utilization Management trainer, usrn - multiple locationsUnitedHealth Group

Job Description
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.
Positions in this function are primarily responsible for the effective delivery of day to day training programs across the organization specifically on the Clinical nursing delivery/work for utilization management and case management. The trainers keeps abreast of various training delivery techniques, relevant clinical knowledge of the US healthcare systems and it relevant protocols, business processes, products and systems. The trainer will also be exclusively covering clinical deliveries from clinical admin support to clinical day to day delivery required for a registered clinician. This condition will also have the trainer involve to not train outside of specialty of the business family which is clinical delivery. The trainer may also be involved in the design process of training and conceptualization of learning initiatives and solutions. The trainer in this position will cover mainly clinical skills training needs, clinical acumen enhancement and solutions with special focused on business entities serving Utilization Management and Case Management.
Primary Responsibilities:
Assessing learning needs of individuals and teams within clinical programs
Developing learning goals, objectives, curriculum and measurements that promote desired performance outcomes
Creating and delivering instructional content using adult learning principles and strategies with relevant business consideration
Leveraging learning technologies and tools for presentation, collaboration and engagement
Providing learning and instructional expertise to individuals and teams
Facilitating and managing learning in web-based and/or face-to-face environments
Reviewing evaluative data to make improvements and/or establish new initiatives and business improving solutions
Maintaining updates to curriculum and assessments based on changes and relevant feedback feedback
Establishing positive working relationships with all levels of staff and management
Providing coaching, guidance and feedback to learners
Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so
Required Qualifications:
At least a college degree holder
Active Philippine Registered Nurse license
Active non-restricted mainland US Registered Nurse license
At least 3 years of hospital experience in the appropriate clinical setting
Competent knowledge of medical terminologies and basic US healthcare processes
Special consideration on the following delivery:
Client focused call engagement and outreach
Provider facing clinical admin work
Medicare/Medicaid Exposure
Previous training delivery of at least 2 years preferably on a clinical process
Special considerations on the following clinical are:
Skilled nursing facility
Home Health Care
Long Term Acute care
Maternity Nursing
Cancer and Oncologic Nursing
Medical and Surgical Background
General UM and CM capability
Preferred Qualifications:
Bachelor of Science in Nursing or other Allied Health courses
Clinical process experience related to Case Management Outreach and/or Utilization Management Review, Clinical Administration and General Clinical Customer Service
Knowledge in ADDIE and relevant training delivery techniques both for instructor led face to face or virtual training
Solid clinical acumen and awareness of the US healthcare system
Workable capability in project management and delivery
Workable capability on digital content creation and use of MS Office 365 apps and tools
High aptitude for systems, procedures, process control and development as well as project management
Proven self-directed worker with a solution-based mindset
Proven solid listening, verbal, and written communication skills
Proven superior interpersonal/customer service skills with solid phone presence
Proven solid organizational skills and multitasking abilities
Proven technical aptitude and proficiency with good analytical and decision-making skills
Proven collaborative and team oriented
Proven solid stakeholder management
Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)