Remote Utilization Management Clinical Trainer

Alignment Health; Northern (KY); Hybrid; USD 78,000 - 117,000; Full time

Job summary

Alignment Health is seeking an Utilization Management Clinical Trainer to design and deliver training for utilization review nurses and coordinators. The role focuses on onboarding, ongoing education, and standardized workflows across clinical teams, ensuring compliance with internal policies and regulatory guidelines.

The incumbent collaborates with clinical leaders to drive IRR accuracy and program quality, with mainly remote work and quarterly in-person leadership meetings.

Qualifications

• Minimum of 5 years nursing experience in managed care, utilization review, case management, quality improvement, or acute care nursing—especially roles with interdisciplinary coordination.
• Experience developing and delivering clinical training is preferred; strong clinical communication skills required.
• Comfort with technology platforms used for clinical documentation, utilization review, and virtual training delivery.
• Bachelor's degree in Nursing or related field.
• Active and unrestricted RN or LPN/LVN license in the United States.

Responsibilities

• Develop onboarding and training programs for new utilization review staff.
• Create and maintain training materials reflecting up-to-date policies and workflows.
• Design training content to support standardized workflows across clinical reviewers.
• Collaborate with trainers to ensure consistency in approach and style.
• Deliver engaging education using real-world examples and case studies.
• Design and deliver training for new processes, tools, or platforms.
• Audit utilization review processes and participate in IRR assessments.
• Work with Compliance to track training completion and quality improvements.
• Promote a positive team culture aligned with Alignment Health values.

Skills

Nursing experience

Clinical training delivery

Communication skills

Tech-savvy

Education

Bachelor's degree in Nursing or related field

Tools

Clinical documentation platforms

Online training tools

IRR auditing tools

Job description

Alignment Health is seeking an Utilization Management Clinical Trainer to design and deliver training for utilization review nurses and coordinators. The role focuses on onboarding, ongoing education, and standardized workflows across clinical teams, ensuring compliance with internal policies and regulatory guidelines.

The incumbent collaborates with clinical leaders to drive IRR accuracy and program quality, with mainly remote work and quarterly in-person leadership meetings.