Care Management Clinical Trainer - Remote

Martin's Point Health Care Inc.; New York (NY); Hybrid; USD 87,000 - 107,000; Full time

Benefits offered by this job

Medical

Dental

Vision

Retirement savings with employer 4%+"

Paid time off (including volunteer)

Job summary

Martin's Point Health Care is seeking a Clinical Trainer to design, develop, and deliver hybrid training for the Case Management department, serving Medicare and TRICARE members.

You will collaborate with leadership to develop workflows, author job aids, and manage SharePoint while ensuring compliance with NCQA, CMS, and DHA requirements.

Qualifications

• Bachelor's degree in health science, nursing or related field.
• Master's degree in nursing, healthcare administration or public health preferred.
• CCM or ACMA certification preferred.
• Minimum 5 years in clinical case management within a managed care org with Medicare Advantage.
• TRICARE experience preferred.
• Knowledge of NCQA standards, audits and HEDIS metrics required.
• Proficiency with health IT systems incl. TruCare, Salesforce Health Cloud, EHRs; analytics tools.

Responsibilities

• Develops and conducts live, virtual, and recorded training sessions for new hires and existing staff on case management workflows.
• Collaborates with leadership to map, develop, optimize, and manage departmental clinical workflows.
• Authors and maintains clear, step-by-step job aids, reference guides, and desktop procedures.
• Standardizes, reviews, and controls version history for all internal clinical and operational documentation.
• Builds, organizes, and maintains the department SharePoint site for training assets.
• Incorporates regulatory requirements (NCQA, CMS, TRICARE) into training materials.
• Audits staff documentation post-training to identify knowledge gaps and provide remediation coaching.
• Demonstrates and embodies organizational mission, vision, and core values.

Skills

Effective communication

Presentation skills

Instructional design

Adult learning principles

Curriculum development

Education

Bachelor's Degree in Health Science or Nursing

Master's degree preferred (MHA/MPH)

Tools

TruCare

Salesforce Health Cloud

Electronic Health Records (EHRs)

SharePoint administration

Job description

Join Martin's Point Health Care - an innovative, not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a joined force of "people caring for people," Martin's Point employees are on a mission to transform our health care system while creating a healthier community. Martin's Point employees enjoy an organizational culture of trust and respect, where our values - taking care of ourselves and others, continuous learning, helping each other, and having fun - are brought to life every day. Join us and find out for yourself why Martin's Point has been certified as a "Great Place to Work" since 2015.

Position Summary

The Clinical Trainer designs, develops, and delivers comprehensive hybrid training programs for the Case Management department. This role supports clinical and non-clinical staff serving Medicare and TRICARE members. The position will be responsible for collaborating with leadership to develop and deploy both live clinical instruction as well as e-learning development, operational workflow design, and document management to ensure activities meet and exceed Martin's Point performance benchmarks for compliance, while improving quality, optimizing cost, and improving patient experience. Additionally, this role manages the department's job aids, standard operating procedures, and SharePoint site.

Job Description

PRIMARY DUTIES AND RESPONSIBILITIES

• Develops and conducts live, virtual, and recorded training sessions for new hires and existing staff on case management program and workflows.
• Collaborates with leadership to map, develop, optimize, and manage departmental clinical workflows.
• Authors and maintains clear, step-by-step job aids, reference guides, and desktop procedures.
• Standardizes, reviews, and controls version history for all internal clinical and operational documentation.
• Builds, organizes, and maintains the department SharePoint site to ensure easy access to training assets.
• Incorporates NCQA, CMS (Medicare) and DHA (TRICARE) regulatory requirements into all training materials.
• Audits staff documentation post-training to identify knowledge gaps and implement remedial coaching and as needed in conjunction or support of supervisor of care management.
• Employees are expected to work consistently to demonstrate the mission, vision, and core values of the organization.

POSITION QUALIFICATIONS

• Education: Bachelor's Degree in Health Science, Nursing or related field required; Master's degree in Nursing (MSN), Healthcare Administration (MHA), or Public Health (MPH) preferred.
• Licensure/certification: Certified Case Manager (CCM) or American Case Management Association (ACMA) certification preferred.
• Experience: Minimum 5 years of clinical case management experience within a managed care organization or health insurer with Medicare Advantage, with combined experience facilitating live, virtual, and hybrid classrooms, specifically within a corporate healthcare or managed care setting required. TRICARE experience preferred. Experience building QA audit tools, analyzing performance metrics, and creating remediation plans.
• Knowledge: Demonstrated experience with NCQA case management accreditation standards, audit preparations, and HEDIS quality metrics required.
• Proficiency in health IT systems, including specialized Case Management platforms (e.g., TruCare, Salesforce Health Cloud), Electronic Health Records (EHRs), and clinical data analytics reporting tools preferred.
• Skills: Excellent communication and presentation skills, oral and written required; Strong organizational skills including the ability to work independently and prioritize work required; Competence with computers and business applications; Microsoft Excel, Visio, Word, PowerPoint, Outlook, Access required; Proficiency in SharePoint administration (permissions, site design) preferred.
• Abilities: Proven background in adult learning principles and instructional design; Proven track record of building comprehensive training curriculums from scratch, translating complex medical workflows into digestible learning paths.

Pay Range

Pay Range: $86,926.10 - $107,379.30. The pay range above reflects the anticipated base pay range based on a full-time position. Actual compensation will be determined based on factors such as experience, skills, qualifications, and other job-related considerations. Employees may also be eligible for additional compensation, including incentive or commission-based programs, where applicable and subject to the terms of the relevant plan.

Benefits

• Medical
• Dental
• Vision
• Retirement savings with employer contributions
• Paid time off (including volunteer time off!)
• Pie day
• Other employee benefits

This position is not eligible for immigration sponsorship.

We are an equal opportunity/affirmative action employer. Martin's Point complies with federal and state disability laws and makes reasonable accommodations for applicants and employees with disabilities. If a reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact [e-mail].

Do you have a question about careers at Martin's Point Health Care? Contact us at: [e-mail]

Martin's Point Health Care is a progressive, not-for-profit organization providing care and coverage to the people of Maine and beyond. The organization operates six primary care health care centers in Maine and New Hampshire, accepting most major insurance plans. Martin's Point also administers two health plans: Generations Advantage (Medicare Advantage plans available throughout Maine), and the US Family Health Plan (TRICARE Prime plan for active-duty and retired military families in Maine, New Hampshire, Vermont, upstate New York, northern and western Pennsylvania, and northeastern and central Ohio).

For more information, visit https://careers.martinspoint.org.