[Hiring] Senior Nurse - Clinical Education @WNS Global Services

Role Description

• Conducts training for staff members pertaining to Utilization Review process, clinical rules/guidelines, client/module/modality-specific workflows, and software enhancements
• Creates educational material for review tiers by collaborating with key resources across departments to ensure clinical scenarios are properly incorporated into the educational content
• Partners with Workforce Planning to develop training schedules conducive to achieving desired program specific outcomes
• Proactively identifies targeted improvement opportunities
• Partners with Human Resources and Clinical Operation leaders to highlight possible concerns amongst staff
• Conducts focused training to ensure that all staff are properly educated on HealthHelp policies and clinical processes
• Reviews monthly quality audit findings and conducts one-on-one coaching with staff to assist with resolving issues related to education and adherence to process and/or client-specific directives
• Leverages tools and methodologies to assess the effectiveness of educational content and delivery
• Advises Leadership Teams/Medical Director of opportunities for individual performance improvement
• Reviews reports from the Quality Department to identify training opportunities
• Serves as contact point for staff in order to answer questions/provide clarification related to criteria, policy, and process
• Partners with Products to develop training material designed to promote process efficiency and desired program-specific outcomes
• Recognizes and informs management of process/performance gaps and offers solutions
• Adheres to all regulatory requirements and complies with HealthHelp policies and procedures
• Upholds professional standards and performs all work in a manner respectful of others
• Provides a high level of service and support to both internal and external clients
• Promotes business focus which demonstrates an understanding of the company’s vision, mission, and strategy
• Performs other duties as assigned to meet business needs

Qualifications

• Graduate of an accredited school of nursing, required
• Current, active, and unrestricted RN, LVN, or LPN license in a state or territory of the U.S., required
• 2 years of prior experience in direct clinical care or managed care setting, required
• 1 year of direct virtual and/or face-to-face training experience, required
• 1 year of Utilization Management, Case Management, or Clinical Care Coordination, preferred
• Remote education/training experience, preferred
• Ability to flex work hours based on business needs
• Excellent listening, oral, and written communication/presentation skills
• Ability to communicate complex information in a clear and concise manner
• Strong problem solving, interpersonal, and customer service skills in both face-to-face and remote settings
• Ability to work on multiple projects simultaneously and prioritize work to meet adapting deadlines
• Ability to recognize potential and actual problems and work effectively within a team to develop appropriate solutions and implement effective action plans to address the problems
• Ability to effectively perform in a fast-paced environment
• Demonstrated knowledge and experience in using critical thinking skills
• Proficient with Microsoft Office Suite and Windows products
• Proficient with setting up webinars and multi-participant conference calls

Benefits

• Medical, dental, and vision insurance
• Paid time off (PTO), holidays, and sick leave
• 401(k) with company match or other retirement plan
• Life and AD&D Insurance
• Employee Assistance Program