Care Management Educator

Description : JOB PURPOSE :

JOB PURPOSE :

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

KEY RESPONSIBILITIES :

1. Program Development :

Analyzes performance and develops educational plan in alignment with current developments

in the profession in order to facilitate practice improvement. Needs may be determined by :

• interviews, questionnaires, group problem analysis,
• examination of existing records (data entry completeness, accuracy, timeliness of

activity / documentation),

analysis of existing reports (PEPPER, denials, observation data, HCAHPS for

Discharge Planning and Transitions of Care)

• direct observation, and / or
• communications and requests received from associates / care management leaders

Develops and documents plan to meet learning needs, complete with learning objectives,

priorities, structure, activities, media, materials and methods of instruction most appropriate

for the group / individual and at the appropriate skill level (novice, advanced, remedial)

Documents annual quality assurance / training strategy and plan (competency

requirements, expected outcomes, target audience, budget, and facility / equipment

requirements)

Maintains program records and reference materials, updates / creates policies / procedures,

provides logistical support for participants, and provides on-site program support.

Documents and distributes process change updates to all affected associates within the

enterprise

2. Oversees Training / Education Process

Translates the designed program into actual training materials and strategies.

Completes lesson plan documents, choosing methods and media appropriate for each

instructional event, times each section within the lesson to best utilize time, curriculum

guides / outlines, workbooks, handouts, case studies, newsletters, exercises to support

program lessons, audio-visuals and competency testing tools.

Develops computer-based learning vehicles and identifies appropriate software to support

learning initiatives

Schedules facilities, equipment and participants; conducts the instructional event through

lecture and demonstration-based instruction, adjusting instruction methods to meet associate

needs

3. Evaluation of Educational Efforts

Measures the impact that learning has had upon the individual(s) and whether a change in

behaviors / actions has occurred, through post-tests, associate interviews, QA audits and

other documentation.

Determines the strengths / weaknesses of the program, adjusting ensure improvements.

Provides feedback to participants as requested during the training session, as well as

feedback to management of the participants competency.

4. Oversees Performance Improvement / Quality / Audit Process :

Establishes monitoring tools and oversees data collection and analysis, communicating data

to appropriate areas in a timely, effective manner.

Utilizes outcomes in the development of future educational programs and / or system / process

redesign to enhance user compliance

Monitors Care Management key performance indicators

Actively participates in the redesign of care management functions / processes and systems

to improve service, data integrity, productivity / quality, and to achieve departmental goals and

process outcomes

5. Assists with the development of the orientation and onboarding plan for new employees to the

Care Management or Central Services department.

Maintains staff competency / regulatory guidelines and ensures that Care Management

departmental partners have taken mandatory education and adhered to established

educational plans.

KNOWLEDGE, SKILLS, ABILITIES

Ability to manage multiple ongoing projects simultaneously in a fast-paced environment.

Ability to understand and effectively communicate complex clinical operations and processes.

Strong analytical skills and attention to detail.

Strong computer skills including InterQual and Microsoft Office.

Effective at time management.

Strong communication and presentation skills, using techniques such as Situation, Background,

Assessment, Recommendation (SBAR).

Work under minimal supervision.

Knowledge of hospital audit and certification / accreditation process by a state or federal entity

or hospital accreditation organizations such as Det Norske Veritas (DNV) or The Joint

Commission.

Disclaimer

The above information is intended to describe the general nature and level of work being performed by

people assigned to this job. It is not intended to be an exhaustive list of responsibilities, duties and skills

required of personnel so classified.

Qualifications :

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 (. ACM, CCM, CMAC, URAC)

desired

IQCI (certified InterQual Instructor) desired

EPIC certification desired