Description
It's an exciting time to work at (Blue Cross NC). Health care is changing, and we're leading the way. We offer more than health insurance our customers can count on. We’re committed to better health and better health care − in our communities and beyond. Our employees bring energy and creativity to the workplace, and it shows in our innovative approach to improving the health and well-being of North Carolinians.
Facilitate a learning environment for clinical and non-clinical staff that results in effective new employee onboarding, ongoing quality improvement, and continuous learning. Through regular audits and trend analysis, determine training needs and develop clinical learning solutions, resource materials and/or process documentation to positively impact business goals and objectives. Act as staff resource for clinical decision making and systems or process assistance. Support business area with system testing and process automation efforts.
Roles and Responsibilities
Departmental Training
- Responsible for effective onboarding of clinical and/or non-clinical employees and contractors through core curriculum maintenance for new hire training (i.e. foundational knowledge, departmental policies, processes and systems relevant to role).
- Facilitate classroom training as well as role progression/preceptor coordination and monitoring of early performance for new employees; partner with business leaders to ensure business and training needs are met.
- Partner with Enterprise Learning staff on adult learning best practices, curriculum maintenance, delivery planning and strategies to meet departmental needs and the utilization of technical enablements (i.e. Workday Learning, Degreed, BLOOM, mLevel, etc).
- Develop and deliver new and reinforcement training based on needs (i.e. analysis of quality audit reviews, process changes); may include one on one/remediation training as needed.
Audit and Needs Assessment
- Assess relevant training needs for staff based on review and analysis of audit results/trends, recurring staff questions or issues, system/process changes, and/or divisional compliance inputs.
- Perform monthly clinical quality audits to review staff documentation, clinical decision making and processes; identify gaps to drive the design of ongoing learning solutions.
- Coordinate or support other quarterly and/or biannual audits as required by business area.
Job Resources
- Collaborate with business area leaders to create, organize/maintain and communicate relevant training resources, job aids and/or process documentation; may include maintenance of departmental knowledge management site (i.e. SharePoint).
- Act as a day to day staff resource for assistance with clinical decision making, systems, documentation and process guidelines.
- Maintain knowledge of clinical updates, care patterns, medical policy, internal guidelines and regulatory and governmental rules and regulations and share with staff as required.
System Testing and Process Automation
- Facilitate business area systems testing when upgrades or changes are needed; create necessary testing plans, job aids, and relevant tracking/documentation.
- Support digital process automation efforts and deployed bots through testing, staff training, and implementation follow up.
- Assist with identification of requirements related to system configuration changes.
Required Experience
- RN with 3 years of clinical nursing experience
- Must hold and maintain a valid North Carolina clinical license
Preferred Experience
- Medicare/Medicaid experience.
- Case Management experience.
- UM experience.
- Experience with communicating with and presenting to stake holders.
- Experience with creating and developing desktop procedures.