Certified Case Management Trainer

Job Summary

Designing and delivering comprehensive hybrid training programs, the full-time remote Certified Case Management Trainer will develop training sessions for clinical and non-clinical staff, manage departmental documentation, and ensure compliance with regulatory standards.

Key responsibilities

• Develops and conducts live, virtual, and recorded training sessions on case management programs and workflows
• Collaborates with leadership to optimize and manage departmental clinical workflows
• Authors and maintains job aids, reference guides, and standard operating procedures for staff use

Required qualifications

• Bachelor's Degree in Health Science, Nursing, or related field required; Master's degree preferred
• Minimum 5 years of clinical case management experience in a managed care organization or health insurer
• Certified Case Manager (CCM) or ACMA certification preferred
• Demonstrated experience with NCQA case management accreditation standards and HEDIS quality metrics
• Proficiency in health IT systems and clinical data analytics reporting tools preferred