JOB DESCRIPTION: TRAINING SPECIALIST – CLINICAL PROGRAMS

Work Location: Vertis North, Quezon City

Work Setup: Onsite

Shift Schedule: US Day Shift

Salary: Open, depending on the candidate’s current or previous salary, experience, and qualifications. Salary expectations should remain reasonable and aligned with the client’s budget.

Target Start Date: On or before December 15

JOB OVERVIEW

Deliver high-impact clinical training that equips licensed clinicians to excel in US managed care operations. Build clinical competency, strengthen quality, and support continuous learning across clinical teams.

KEY RESPONSIBILITIES

- Facilitate onboarding, pre-production, and continuing education (CE) training for clinical staff.

- Deliver training modules on Utilization Management (UM), Utilization Review (UR), Case Management (CM) workflows, clinical documentation, HIPAA/PHI compliance, and clinical protocols.

- Conduct skills validations, case simulations, and competency assessments.

- Develop, review, and update standard operating procedures (SOPs), job aids, and workflow guides.

- Maintain accurate, audit-ready training records and competency files.

- Collaborate with Operations, Quality Assurance (QA), and Talent Acquisition (TA) to address performance gaps and support training pipeline needs.

QUALIFICATIONS

- Bachelor of Science in Nursing (BSN).

- Active Philippine Registered Nurse (PHRN) license.

- Active, unrestricted USRN license; NCLEX must be passed.

- At least 3 years of clinical experience.

- At least 1–2 years of clinical training, education, or facilitation experience.

- Strong understanding of US managed care, Utilization Management (UM), Utilization Review (UR), and HIPAA/PHI compliance.

- Excellent facilitation, communication, and clinical documentation skills.

- Willing to work onsite in Vertis North, Quezon City, on a US day shift.

- Healthcare BPO training experience.

- Experience supporting UR/UM operations.

- Exposure to URAC/NCQA standards or clinical documentation platforms.

- Currently working as a Clinical Trainer or Apprentice Trainer, with relevant clinical training experience.

USRN LICENSE VALIDITY

The license must be active. Candidates whose licenses are nearing expiration must be willing to renew it.