Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members in six health plans, we make sure our members get the right care at the right place at the right time.
The Health Services Nurse Educator, RN works under the guidance of a Manager or Director of the Department as required. The Nurse Educator, RN is responsible for conducting functional and technical training across all Health Services Departments in alignment with departmental policies and procedures. The Nurse Educator will coordinate and/or provide training with the onboarding of new hires. This position is responsible for ongoing training, education, and remediation for experienced staff. The position must be a subject matter expert in utilization/case management process and standards of practice including, but not limited to community, professional, and industry standards. This position serves as the chief instructor and consultant for operational, reporting, and accrediting requirements for all lines of business.
The Health Services Nurse Educator, RN will support the team in ensuring quality and compliance with the regulations and requirements of state, federal, and accrediting agencies. This position will influence operations and help support in the implantation of standards. This position will conduct educational needs assessments across all lines of business perform instructional analysis, develop timeline/ training tools / resources to ensure training materials are compliant with professional utilization management and case manager standards of practice, quality, evidenced based outcomes, regulations, and accrediting guidelines. In addition, this position will assist with knowledge transfer, and “Train-the-Trainer” programs.
Partners with Leadership to develop and maintain project plans for developed courses, including new hire onboarding training for Health Services departments. Collaborates with department leadership in assessing training materials, designing and developing training programs, preparing training schedules, establishing training/ educational goals/ objectives; and, conducting initial and ongoing evaluations of such. Responsible for developing staff training for technology/systems that support the work of Health Services staff. Applies alternative training mediums and methods (self-study, online, blended, simulations) to increase training effectiveness and to accommodate distance learning, learning style and cultural differences. Writes behavioral objectives, tests, training methodology, and course materials using instructional design theory and modalities. Manages databases and instructional hardware/software for documentation, testing, and maintaining all training materials including eLearning modules, scenarios, job aids and course materials. Collaborates with and assist Health Services Nurse Educators across the various Health Services departments as needed. Partners with the Health Services Provider Support Services Department in the development of trainings and implementation. Works closely with Learning Technologies Administrator and provides backup as needed. Provides weekly progress reports and recommendations on learning plans to a designated department leader who determines the content and frequency of such reports.
Coordinates nursing annual presentations, internal, and external educational opportunities. Provides oversight for all new CCMC certification applicants. Tracks and documents the progress of all staff matriculating in higher education programs.
Responsible for keeping abreast of updates to community, professional and industry practice standards. Serves as a Lead Preceptor/Trainer to effectively deploy policy/procedure updates and regulatory requirements in a consistent and compliant manner. Actively contributes in updates to and maintenance of organizational policies and procedures as it pertains to Utilization Management and Case/Care Management. Regularly performs quality check updates in policies, procedures, job aides, and other materials to ensure regulatory compliance and implementation.
Conducts monthly and quarterly audits as per NCQA and DHCS requirements, as well as CMSA Standards of Practice, to ensure L.A. Care adherence to all requirements. Provides monthly audit reports to Supervisors, Managers, and Director. Applies audit data to the development and improvement of training programs.
Responsible for coordinating reviews and preparing for internal and regulatory audits of Utilization and Case Management records; analyzing audit findings; making recommendations for corrective action plans; and implementing internal and external corrective action plans as it pertains to education and training of staff.
Collaborates with leadership to develop a standardized process for team member audits and rebuttal as well as an audit tool.
Develop a competency based orientation for all Health Services job descriptions. Partners with other Subject Matter Experts within LA Care to coordinate department educational opportunities. Collaborates with internal and external partners to plan/ facilitate/ execute the educational and training goals of the department and organization including, but not limited to, the Provider Support Services Department and HR.
Perform other duties as assigned.
Education Associate's Degree or Bachelor's Degree in RN Master's Degree in Nursing or other health related field. Experience Required:
A minimum of 5-7 years of experience in designing, developing, and delivering in-person and online training courses; or any combination of education and experience which would provide the required knowledge, skills, and abilities.
At least 3-5 years of responsible work experience in Utilization and/or Care Management (in an acute or managed care setting, and/or in training and education).
Knowledge and experience with eLearning tools and internet technologyPreferred:
Experience working in a health care setting strongly preferred.
Knowledge of healthcare industry's trends, directions, major issues, regulatory considerations and trendsetters.
Knowledge and understanding of legislation and regulatory bodies affecting healthcare practices.
Knowledge and understanding of the Health Insurance Portability and Accountability Act.
Knowledge of and ability to adopt various tools and methods to conduct pre- and post-training testing and associated analysis for test results with the purpose of improving training effectiveness.
Knowledge of and ability to identify what people need to learn for successful individual and organizational performance.
Knowledge of and ability to administer procedures, tools and logistics for a variety of training programs.
In-depth proficiency in MS PowerPoint, Articulate Storyline, SCORM, Adobe Captivate, or other rapid eLearning and video development software/tools. Proficient in Visio, Share Point, Word, Excel, and Outlook.
Ability to demonstrate critical thinking skills, high level of organizational and time management skills, strong analytical skills.
Must demonstrate flexibility to meet changing training needs and must be a strong team player willing to work to accomplish team goals.
Able to demonstrate experience / knowledge in lesson and / or curriculum planning.
Outstanding, written, oral and presentation skills. Able to write effective and accurate instructional text and demonstrates excellent written and verbal presentation skills.
Skills in measurement and evaluation of training initiatives.
Knowledge and experience with Adobe Flash. Experience with Success Factors strongly preferred.
Professional Licenses Current and unrestricted CA RN License Professional Certifications Required:
Case Management Certification (CCM) must be obtained in the first 12 months of hire. Preferred:
California Teaching Certificate Additional Information
See Job Description