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Senior Trainer and Auditor (Clinical)

Company: Centene
Location: El Paso
Posted on: March 28, 2020

Job Description:

Description Description: Position Purpose: The Senior Trainer and Auditor will develop, conduct, administer and analyze clinical training programs, conduct audits of clinical systems entry and/or processes, and assist in development of audit tools. Position will cover El Paso, San Antonio, McAllen, Dallas and Austin and will travel up to 40% of the time. Develop and conduct clinical education courses, including case management education and training for new employees Develop and maintain complex audit processes and audit tools related to authorizations, appeals, quality, case management, inter-rater reliability and data entry Audit established guidelines (e.g. Interqual) for medical necessity Analyze training needs and identify, select or develop appropriate training programs including training aids and materials Audit staff in accordance with established auditing processes, work with staff to identify and resolve errors in data and reporting, and present findings and recommendations for improvement to management Train audit staff in the use of audit tools and identification of patterns or trends that require additional training or corrective action Evaluate effectiveness of training programs including cost/benefit analyses Research, analyze, and recommend internal/external training programs Maintain records of training activities and employee progress Assist with revisions to Policy and Procedure and/or work process development Participate in Quality and Advisory committees) or provider education meetings Travel up to 40% within assigned territory Qualifications: Education/Experience: Bachelor's degree in Nursing, related clinical field or equivalent experience. 4+ years of experience in nursing, training, or auditing in a healthcare setting - managed care experience preferred. Strong training background and experience in a lead or supervisory role preferred. Texas Medicaid, STAR kids, STAR health and STAR plus experience and knowledge a plus. License/Certification: Current state RN nursing license. Valid driver's license required. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Job Information Location: El Paso, Texas, United States Job ID: Posted: March 11, 2020 Position Title: Senior Trainer and Auditor (Clinical) Company Name: Centene Industry: Healthcare / Health Services Job Function: Medical Entry Level: No Job Type: Full-Time

Keywords: Centene, El Paso , Senior Trainer and Auditor (Clinical), Human Resources , El Paso, Texas

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