Clinical Educator Peri-op Part time Days.

Saint Vincent Hospital offers a whole new experience in health care. By combining our advanced, state-of-the-art facility with our commitment to providing the best quality of life to the many members of our Worcester community.

Saint Vincent Hospital excels at offering the best care in a friendly atmosphere. From our advanced heart and vascular services, to our comprehensive orthopedics and rehabilitation programs, our robust surgical facility including our Da Vinci robotic surgery and Cyberknife technology, to our comfortable and compassionate women & infants programs - you don't have to travel far for high-quality health care : We're right here, in the heart of Worcester.

Onboarding Process : Please be advised that candidates must successfully complete a background check and pre-employment health screening which includes a drug screen.

Position Summary :

The Nursing Educator collaborates with market nursing leadership and staff across departments to assess, plan, develop, implement, facilitate, evaluate, and revise educational programming for all levels of nursing personnel and non-nursing personnel as indicated or requested.

The educator acts as a key resource in the orientation and continuing education of nursing staff at Tenet Healthcare. The Nursing Educator implements a comprehensive education program for his / her facility while following and contributing to Tenet educational goals and vision.

Educational programs typically include, but are not limited to, orientation, continuing education, and in-services. Other services may include, but are not limited to, process, performance and service-delivery consultation and contributions to the organization through councils, committees, and workgroups.

Supports the educational needs for assigned units / clinics including classroom, clinical experiences, and learning technologies.

Implements Tenet comprehensive education programs to meet the orientation and ongoing competency needs and professional development needs of the nursing staff, with specific focus for his / her units / clinics, which supports the Tenet model of professional nursing practice.

Ensures all program / course revisions meet the Department of Nursing and regulatory expectations and standards. Adheres to national education practice standards and stays abreast of current research into nursing education practice.

Programs are executed and revised based on adult learning principles, organizational, and learning theory consistent with Tenet endorsed philosophy and direction.

Provides consultation to enhance continuing education, professional development opportunities and mentorship opportunities;

delivers / coordinates other educational programs as directed (., Grand Rounds, in-services, continuing education, job-specific and specialty curricula) to support competence and professional growth of Tenet nursing staff.

Provides leadership to preceptors and serves as a role model through educational programs and ongoing coaching and mentoring.

Serves as a facilitator to nurse residents and actively mentors and supports their growth in the profession and clinical practice.

Participates in continuing education provider unit learning. Evaluates nursing education activities, which qualify for continuing education credit.

Participates in activities to keep abreast of the changes to market / facility policies / procedures of the provider unit, and the expectations of the educator role.

Assists in development of clinical policies and procedures as requested. Provides guidance, resources, and knowledge for professional growth of others.

Mentors colleagues, other nurses, students, and others as appropriate. Participates in quality performance improvement activities.

Performs other duties as assigned / required. Covers Services but not limited to : Tele / IMC / PCU; Transitional Care Unit;

IV Team; Monitor Techs; Cath Lab / EKG / CVRU / Cardiology. Accountable for the Projects, such as but not limited to : ACLS; EKG; Stroke and Heart.

EDUCATIONAL REQUIREMENTS : Master’s degree in nursing or related field. EXPERIENCE REQUIRED : Five years of clinical nursing experience, with at least two in area of specialization.

Experience in the teaching and learning process. PROFESSIONAL LICENSURE AND CERTIFICATION REQUIRED : Registered nurse licensed to practice in Commonwealth of MA.

BLS, ACLS Certification in clinical specialty required.

Tenet complies with federal, state, and / or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date.

If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law.

Include the following. Others may be assigned.

Description

of Time

Provides all new CRC employees with education on applications which have patient information. These include but are not limited to Cerner, HPF, Allscripts, MIDAS, Med Assets, & Code Correct.

The training provided will be specific to a clinical review and the rational supporting the appeal for medical necessity, lack of authorization, and other types of disputes.

Provides all current CRC nurses with ongoing clinical training on current CRC processes which include but are not limited to : McKesson InterQual reviews, the research and application of CMS guidelines, the research and application of commercial payer policies, and the appropriate submission of an appeal to an Independent Review Organization..

Assists management in the development of the peer review audit tools as well as the development of the quality program implemented by the CRC.

Examples include but are not limited to : monthly quality reviews, quarterly Inter Rater Reliability Reviews,(IRR) and the yearly InterQual exam.

Functions as a performance consultant collaborating with operation managers to perform needs assessment and recommend training solutions.

Completes monthly quality reviews on all new employees for 1 year as directed by CRC Operations Managers / Directors

Serves as a subject matter expert on policy or guideline interpretation / definition. This individual provides clinical summaries for clients as needed to assist with facility level education.

This includes but is not limited to : writing a clinical summary for a case review in which the facility / client disagrees with the CRC dispute determination, the FDA’s recommendations on the appropriate use of experimental / investigational items, such as bone grafts, medications, implants etc

Assists with the review of special projects as assigned in collaboration with CRC staff to include the completion of the executive summary as needed.

Other related duties as assigned.

FINANCIAL RESPONSIBILITY (Specify Revenue / Budget / Expense) : N / A

SUPERVISORY RESPONSIBILITIES

If direct report positions are listed below, the following responsibilities will be performed in accordance with guidelines, policies and procedures and applicable laws.

Supervisory responsibilities include interviewing, hiring, and training employees; planning, assigning and directing work;

appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.

Direct Reports (titles)

N / A

Indirect Reports (titles)

N / A

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and / or ability required.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Thorough knowledge of requirements for all payer types as they pertain to utilization review for acute inpatient and ambulatory care patients;

specifically the clinical pre & retro authorization processes, retro clinical denials management, and government audit services :

• Federal and state regulatory and compliance requirements
• Client facility payer contractual requirements.
• Thorough knowledge of Medical Necessity Screening Criteria process including McKesson’s InterQual Criteria products and others, such as Milliman Care Guidelines as applicable to the client facility.
• Thorough knowledge of Medicare coverage determinations process (NCDs, LCDs) and the appeals process.
• Experience with multiple CM and health information system technology solutions (inpatient and outpatient).
• Excellent organizational skills for the execution of leading practices.
• Experience with supplier governance and management.
• Must be able to maintain confidentiality regarding patient / employee / facility / corporate information 100% of time.
• Understanding of healthcare and revenue cycle services as it relates to denials.
• As a skilled facilitator this individual must consistently demonstrate effective questioning techniques and the ability to engage students and transfer knowledge.
• Establish and maintain collaborative relationships with CRC operations managers and CRC Senior Director to meet business objectives.
• Working knowledge of training tools and various multimedia technology.
• Strong communication skills, both verbal and written.
• Ability to work with minimal supervision, self-starter, and demonstrates initiative.
• Flexible and innovative; highly adaptable to dynamic business environment; catalyst for change.
• High engagement; supportive of leadership and role model for Conifer values and guiding behaviors.

Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment.

This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and / or any future required vaccines and screenings.

EDUCATION / EXPERIENCE

Include minimum education, technical training, and / or experience preferred to perform the job.

• Nursing degree required, preferably BSN
• 3 - 5 years’ experience in training or leadership position preferred
• Revenue cycle experience preferred

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Ability to lift 25-35 lbs., due to travel requirements
• Ability to communicate to large groups verbally and through various media

WORK ENVIRONMENT

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Telecommuting Environment
• Office Work Environment

OTHER

• May require travel can vary from approximately 25% to 75%
30+ days ago