Care Management Clinical Trainer - Remote

Join Martin's Point Health Care - an innovative, not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a joined force of "people caring for people," Martin's Point employees are on a mission to transform our health care system while creating a healthier community. Employees enjoy an organizational culture of trust and respect, where values—taking care of ourselves and others, continuous learning, helping each other, and having fun—are brought to life every day. Martin's Point has been certified as a "Great Place to Work" since 2015.

About the Role

The Clinical Trainer designs, develops, and delivers comprehensive hybrid training programs for the Case Management department. This role supports clinical and non-clinical staff serving Medicare and TRICARE members. Responsibilities include collaborating with leadership to develop and deploy live clinical instruction, e-learning, operational workflow design, and document management to meet performance benchmarks for compliance, quality, cost optimization, and patient experience. Additionally, this role manages the department’s job aids, standard operating procedures, and SharePoint site.

Responsibilities

• Develops and conducts live, virtual, and recorded training sessions for new hires and existing staff on case management programs and workflows.
• Collaborates with leadership to map, develop, optimize, and manage departmental clinical workflows.
• Authors and maintains clear, step-by-step job aids, reference guides, and desktop procedures.
• Standardizes, reviews, and controls version history for all internal clinical and operational documentation.
• Builds, organizes, and maintains the department SharePoint site to ensure easy access to training assets.
• Incorporates NCQA, CMS (Medicare), and DHA (TRICARE) regulatory requirements into all training materials.
• Audits staff documentation post-training to identify knowledge gaps and implement remedial coaching as needed in conjunction with or in support of the supervisor of care management.
• Works consistently to demonstrate the mission, vision, and core values of the organization.

Requirements

• Bachelor’s Degree in Health Science, Nursing, or related field required.
• Master's degree in Nursing (MSN), Healthcare Administration (MHA), or Public Health (MPH) preferred.
• Certified Case Manager (CCM) or American Case Management Association (ACMA) certification preferred.
• Minimum 5 years of clinical case management experience within a managed care organization or health insurer with Medicare Advantage.
• Combined experience facilitating live, virtual, and hybrid classrooms, specifically within a corporate healthcare or managed care setting required.
• TRICARE experience preferred.
• Experience building QA audit tools, analyzing performance metrics, and creating remediation plans.

Skills & Knowledge

• Demonstrated experience with NCQA case management accreditation standards, audit preparations, and HEDIS quality metrics required.
• Proficiency in health IT systems, including specialized Case Management platforms (e.g., TruCare, Salesforce Health Cloud), Electronic Health Records (EHRs), and clinical data analytics reporting tools preferred.
• Excellent communication and presentation skills, both oral and written.
• Strong organizational skills, including the ability to work independently and prioritize work.
• Competence with computers and business applications: Microsoft Excel, Visio, Word, PowerPoint, Outlook, Access.
• Proficiency in SharePoint administration (permissions, site design) preferred.
• Proven background in adult learning principles and instructional design.
• Proven track record of building comprehensive training curriculums from scratch, translating complex medical workflows into digestible learning paths.

Pay

The pay range for this full-time position is $86,926.10 - $107,379.30. Actual compensation will be determined based on factors such as experience, skills, qualifications, and other job-related considerations. Employees may also be eligible for additional compensation, including incentive or commission-based programs, where applicable.

Benefits

• Comprehensive benefits package including medical, dental, and vision.
• Retirement savings with employer contributions.
• Paid time off, including volunteer time off.
• Pie day and other employee benefits.

This position is not eligible for immigration sponsorship.