Training Specialist VI- Managed Care Utilization Review (UR) Under the supervision of the Operations Manager, the Training Specialist VI oversees the development, implementation, and evaluation of a training program for staff in the Managed Care UR Unit. This includes: the development and implementation of new hire training; developing, implementing and updating training on an ongoing basis for new and existing staff in Managed Care UR; working collaboratively with other units, MCOs, and other stakeholders to ensure coinciding and/or mutually-dependent functions are accomplished smoothly; delivering training through in-person and online platforms; providing technical assistance and training for the unit to ensure consistency and quality for the unit; independently researching changes to policy and procedures to inform training program; and providing overall support for Managed Care UR processes.
Works under minimal supervision, with extensive latitude for the use of initiative and independent judgement. May assign or supervise the work of others. Attends work on a regular and predictable schedule in accordance with agency leave policy. Essential Job Functions:
Oversees the development of training program for Managed Care UR, including development of long-range goals and implementation plans. Recommends program to achieve Managed Care UR training goals.
Coordinates the design, development, and evaluation of training in classroom and distance learning settings. Consults with clinical and quality assurance staff to ensure training program meets the needs of nursing staff and addresses common quality assurance findings. Develops methods for assessing and evaluating effectiveness of training.
Prepares budgets for training programs. May manage contracts for training services. May assign or supervise the work of others. 30% Provides or coordinates routine new hire training.
Managed care UR training topics include Texas Medicaid, especially Medicaid managed care; the UR program; unit-specific policies, procedures, and tools; and multiple software applications. 30% Evaluates and addresses ongoing Managed Care UR training needs. Identifies opportunities for improving performance through analysis of quality assurance findings, conducting research and consolidating information regarding changes to policy and procedures, and consultation with management team. Develops and coordinates routine updates to training based on changes to procedures, and state and federal laws and regulations.
Develops and conducts targeted training for all or subsets of staff. 30% Provides written and verbal updates to leadership team on training program, goals, and status. May provide updates regarding the Managed Care UR program to agency staff, stakeholders, and the public. 5% Perform other duties as assigned. 5% Knowledge Skills Abilities:
State of Texas Registered Nurse license or licensed by a state participating in the interstate compact, in good standing, is preferred, but not required. Initial Selection Criteria:
Bachelor's degree in field related to training or healthcare. Experience with Texas Medicaid program (Medicaid managed care experience preferred). Experience overseeing training programs.
Experience in healthcare environment or with healthcare programs. Additional Information:
Requisition # 413027 HHS agencies use E-Verify. You must bring your I-9 documentation with you on your first day of work. I-9 Form
No direct military equivalent.
HHS agencies use E-Verify. You must bring your I-9 documentation with you on your first day of work.
In compliance with the Americans with Disabilities Act (ADA), HHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747.
If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.
Texas Health & Human Services Commission