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WellCare - Nursing Careers

Clinical Services Specialist Job

Full Job Title: Clinical Services Specialist

Job Number: 1800910

Location: Tampa, FL

Date Posted: 2-19-2018

Provides the clinical services department with future assessment, instructional design, facilitation, teaching, monitoring educational programs and performance improvement.

Essential Functions:
  • Trains, facilitates, assesses, and develops processes for the clinical services department.
  • Assesses, designs and develops instructional materials including training manuals, teaching aids, self-paced study and performance evaluation tools, in conjunction with the training department.
  • Conducts research for needs assessments and provides written complete detailed recommendations to Training Director of clinical services.
  • Manages group dynamics through the use of "learner focused" environment and adult accelerated learning methods.
  • Develops and conducts audits to identify training needs and opportunities for performance improvement for clinical services department.
  • Reviews all programs assigned and continuously ensure they meet the rigorous standards that are set forth by WellCare's clinical services department.
  • Produces professional presentations and training materials using MS Word, PowerPoint and other desktop publishing software.
  • Revises existing training materials and programs based on audit results, questionnaires, changing procedures and feedback from internal/ external customers, subject matter experts, program sponsors and trainers.
  • Coordinates and organizes enrollment of students, assemble necessary program materials, maintains staff attendance documentation, provides reports of trainings and audits to the department leadership.
  • Assists clinical services specialist senior, department managers, and department director with tasks as required.
  • Assess the "job fit" of students during training and immediately report non-progress directly to the associate supervisor, manager, or director.
  • Performs special projects as needed.
Additional Responsibilities:Candidate Education:
  • Required A High School or GED
  • Preferred A Bachelor's Degree in nursing or related field
  • Preferred Other Formal training in adult learning principles preferred (college level classes, or advanced certification training
Candidate Experience:
  • Required 2 years of experience in clinical practice in a hospital, clinic or other provider setting
  • Required 1 year of experience in managed care or case management role
  • Required 1 year of experience in making presentations to groups of 5 or more
  • Preferred Other Experience with Government Programs, Medicare and Medicaid
  • Preferred Other Direct training experience with member services, claims, customer service, call center and/or health management organization
  • Preferred Other Experience in the following areas/competencies is advantageous: Claims / Member Services / Health Services / Call Center / Sales / Provider Relations Training and development / Corporate University/ HMO, managed healthcare or Insurance professional/ Curriculum development specialist/ Team leader for groups of 25 or more/ Online training / Computer based learning professional/ Public speaker / seminar leader
Candidate Skills:
  • Intermediate Demonstrated written communication skills
  • Intermediate Ability to proof large bodies of materials
  • Intermediate Ability to analyze and interpret financial data in order to coordinate the preparation of financial records
  • Intermediate Demonstrated interpersonal/verbal communication skills
  • Intermediate Ability to work independently
  • Intermediate Other Ability to solicit creative ways to improve upon curriculum materials and programs
Licenses and Certifications:
A license in one of the following is required:
  • Preferred Other At least one of the licenses/certifications listed is required
  • Preferred Licensed Registered Nurse (RN)
  • Preferred Licensed Practical Nurse (LPN)
  • Preferred Licensed Clinical Social Worker (LCSW)
  • Preferred Licensed Clinical Marriage & Family Therapist (LCMFT)
  • Preferred Licensed Mental Health Counselor (LMHC)
  • Preferred Licensed Mental Health Practitioner (LMHP)
Technical Skills:
  • Required Intermediate Microsoft Outlook
  • Required Intermediate Microsoft PowerPoint
  • Required Intermediate Microsoft Word
  • Required Intermediate Microsoft Excel
  • Required Intermediate Microsoft PowerPoint
  • Required Intermediate Microsoft Visio
  • Required Intermediate Macintosh Photoshop
  • Required Intermediate Macintosh Illustrator
  • Required Intermediate Healthcare Management Systems (Generic)

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Last Updated On: 12/9/2015