Clinical Learning Facilitator - Utilization Management Trainer

Job Description

Job Summary

Delivers training programs for clinical staff across the enterprise to orient employees to Molina's clinical methodology, policies, processes, and systems. Ensures all Molina clinical team members are positioned to improve quality, control medical costs, and ensure compliance with state and federal regulations and guidelines. Leads and manages classes, adapting to trainee skill level, specific backgrounds, changing priorities, and operating environments as needed. Training includes clinical new employee orientation, implementations, partnerships on clinical initiatives, technical / system initiatives, and optimization efforts.

Job Duties

Prepares the learning environment for classroom setup, systems setup, course materials, media, and online learning.

Educates regarding proper clinical judgment and approaches to decision making.

Provides best practices for working as a member of an interdisciplinary clinical team.

Educates integrated care teams on effective collaboration to improve member quality of life and to control costs.

Trains healthcare services staff on professional standards of documentation.

Reeducates staff via group facilitation and / or individual coaching when performance gaps are identified.

Monitors learner engagement, attendance, and participation during training sessions, providing timely feedback to leadership on issues that arise during training sessions.

Participates in committees and / or workgroups as a liaison between the training team and workgroup to ensure alignment and influence best practices.

Supports training efforts for enterprise growth and new clinical programs or systems.

Reinforces key behaviors through post-training support, coaching, and calibration.

Job Qualifications

REQUIRED QUALIFICATIONS :

Clinical licensure and / or certification required ONLY if required by state contract, regulation or state board licensing mandate.

At least 2 years in case, disease or utilization management; managed care; or medical / behavioral health settings.

One year of training delivery experience, including adult learning concepts.

Experience working independently and handling multiple projects simultaneously.

Knowledge of applicable state and federal regulations / requirements.

Experience using virtual delivery tools (e.g., Zoom, MS Teams).

Strong communication and presentation skills.

Proficiency in MS Word, Excel, PowerPoint.

PREFERRED QUALIFICATIONS :

Active, unrestricted State RN or Clinical Social Worker / Counseling License.

Certified Case Manager (CCM), Utilization Management Certification (CPHM), Certified Professional in Health Care Quality, or other related certification.

To all current Molina employees : If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M / F / D / V.

Pay Range : $29.05 - $67.97 / HOURLY

• Actual compensation may vary from posting based on geographic location, work experience, education and / or skill level.