VP Strategy and Care Management

Community Health Network of Connecticut, Inc. (CHNCT) is currently seeking a qualified Intensive Care Management (ICM) Training & Program Specialist (RN).

As an ICM Training & Program Specialist, you will create, coordinate and provide education and training to professional and para professional ICM staff. You will also be responsible for the development of all training and orientation tools as well as all ICM related audit processes and documentation.

• Maintenance and provision of ICM orientation programs including clinical and non-clinical in-service education
• Provides supervision to the ICM training and auditing team
• Meets with the AVP, Managers, and Team Leads to discuss assessment of educational needs of all ICM staff including audit results and identified trends, resource issues, performance issues, new or changed processes etc., as necessary
• Works with the Health Services Administrators to develop and implement care management documentation and reporting systems
• Assists with the development of clinical and non-clinical program assessments
• Key resource for training in software system(s) and any other identified Health Services software systems
• Works with the ICM data analyst and reporting coordinator on the internal and ICM reporting requirements
• Provides input into the ICM Program Description and Quality Work Plan
• Manage assigned special projects, PowerPoint development and participates at requested program presentations
• Prepare detailed audit reports including recommendations and appropriate action plans based on audit results
• Ensure that timely and accurate records are kept of all audit activity, action plans and re-audits
• Maintain comprehensive reports of completed audits and trainings and suitable summaries for internal and external publication
• Maintain a comprehensive audit and training calendar
• Conduct ad hoc audits
• Oversee inter-rater reliability (IRR) reviews of all auditors, and meets with auditing team to discuss findings
• Develop and implement educational programs to support the Care Management process
• Complete post-training surveys with participants along with classroom observation of the trainers
• Keep spreadsheet of survey and observation results on each trainer for use in performance evaluations
• Provide instruction in staff development to the training staff by use of webinars and articles, and in-services
• Hold regular staff meetings with the ICM training team
• Develop, review and revise ICM workflow and processes
• Develop, review and revise ICM policies and procedures
• Coordinate Monthly ICM Member Satisfaction results, and communicate results with management and staff
• Develop additional training based on outcomes of satisfactions surveys
• Conduct ad hoc meetings with ICM Managers/Team Leads and staff as needed
• Assist in preparation for URAC surveys and other regulatory audits
• Develop new areas for training as needs are identified or contractual requirements change
• Represent ICM at meetings, committees, work groups and task forces as assigned
• Act as ICM point person for Materials Review Process, ensuring timely and accurate development and review of ICM specific materials and letters (member and provider)
• Work closely with the Senior Vice President of Health Services, AVP of Care Management, ICM Managers, ICM Analyst, ICM Reporting Coordinator, Program Administrators, IS Business Systems, and Corporate Communications to develop necessary training programs, orientation materials and audit tools
• Oversee ICM Trainer/Auditors with day-to-day ICM training functions
• Maintain up to date awareness of contractual requirements and changes as well as industry trends
• Facilitate the development of clinical audit programs for ICM to ensure contract and URAC compliance, and consistency of documentation and timeliness of data entry are met
• Development of clinical audit programs for ICM to ensure contract and URAC compliance, and consistency of documentation and timeliness of data entry are met

Job Requirements
Qualified candidates will have the following:
• 4 years post-secondary schooling
• Bachelor’s Degree in Nursing (required)
• 3 to 5 years related experience
• Healthcare background with experience in systems implementation, appeals, change management and process improvement
• Experience training new hires and in development of training tools
• Web based training experience desirable
• Excellent oral and written communication skills
• Flexible and adaptable to changing priorities
• Able to manage multiple projects concurrently
• Proficient in Windows environment
• Team player with proven people skills
• Managed care experience and case
• CT RN license must be current and unrestricted

Interested candidates may apply through our company website at: www.chnct.org.
• Click on the Careers tab and then click the Visit the CHNCT Career Center link.
• This will bring you to our Candidate Self Service portal. Please follow the instructions on how to register/apply.
• Please note that only applications received through our company website will be considered at this time.

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