Clinical Care Nurse Educator

About the Role

The Clinical Care Nurse Educator plans, directs, coordinates, evaluates, develops, and/or delivers training and education programs for professional nursing personnel. This role involves addressing moderately complex to complex issues where analysis of situations or data requires an in-depth evaluation of variable factors. The position reports to the Associate Director of Clinical Education under the leadership of the National AVP, Clinical Education.

The Clinical Care Nurse Educator works within the Clinical Education team, focusing on training and educating clinical staff supporting PCO centers, particularly Clinical Care Nurses. This role involves proactively engaging high-risk patients and implementing targeted interventions to address multi-complex medical and social needs, increasing access to care. The educator provides guidance and oversight of care coordination efforts and handles clinical escalations.

The role requires a deep understanding of High-Risk Patient Management (HRPM), Transitional Care Management (TCM) programs, and STARS quality measures to ensure care integration staff can apply value-based care and population health principles effectively.

Responsibilities

• Develop, plan, organize, and supervise training for Clinical Care Nurses, care integration team members, and primary care providers, including principles of population health, value-based care, and senior care.
• Oversee training aspects of STARS Quality metrics, readmission risk, Chronic Disease Management, Medication Reconciliation, Caregiver Burnout, Advance Care Planning, and Suicide.
• Incorporate training on EMR and systems, Compliance, primary care policy and procedure, coding and documentation, quality, utilization, customer service standards, team effectiveness, and communication as needed. Training may occur in-person or virtually through live and recorded sessions.
• Serve as faculty for clinical staff learning journeys and provider onboarding.
• Demonstrate knowledge of transitions of care best practices, creation and management of care plans, and 5M Geriatric best practices.
• Teach and facilitate sessions on Motivational Interviewing (MI) skills.
• Monitor medical performance through direct observation, call listening, chart review, data review, and provide guidance to ensure quality care and cost-effective utilization practices.
• Support the development of scorecards to document Clinical Care Nurse work quality and complete scorecards through direct observation and chart review. Share data with the education team, care integration team, and other stakeholders.
• Support preceptors and the preceptor program to ensure a smooth transition for new associates between national and market-based onboarding.
• Ensure licensed RNs meet competency requirements and assign educational modules, shadowing, and hands-on work as needed.
• Collaborate with Regional Directors, Program Delivery team, Compliance, market teams, and PCO leadership to identify training needs for care integration team members.
• Represent the organization in recruiting and marketing events as needed.
• Maintain active clinical practice in the local market for 10% of the time.
• Serve as a key subject matter expert (SME) interviewer in future RN hires to promote a standardized and consistent hiring approach.
• May serve as faculty for Activity Center topic of the month sessions or CIT Grand Rounds for continuing education credit.
• Travel up to 20% for onsite training delivery, role observation, and clinical practice.

Requirements

• RN License in home state; willingness to obtain licensure in additional states as needed.
• Minimum of five years' experience working as a Registered Nurse.
• Knowledge of community health and social service agencies and resources.
• Experience working as part of an interprofessional team.
• Experience in training and/or training content development.
• Proficient in Microsoft Office, EMR systems, and Zoom.

Preferred Qualifications

• Familiarity with state Medicaid guidelines and application processes.
• Experience working with the geriatric/senior population.
• Experience in care management program management or implementation.
• Knowledge of EMR/documentation platforms including Salesforce and AthenaOne.
• Knowledge of Team STEPPS evidence-based standards.

Key Competencies

• Clinical Workflow Expertise: Demonstrate up-to-date knowledge of relevant clinical workflows and protocols.
• Training Delivery and Presentation: Facilitate engaging and structured didactic training sessions, utilizing available technology to maximize effectiveness.
• Content Development: Develop clear, relevant, and evidence-based training materials tailored to the role(s) supported.
• Communication and Leadership: Communicate and advocate effectively and professionally with clinical leadership and interprofessional teams. Actively listen to understand perspectives and ensure continuous understanding.
• Strategic Thinking & Systems Contribution: Provide meaningful input during program design discussions, identifying opportunities for innovation and improvement. Problem-solve with the ability to drive work with low to moderate oversight.
• Clinical Knowledge Application: Apply clinical knowledge appropriately within a value-based care model during training or coaching.
• Coaching & Staff Development: Support staff development through mentorship, role-modeling, reverse shadowing, and constructive strengths-based feedback.

Additional Information

• Remote role with the requirement to reside in an existing PCO market to support clinical practice within that market.
• Ability to travel up to 20%, largely within local and regional markets.
• Flexibility with work location; preferred locations are listed in the job posting.

Work From Home Requirements

• Self-provided internet service must meet the following criteria: minimum download speed of 25 Mbps and upload speed of 10 Mbps; wireless, wired cable, or DSL connection suggested.
• A dedicated workspace lacking ongoing interruptions to protect member PHI/HIPAA information.
• Satellite, cellular, and microwave connections may be used only if approved by leadership.
• Associates in California, Illinois, Montana, or South Dakota will receive a bi-weekly payment for internet expenses.
• Humana will provide telephone equipment appropriate to meet business requirements.

Benefits

• Health and Wellness: Comprehensive health, dental, and vision insurance plans.
• Retirement Savings: Generous 401(k) plan with company match.
• Professional Development: Opportunities for continuous learning, including access to training programs, certifications, and tuition reimbursement.
• Work-Life Balance: Flexible work arrangements, including remote work options and paid time off.
• Employee Assistance Program: Access to resources and support for personal, financial, and legal matters.
• Wellness Programs: Initiatives to promote physical and mental well-being, including fitness memberships and wellness challenges.
• Community Engagement: Opportunities to participate in volunteer activities and give back to the community.
• Recognition and Rewards: Programs to recognize and reward contributions and achievements.

Impact on Patient Care

As a Senior Nursing Educator, you play a pivotal role in transforming geriatric care within our value-based care model. Your expertise directly contributes to improving health outcomes and quality of life for senior patients, particularly those at high risk.

• High-Risk Patient Management (HRPM): Train and guide RN Care Navigators and Outreach RNs to ensure high-risk patients receive personalized, proactive care, reducing hospital readmissions and enhancing well-being.
• Transitional Care Management (TCM): Educate the care team on best practices for transitions of care to ensure seamless and safe transitions between care settings, reducing complications and readmissions.
• Geriatric Best Practices: Incorporate 5M Geriatric best practices into training programs to deliver age-appropriate, comprehensive care addressing the unique needs of elderly patients.
• Motivational Interviewing (MI): Teach and facilitate sessions on MI skills to empower the care team to engage patients effectively, fostering trust and encouraging adherence to care plans.
• Quality and Utilization: Monitor and guide medical performance to ensure high standards of quality and cost-effectiveness, improving patient outcomes and supporting the sustainability of our value-based care model.