Trainer - Auditor (Clinical)
Company Name:
Centene
## Description
Position Purpose:
Conduct clinical training programs, developing auditing tools, and conducting audits of clinical systems entry and/or processes.
Position
Responsibilities:
Develop and maintain the audit process and audit tools related to authorizations, appeals, quality, case management, inter-rater reliability and data entry
Analyze training needs and select or develop appropriate training programs including training aids and materials
Audit staff in accordance with established auditing processes, work with staff to identify and resolve errors in data and reporting, and present findings and recommendations for improvement to management
Train audit staff in the use of audit tools
Evaluate effectiveness of training programs including cost/benefit analyses. Research, analyze, and recommend internal/external training programs
Maintain records of training activities and employee progress.
Assist with revisions to Policy and Procedure and/or work process development
Travel may be required
## Qualifications
Knowledge/
Experience:
Bachelor's Degree in Nursing, related clinical field, or equivalent experience. 3
years of nursing, training or auditing experience in a managed care or healthcare setting.
Licenses/Certifications: Current state nursing license. Driver's license may be required for certain positions.
## Job
Job: Clinical
Primary Location: USA-Missouri-Chesterfield
Other Locations: USA-Centene-Centene
Organization: Compliance Coding Management
Schedule: Full-time
Req ID: 0044FEstimated Salary: $20 to $28 per hour based on qualifications.
Centene
## Description
Position Purpose:
Conduct clinical training programs, developing auditing tools, and conducting audits of clinical systems entry and/or processes.
Position
Responsibilities:
Develop and maintain the audit process and audit tools related to authorizations, appeals, quality, case management, inter-rater reliability and data entry
Analyze training needs and select or develop appropriate training programs including training aids and materials
Audit staff in accordance with established auditing processes, work with staff to identify and resolve errors in data and reporting, and present findings and recommendations for improvement to management
Train audit staff in the use of audit tools
Evaluate effectiveness of training programs including cost/benefit analyses. Research, analyze, and recommend internal/external training programs
Maintain records of training activities and employee progress.
Assist with revisions to Policy and Procedure and/or work process development
Travel may be required
## Qualifications
Knowledge/
Experience:
Bachelor's Degree in Nursing, related clinical field, or equivalent experience. 3
years of nursing, training or auditing experience in a managed care or healthcare setting.
Licenses/Certifications: Current state nursing license. Driver's license may be required for certain positions.
## Job
Job: Clinical
Primary Location: USA-Missouri-Chesterfield
Other Locations: USA-Centene-Centene
Organization: Compliance Coding Management
Schedule: Full-time
Req ID: 0044FEstimated Salary: $20 to $28 per hour based on qualifications.
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