About the job
The Clinical Nurse educator is a key position in the organization with a combination of clinical and educational development, implementation, and monitoring responsibilities.
The right person for this role is an experienced nurse educator responsible for developing, implementing, and monitoring the training materials that reflect the company policies for a remote therapeutic, physiologic, and chronic condition Care Model that includes chronic, behavioral, and transitional care management. You will be responsible for engaging, educating, and tracking clinical team performance of a remote workforce that includes RNs, MAs, and NPs. You will assure the clinical team has the necessary knowledge to successfully execute their clinical duties while practicing empathetic patient engagement and exemplifying the values, and document that with competencies that you develop.
Key Responsibilities:
- Develop and support educational and training materials for medication adherence remote therapeutic monitoring (RTM), remote physiologic monitoring (RPM) and chronic care management (CCM, TCM, BHI) programs as defined and regulated by Medicare:
- Assure compliance and appropriate clinical documentation with Medicare and Medicaid rules and regulations;
- Provide robust training to the clinical team including: recruitment and onboarding of new staff; use of the application; become a superuser in the EMR system.
- Develop and implement clinical competencies for onboarding new staff and for annual required education.
- Train clinicians in workflows, patient identification, eligibility criteria and discharge criteria; practice HIPAA compliant virtual visits, voice calls and text messaging.
- Analyze and evaluate clinical monitoring and the day-to-day workflow of the clinical staff and broader clinical team.
- Record staffs’ performance based on outcomes and feedback; document and discuss staff performance against company values and behaviors annually;
- Assure that patient care is provided in accordance with clinical guidelines and professional standards; i.e., educate and evaluate the clinical team on individual ability to:
- Assess patients’ physical and mental wellness needs, preferences and abilities and develop plans to improve;
- Work with patients, caregivers and health care professionals to put care plans in place;
- Actively listen to patients’ concerns and provide counseling or intervention as required;
- Record patients’ progress, charting referrals and scheduling referrals back to primary care provider as needed;
- Evaluate patients’ progress and periodically make adjustments as needed.
- Seek treatments or referrals that balance clinical and financial concerns with the family’s needs and the patient’s quality of life.
- Demonstrate capability in resolving escalated issues arising from operations and requiring coordination with other professionals.
- Contribute to the development and improvement of clinical care protocols, policies and procedures.
- Provide input to strategic decisions that affect the functional area of responsibility.
- Foster an environment of continuous iteration and support by:
- Sharing weekly patient stories and improvement areas
- Ensure that the program has continuous improvement and momentum.
Qualifications:
Education:
- Minimum requirement: Bachelor’s Degree in Nursing (BSN) from an accredited university.
- Masters Degree preferred
Experience:
- Minimum 3-5 years full time equivalent experience in direct clinical care
- Minimum 2 years full time equivalent experience in role as a clinical nurse educator of clinical staff
- Demonstrated leadership experience preferred
- Experience with CCM, PCM, RTM, RPM, BHI, and AWV preferred
- Experience leading clinical operations in care management preferred
Skills:
- Working knowledge of Medicare, Medicaid, and commercial reimbursement policies
- Working knowledge of electronic health records systems
- Ability to analyze and interpret clinical data
- Working knowledge of URAC and case management strategies
Licenses (if applicable):
- Active Clinical Nurse Educator (CNE) certification
- Active, unrestricted multistate compact RN license