The Training and Education Coordinator will design the training program for the Utilization
Management (UM) Department’s data platforms, medical necessity software, and department
policies and procedures in consultation with UM Supervisors and Managers

▪ Develops clinical nursing training program courses to include training materials, guides,
and schedules training sessions of new UM staff in collaboration with UM
Supervisor/Managers and facilitates ongoing training.
▪ Conducts training and/or works with other subject matter experts to prepare and conducts
trainings for both new staff and ongoing staff development.
▪ Maintains training and education records, as needed.
▪ Provides training for clinical staff that may include those with Continuing Education Units
(CEU).
▪ Creates effective written training materials and tools to support learning.
▪ Writes and/or provides input on operational desk procedures.
▪ Serves as Registered Nurse InterQual Certified Instructors.
▪ Reviews and updates job descriptions and department processes.
▪ Monitors progress of trainees through one-on-one observation and audit results.
▪ Provides feedback to Supervisors and Managers on staff performance relating to accuracy
of work and ability to apply lessons.
▪ Audits UM Department database systems and procedures.
▪ Audits all key operational functions to ensure accuracy levels are maintained
▪ Prepares reports of staff results and distributes to staff’s immediate supervisor/manager.
▪ Assists in re-training nurses and other staff in need of remediation and supervision.
▪ Prepares team audit results trending reports and recommends training sessions based on
trends.
▪ Supports auditing activities and recommends training topics for staff based on audit results.
▪ Reviews and supports all activities related to auditing, tracking, and documenting staff
performance of operational processes with an emphasis on ensuring data and other work
output is accurate.
▪ Produces audit reports to identify trends for training opportunities.
▪ Participates in process improvement activities.
▪ May provide back-up to other positions as required, including working as a nurse
coordinator role.
▪ Other duties as assigned.

All HealthPlan employees are expected to:

• Provide the highest possible level of service to clients;
• Promote teamwork and cooperative effort among employees;
• Maintain safe practices; and
• Abide by the HealthPlan’s policies and procedures, as they may from time to time be updated.

HIRING RANGE:

$56.98 - $74.07

IMPORTANT DISCLAIMER NOTICE

The job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this job description are representative only and not exhaustive or definitive of the tasks that an employee may be required to perform. The employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or work environment change.