Clinical Auditor/Trainer
Company: MJHS
Location: New York
Posted on: October 29, 2024
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Job Description:
Job DescriptionJob DescriptionThe challenges of affordable
healthcare continue to create new opportunities. Elderplan and
HomeFirst, our Medicare and Medicaid managed care health plans, are
outstanding examples of how we are expanding services in response
to our patients' and members' needs. These high-quality healthcare
plans are designed to help keep people independent and living life
on their own terms.The Clinical Trainer/Auditor, under the
direction of the UM Director, is responsible for training UM
clinical staff, by being the primary support for the orientation,
job-related training and continuing education. The trainer/auditor
is responsible for all aspects of training, including content
development using principles of adult learning, updating training
materials based on company policies and procedures, regulatory
changes, published best practice, clinical guidelines and overall
workflow improvement strategies. The trainer/auditor is also
responsible for conducting of both standard regulatory audits and
monitoring of day-to-day processes for the UM team. The
trainer/auditor is responsible for assessing overall compliance
with policies/processes, as well as trending individual staff
performance and reporting findings to the Medical Management team.
This position is also responsible for oversight of any coordinator
staff assigned to assist in documentation gathering, running
reports, meeting management, etc.
Keywords: MJHS, New Haven , Clinical Auditor/Trainer, Accounting, Auditing , New York, Connecticut
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