Clinical Trainer and Auditor - Remote AZ

Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. AZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions.

At AZ Blue, we have a hybrid workforce strategy, called Workability, that offers flexibility with how and where employees work. Our positions are classified as hybrid, onsite or remote. While the majority of our employees are hybrid, the following classifications drive our current minimum onsite requirements:

Hybrid People Leaders: must reside in AZ, required to be onsite at least twice per week

Hybrid Individual Contributors: must reside in AZ, unless otherwise cited within this posting, required to be onsite at least once per week

Hybrid 2 (Operational Roles such as but not limited to: Customer Service, Claims Processors, and Correspondence positions): must reside in AZ, unless otherwise cited within this posting, required to be onsite at least once per month

Onsite: daily onsite requirement based on the essential functions of the job

Remote: not held to onsite requirements, however, leadership can request presence onsite for business reasons including but not limited to staff meetings, one-on-ones, training, and team building

Please note that onsite requirements may change in the future, based on business need, and job responsibilities. Most employees should expect onsite requirements and at a minimum of once per week.

This remote work opportunity requires residency, and work to be performed, within the State of Arizona.

PURPOSE OF THE JOB

• Responsible for developing and delivering clinical curriculum, developmental programs and services to assist with achievement of goals and initiatives.
• Responsible for conducting clinical audits and reviews to ensure standardization and consistency with nurse reviewer clinical decisions.

QUALIFICATIONS

REQUIRED QUALIFICATIONS

Required Work Experience

• 5 years of direct clinical care experience in a healthcare setting
• 2 years of work experience in a managed care setting
• 4 years of clinical training or clinical education experience, preferably in managed care.

Required Education

• Associate Degree or in Nursing
• Active, current, and unrestricted license to practice in the State of Arizona (a state in the United States) as a Registered Nurse (RN) or Master’s in Social Work (MSW).
• N/A

PREFERRED QUALIFICATIONS

• 5 years of experience in clinical education, training and instructional design.
• 1 year of experience working with Milliman Care Guidelines (MCG), Inte