Referral Management (RN) Traning Manager (Bethesda, MD)

Ivyhill Technologies, LLC; Bethesda (MD); On-site; USD 60,000 - 90,000; Full time

Job summary

Join a forward-thinking company as a Referral Management Training Manager, where you will lead the training and development of Referral Management staff. This role is vital in ensuring that new hires are proficient in their duties and that existing staff receive ongoing training to meet the evolving needs of the organization. You will leverage your clinical nursing experience and leadership skills to create impactful training programs and competency assessments. If you are passionate about nursing and training, this is an exciting opportunity to make a significant difference in the quality of care provided. Embrace the chance to shape the future of healthcare training in a supportive and dynamic environment.

Benefits

Medical Insurance

Dental Insurance

Vision Insurance

401(k) Plan

Life Insurance

Short-Term Disability

Long-Term Disability

Qualifications

• Must be a licensed RN with an active license and accredited nursing education.
• Three years of clinical nursing experience required; RM and UM experience preferred.

Responsibilities

• Develop and implement training for Referral Management staff.
• Conduct competency assessments and identify training needs.

Skills

Clinical Nursing Experience

Referral Management Knowledge

Utilization Management Knowledge

Medical Terminology Proficiency

Leadership Skills

Communication Skills

Computer Literacy

Education

Accredited Nursing Program

Active RN License

Tools

Microsoft Word

Microsoft PowerPoint

Microsoft Excel

Microsoft Access

Windows

Job description

Ivyhill has an immediate need for Referral Management (RN) Training Manager for its Call Center located in Bethesda, MD. The qualified candidate will have overall responsibility for implementing and evaluating the in-house/new hire training for Referral Management Reviewers and managing DOD specific training.

Duties and Responsibilities

1. Develop training topics based on monitoring observations, changes to standards, policies, and procedures.
2. Train, orient and competency assess Referral Management agents to ensure that they will be proficient in performing the Referral duties upon completion of training.
3. Provide remedial and updated training to staff based on changes in the organization.
4. Create initial and annual competency assessment for Referral Management staff, ensuring completion after initial training and annual afterwards.
5. During the annual competency assessment, identify gaps in performance and provide a training plan based on assessment to meet the individual’s need.
6. Must be able to perform all the duties and responsibilities of the RN Team.
7. Develop and implement Performance Improvement Plans (PIPs) for staff who fail to meet monthly standards.
8. Develop and coordinate online and in-house training to account for IRMAC staff and the NCR weekly training sessions to ensure all personnel receive adequate training on all topics.
9. Provide Referral Management training to all incoming staff to be able to review referrals; to include utilizing the SRG and where to locate.
10.  Complete training on the components of a correct review; when to accept, reject and send to the network.
11.  Must be knowledgeable of the MCSC requirements.
12.  Extremely knowledgeable on booking protocols.
13.  When not engaged in training staff, the RN will perform duties of the Referral Management Team.
14.  Extremely knowledgeable on ROFR process.
15.  Must be knowledgeable and able to perform all the duties and requirements of the Referral Registered Nurse.
16.  When not engaged in training, will work as a RN completing all the duties and responsibilities as that of the RN Team Lead.
17.  Complete 1200-1600 Referrals with less than 5 mistakes/month.

The qualified candidate must be a Licensed Registered Nurse shall possess an unencumbered active RN license from a State Board of Nursing and graduated from an accredited nursing program.

Must have three (3) years of clinical nursing experience. Referral Management (RM) and Utilization Management (UM) experience is preferred. Full-time employment in a nursing field within the last 24 months is mandatory.

Additionally, the qualified candidate must:

1. Be a U.S. Citizen.
2. Be knowledgeable and have the skills and computer literacy to interpret and apply medical care criteria, such as InterQual, Milliman Ambulatory Care Guidelines, Specialty Referral Guidelines (SRGs) or other evidence-based guidelines identified by the MHS.
3. Be proficient in the usage and understanding of medical terminology, MHS, VA-DOD Sharing Program, TRICARE, HIPAA, release of medical information.
4. Have demonstrated ability to manage a high-performing and efficient team.
5. Have excellent oral and written communication skills, interpersonal skills, superior customer service, leadership, and organizational skills.
6. Have a working knowledge of computers, specifically the Internet, Microsoft Word, Microsoft PowerPoint, Microsoft Access, Microsoft Excel, and Windows.

Ivyhill has a competitive benefits program which includes medical, dental and vision; Life and AD&D insurance; Short- and Long-Term Disability; supplemental Life insurance and a 401(k) Plan.

Ivyhill is an equal opportunity employer. In compliance with Federal and State Equal Opportunity Laws, qualified applicants are considered for all positions applied for without regard to race, color, religion, sex (including pregnancy and gender identity) , national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, veteran status or any other legally protected status.