinical Learning & Development Specialist is responsible for conducting training needs assessments, developing and delivering training programs, and evaluating their effectiveness to support clinical and administrative staff.

Health CareHealth InsuranceInsuranceLife Insurance
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Culture & Values

Responsibilities

Delivers and facilitates a variety of training programs (new hire, systems guideline/criteria, core competencies and remedial / refresher training) to clinical, administrative and management
Identifies learning objectives, selects, or develops appropriate training programs/classes using various delivery formats including eLearning, instructor led, blended learning, as well as educational materials, training aids and evaluation tools
Defines measurable results produced from training programs and evaluates effectiveness of training programs and location including cost/benefit analyses
Participates in analyses to determine specific training needs for clinical staff and develops classroom and online training
Acts as a resource to department managers. SME and department training staff to identify development needs and identify potential solutions
Keeps up to date on new and emerging industry processes, technology, and best practices and shares with management
Performs other duties as assigned
Organizes department initiatives and coordinates the delivery of CLD services to the division
Develops and facilitates a variety of training programs (new hire, systems guideline/criteria, core competencies and remedial / refresher training) to clinical, administrative and management
Defines measurable results produced from training programs and evaluates effectiveness of training programs and location including cost/benefit analyses; reports results and manages ongoing process improvements related to results of evaluations
Acts as a partner to department managers. SME and department training staff to identify development needs and identify potential solutions; Orients, trains, coaches and mentors CLD Specialists and department SME in the development of training design and delivery skills
Conducts analyses to determine specific training needs for clinical staff and designs and develops classroom and online training
Keeps up to date on new and emerging industry processes, technology, and best practices and shares with management
Performs other duties as assigned

Qualification

Current RN/LPN/LISW licenseClinical management knowledgeBachelor's degreeCertification in Case ManagementRegulatory standards knowledgeAdvanced Microsoft OfficeClaims management systemsAdult learning principlesInstructional design theories

Required

Bachelor's degree in nursing, business or healthcare administration, education, or related field
Equivalent education and experience directly related to the role may substitute for a degree
3 years progressive experience in health plan case management or utilization review which includes training and curriculum development
Current, unrestricted license in the state of Ohio in one of the following: Registered Nurse (RN), Licensed Practical Nurse (LPN), Licensed Independent Social Worker (LISW) or Licensed Social Worker (LSW)
Strong knowledge of clinical management programs and health plan operations
Familiarity with regulatory and accreditation standards, and the ability to apply to operational guidelines
Intermediate to advanced Microsoft Office and claims management and/or clinical operations systems and online learning authoring skills
Foundational knowledge of adult learning principles
Knowledge of how to translate business objectives into developmental goals, client solutions and effective training activities
5 years progressive experience as a Clinical Learning & Development Specialist or equivalent experience in health plan case management or utilization review which includes training and curriculum development
Certification in Case Management, Training, Project Management or nationally recognized health care certification strongly preferred
Comprehensive knowledge of clinical management programs and health plan operations
Comprehensive knowledge of regulatory and accreditation standards, and the ability to apply to operational guidelines
Advanced Microsoft Office, claims management and/or clinical operations systems and online learning authoring skills
Demonstrated knowledge of and the ability to apply advanced instructional design theories and adult learning principles
Demonstrated ability to translate business objectives into developmental goals, client solutions and effective training activities

Preferred

Certification in Case Management, Training, Project Management or nationally recognized health care certification preferred
Certification in Case Management, Training, Project Management or nationally recognized health care certification strongly preferred

Company

Medical Mutual

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Medical Mutual Provides and administers health benefits for citizens in Ohio.

Funding

Current Stage
Late Stage

Leadership Team

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Annette Terrien Hill
RNI Chief Operating Officer
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Christopher Donovan
Executive Vice President, Chief Data and Information Officer
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Company data provided by crunchbase