Care Management Educator

Description:

RESPONSIBLE FOR:
The Educator utilizes subject matter expertise to develop and implement educational programs for the Piedmont Healthcare Care Management and Central Services staff in order to promote knowledge and skill development and facilitate improved performance. These activities will be in accordance with Piedmont Healthcare policies and procedures, regulatory guidelines, and current national practice standards.
The role of the educator may be dedicated to one or more of the following focus areas of content:
Care coordination, discharge planning, and transitions of care
Utilization review, denials management
Use of technology that supports care management related functions

Qualifications:

MINIMUM EDUCATION REQUIRED:
Bachelors degree in Nursing or a related field OR a Masters degree in Social Work (MSW) is required.

MINIMUM EXPERIENCE REQUIRED:
Two (2) years of experience demonstrating knowledge of national practice and regulatory standards and concepts related to care coordination, discharge planning, transitions of care, and utilization review.
Experience in developing, implementing and leading training using methods such as classroom and computer based training.

MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW:
If degree is in Nursing, current unrestricted Registered Nurse (RN) license, or eligibility for licensure in the state of Georgia is required.

ADDITIONAL QUALIFICATIONS:
Healthcare experience in a case manager, social worker and / or utilization review role preferred.
Experience working across a complex organization as an internal or external consultant to improve clinical education.
Degree and/or certification in Adult Education, Organizational Development, Healthcare or Business Administration or other healthcare profession is preferred
Certification in case management or utilization review (i.e. ACM, CCM, CMAC, URAC) desired
IQCI (certified InterQual Instructor) desired
EPIC certification desired