Partnership HealthPlan of California
CC Training Specialist
Partnership HealthPlan of California, Fairfield, California, United States, 94533
Overview
To support new and ongoing, training and staff support needs within the Care Coordinationdepartment, and to collaborate with other department leaders to support departmental referralvolumes, caseload distributions, systems and operational workflows.
Responsibilities
In collaboration with the Quality & Training Supervisor develops training programcourses and materials in accordance with PHC policies & procedures.Coordinates, conducts, implements assigned training modules.Provides mentorship, direction, resources, training and/or orientation to CareCoordination staff; maintaining and active working knowledge of all departmentalpolicies/procedures.Identifies and leverages appropriate resources to meet support and/or training needs (e.g.,Learning Management System, job aides, etc.).Establishes and maintains departmental training calendars with special attention totracking, attendance and staff completion rosters.Creates effective training materials including but not limited to desktops, flyers, FAQs,informational emails, newsletters, etc.Assess existing training materials and other offerings, and recommends changes to meetdepartmental objectives and PHC policies & procedures.Monitors and communicates progress of trainees through one-on-one observation andaudit results. Provides feedback to supervisors and/or managers on staff performancerelated to accuracy of work and ability to apply lessons.Performs any User Acceptance Testing (UAT) needed to support PHC systems orworkflow initiatives and shares feedback per project outline.Supports departmental NCQA auditing and tracking activities.Conducts ongoing internal audits of identified cases to ensure timely, appropriatedocumentation in accordance with PHC policies, program criteria, and departmentalpolicies; communicates findings to Care Coordination Leadership.Creates spreadsheets and/or various reports as needed/directed.Other duties as assigned.Qualifications
Education and Experience
High school diploma or equivalent required. Minimum two (2) years'experience working in PHC Care Coordination department orequivalent healthcare experience required. Four (4) years of experienceworking in a health care setting recommended; general knowledge ofmanaged care with emphasis in case management preferred. Preferencemay be given to individuals certified and/or licensed in a health orcommunication related field.
Special Skills, Licenses and
Certifications
Ability to use good judgment, take personal initiative, and usediscretion in performing job responsibilities. Ability to communicateeffectively with wide range of adult learners. Ability to use computersoftware for word processing, spreadsheets, and email, operatingmultiple computer programs simultaneously. Ability to functioneffectively with frequent interruptions and direction from multiple teammembers. Ability to work in an environment with diverse individualsand groups. Ability to establish collaborative relationships. Ability towork autonomously within a team setting. Ability to prioritizeworkload and initiate action to acquire needed information fromprofessionals by phone. Valid California driver's license and proof ofcurrent automobile insurance compliant with PHC policy are requiredto operate a vehicle and travel for company business.
Performance Based Competencies
Excellent Written/verbal communication skills with the ability to readand interpret policies to create workflows/desktops. Ability to workwith ethnically and culturally diverse populations. Ability to translatecomplex concepts into simple processes. Ability to communicateeffectively with coworkers, members, their families, physicians andhealth care providers.
Work Environment And Physical Demands
Standard cubicle workstation with a shared common area. Use oftelephone, fax, computer, and photocopying machine is required.Requires sitting in front of computer equipment and talking ontelephone for major portion of the workday. Must be able to work in afast paced environment and maintain courtesy and composure whendealing with internal and external customers. When necessary, must beable to lift, move, or carry objects of varying size, weighing up to 35lbs. Able to travel to locations that will require occasional overnightstay.
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; andAbide by the HealthPlan's policies and procedures, as they may from time to time be updated.
HIRING RANGE:
$34.79 - $43.48
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
To support new and ongoing, training and staff support needs within the Care Coordinationdepartment, and to collaborate with other department leaders to support departmental referralvolumes, caseload distributions, systems and operational workflows.
Responsibilities
In collaboration with the Quality & Training Supervisor develops training programcourses and materials in accordance with PHC policies & procedures.Coordinates, conducts, implements assigned training modules.Provides mentorship, direction, resources, training and/or orientation to CareCoordination staff; maintaining and active working knowledge of all departmentalpolicies/procedures.Identifies and leverages appropriate resources to meet support and/or training needs (e.g.,Learning Management System, job aides, etc.).Establishes and maintains departmental training calendars with special attention totracking, attendance and staff completion rosters.Creates effective training materials including but not limited to desktops, flyers, FAQs,informational emails, newsletters, etc.Assess existing training materials and other offerings, and recommends changes to meetdepartmental objectives and PHC policies & procedures.Monitors and communicates progress of trainees through one-on-one observation andaudit results. Provides feedback to supervisors and/or managers on staff performancerelated to accuracy of work and ability to apply lessons.Performs any User Acceptance Testing (UAT) needed to support PHC systems orworkflow initiatives and shares feedback per project outline.Supports departmental NCQA auditing and tracking activities.Conducts ongoing internal audits of identified cases to ensure timely, appropriatedocumentation in accordance with PHC policies, program criteria, and departmentalpolicies; communicates findings to Care Coordination Leadership.Creates spreadsheets and/or various reports as needed/directed.Other duties as assigned.Qualifications
Education and Experience
High school diploma or equivalent required. Minimum two (2) years'experience working in PHC Care Coordination department orequivalent healthcare experience required. Four (4) years of experienceworking in a health care setting recommended; general knowledge ofmanaged care with emphasis in case management preferred. Preferencemay be given to individuals certified and/or licensed in a health orcommunication related field.
Special Skills, Licenses and
Certifications
Ability to use good judgment, take personal initiative, and usediscretion in performing job responsibilities. Ability to communicateeffectively with wide range of adult learners. Ability to use computersoftware for word processing, spreadsheets, and email, operatingmultiple computer programs simultaneously. Ability to functioneffectively with frequent interruptions and direction from multiple teammembers. Ability to work in an environment with diverse individualsand groups. Ability to establish collaborative relationships. Ability towork autonomously within a team setting. Ability to prioritizeworkload and initiate action to acquire needed information fromprofessionals by phone. Valid California driver's license and proof ofcurrent automobile insurance compliant with PHC policy are requiredto operate a vehicle and travel for company business.
Performance Based Competencies
Excellent Written/verbal communication skills with the ability to readand interpret policies to create workflows/desktops. Ability to workwith ethnically and culturally diverse populations. Ability to translatecomplex concepts into simple processes. Ability to communicateeffectively with coworkers, members, their families, physicians andhealth care providers.
Work Environment And Physical Demands
Standard cubicle workstation with a shared common area. Use oftelephone, fax, computer, and photocopying machine is required.Requires sitting in front of computer equipment and talking ontelephone for major portion of the workday. Must be able to work in afast paced environment and maintain courtesy and composure whendealing with internal and external customers. When necessary, must beable to lift, move, or carry objects of varying size, weighing up to 35lbs. Able to travel to locations that will require occasional overnightstay.
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; andAbide by the HealthPlan's policies and procedures, as they may from time to time be updated.
HIRING RANGE:
$34.79 - $43.48
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