The Care Management Trainer is responsible for onboarding, training, and developing clinical and non-clinical Care Management staff, including Registered Nurses (RNs), Licensed Vocational/Practical Nurses (LVNs/LPNs), Care Coordinators, and Social Workers within the scope of Care Management. This role provides structured orientation programs, ongoing competency refreshers around workflow process, workflow updates, system training, and targeted Care Management skills development. The specialist also performs call and chart quality audits and reviews, reviewing results with staff and management to drive quality and compliance.

Job Duties/Responsibilities:

• Coordinates and performs educational activities that promote the competency and development of Alignment Health Plan staff, including orientation, competency validation within the scope of Care Management, remediation, in-service, and continuing education for new Care Management staff.
• Assesses, plans, develops, implements, and evaluates educational programs in response to health care demands, trends, identified learning needs, organizational and clinical goals, quality improvement measures, risk management, regulatory changes, and compliancy criteria.
• Designs and maintains training materials, job aids, and digital learning tools.
• Directs the delivery of education for new employee orientation, conducts competency assessments, facilitates ongoing development, and establishes courses and programs based on annual needs assessments and educational compliancy requirements.
• Performs structured call and chart reviews. Reviews audit findings with staff and managers, providing coaching and targeted training.
• Collaborates with local and system leadership to determine market specific educational needs to achieve desired organizational outcomes.
• Integrates audit learnings into training updates.
• Provides one-on-one coaching and mentoring.
• Supports compliance with Medicare, Medicaid, and health plan requirements.
• Tracks and maintains training completion and competency results.
• Performs other job-related duties as assigned.

Supervisory Responsibilities: None

Job Requirements:

Experience:
• Required:

• 3 years in care management or related clinical field
• Prior Staff Development/Education experience

• Preferred:

• Medicare Advantage or Managed Care Experience

Education:
• Required: Associate's Degree or higher in a Clinical discipline

Specialized Skills:
• Required:

• Strong communication skills to provide constructive documentation feedback
• Strong presentation skills to support educating peers
• Proficiency in care management systems
• Proficiency in Microsoft Office
• Strong Clinical Assessment knowledge, solid clinical reasoning, and familiarity with standards of care when auditing charts
• Proficiency in the development of training material

Licensure:
• Required: Current RN or LCSW/MSW license

Essential Physical Functions:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms.

2. The employee frequently lifts and/or moves up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus.

Pay Range: $85,696.00 - $128,543.00
Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc.