Saint Vincent Hospital offers a whole new experience in health care. By combining our advanced, state-of-the-art facility with our commitment to providing the best quality of life to the many members of our Worcester community. Saint Vincent Hospital excels at offering the best care in a friendly atmosphere. From our advanced heart and vascular services, to our comprehensive orthopedics and rehabilitation programs, our robust surgical facility including our Da Vinci robotic surgery and Cyberknife technology, to our comfortable and compassionate women & infants programs - you don't have to travel far for high-quality health care: We're right here, in the heart of Worcester. 

Onboarding Process: Please be advised that candidates must successfully complete a background check and pre-employment health screening which includes a drug screen.

Position Summary:

The Nursing Educator collaborates with market nursing leadership and staff across departments to assess, plan, develop, implement, facilitate, evaluate, and revise educational programming for all levels of nursing personnel and non-nursing personnel as indicated or requested. The educator acts as a key resource in the orientation and continuing education of nursing staff at Tenet Healthcare. The Nursing Educator implements a comprehensive education program for his/her facility while following and contributing to Tenet educational goals and vision. Educational programs typically include, but are not limited to, orientation, continuing education, and in-services. Other services may include, but are not limited to, process, performance and service-delivery consultation and contributions to the organization through councils, committees, and workgroups.

Supports the educational needs for assigned units/clinics including classroom, clinical experiences, and learning technologies. Implements Tenet comprehensive education programs to meet the orientation and ongoing competency needs and professional development needs of the nursing staff, with specific focus for his/her units/clinics, which supports the Tenet model of professional nursing practice. Ensures all program/course revisions meet the Department of Nursing and regulatory expectations and standards. Adheres to national education practice standards and stays abreast of current research into nursing education practice. Programs are executed and revised based on adult learning principles, organizational, and learning theory consistent with Tenet endorsed philosophy and direction. Provides consultation to enhance continuing education, professional development opportunities and mentorship opportunities; delivers/coordinates other educational programs as directed (e.g., Grand Rounds, in-services, continuing education, job-specific and specialty curricula) to support competence and professional growth of Tenet nursing staff. Provides leadership to preceptors and serves as a role model through educational programs and ongoing coaching and mentoring. Serves as a facilitator to nurse residents and actively mentors and supports their growth in the profession and clinical practice. Participates in continuing education provider unit learning. Evaluates nursing education activities, which qualify for continuing education credit. Participates in activities to keep abreast of the changes to market/facility policies/procedures of the provider unit, and the expectations of the educator role. Assists in development of clinical policies and procedures as requested. Provides guidance, resources, and knowledge for professional growth of others. Mentors colleagues, other nurses, students, and others as appropriate. Participates in quality performance improvement activities. Performs other duties as assigned/required. Covers Services but not limited to: Tele/IMC/PCU; Transitional Care Unit; IV Team; Monitor Techs; Cath Lab/EKG/CVRU/Cardiology. Accountable for the Projects, such as but not limited to: ACLS; EKG; Stroke and Heart.

Qualifications:

Education

Required: Bachelor’s degree in nursing, nursing education, or related specialty

Experience

Preferred: 3 years of nursing experience in an acute care setting

Certifications

Required: Current state licenses and certifications

Tenet complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law. 

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 

  • Thorough knowledge of requirements for all payer types as they pertain to utilization review for acute inpatient and ambulatory care patients; specifically the clinical pre & retro authorization processes, retro clinical denials management, and government audit services: 
  1. Federal and state regulatory and compliance requirements 
  2. Client facility payer contractual requirements. 
  • Thorough knowledge of Medical Necessity Screening Criteria process including McKesson’s InterQual® Criteria products and others, such as Milliman Care Guidelines® as applicable to the client facility. 
  • Thorough knowledge of Medicare coverage determinations process (NCDs, LCDs) and the appeals process. 
  • Experience with multiple CM and health information system technology solutions (inpatient and outpatient). 
  • Excellent organizational skills for the execution of leading practices. 
  • Experience with supplier governance and management. 
  • Must be able to maintain confidentiality regarding patient/employee/facility/corporate information 100% of time. 
  • Understanding of healthcare and revenue cycle services as it relates to denials. 
  • As a skilled facilitator this individual must consistently demonstrate effective questioning techniques and the ability to engage students and transfer knowledge. 
  • Establish and maintain collaborative relationships with CRC operations managers and CRC Senior Director to meet business objectives. 
  • Working knowledge of training tools and various multimedia technology. 
  • Strong communication skills, both verbal and written. 
  • Ability to work with minimal supervision, self-starter, and demonstrates initiative. 
  • Flexible and innovative; highly adaptable to dynamic business environment; catalyst for change. 
  • High engagement; supportive of leadership and role model for Conifer values and guiding behaviors. 

Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. 

EDUCATION / EXPERIENCE 

Include minimum education, technical training, and/or experience preferred to perform the job. 

  • Nursing degree required, preferably BSN 
  • 3 - 5 years’ experience in training or leadership position preferred 
  • Revenue cycle experience preferred 

PHYSICAL DEMANDS 

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 

  • Ability to lift 25-35 lbs., due to travel requirements 
  • Ability to communicate to large groups verbally and through various media 

WORK ENVIRONMENT 

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 

  • Telecommuting Environment 
  • Office Work Environment 

OTHER 

  • May require travel – can vary from approximately 25% to 75%

Include the following. Others may be assigned. 

No. 

Description 

% of Time 

1

Provides all new CRC employees with education on applications which have patient information. These include but are not limited to Cerner, HPF, Allscripts, MIDAS, Med Assets, & Code Correct. The training provided will be specific to a clinical review and the rational supporting the appeal for medical necessity, lack of authorization, and other types of disputes. 

30% 

2

Provides all current CRC nurses with ongoing clinical training on current CRC processes which include but are not limited to: McKesson InterQual® reviews, the research and application of CMS guidelines, the research and application of commercial payer policies, and the appropriate submission of an appeal to an Independent Review Organization.. 

10% 

3

Assists management in the development of the peer review audit tools as well as the development of the quality program implemented by the CRC. Examples include but are not limited to: monthly quality reviews, quarterly Inter Rater Reliability Reviews,(IRR) and the yearly InterQual® exam. 

10% 

4

Functions as a performance consultant collaborating with operation managers to perform needs assessment and recommend training solutions. 

10% 

5

Completes monthly quality reviews on all new employees for 1 year as directed by CRC Operations Managers/Directors 

10% 

6

Serves as a subject matter expert on policy or guideline interpretation/definition. This individual provides clinical summaries for clients as needed to assist with facility level education. This includes but is not limited to: writing a clinical summary for a case review in which the facility/client disagrees with the CRC dispute determination, the FDA’s recommendations on the appropriate use of experimental/investigational items, such as bone grafts, medications, implants etc… 

10% 

7

Assists with the review of special projects as assigned in collaboration with CRC staff to include the completion of the executive summary as needed. 

10% 

8

Other related duties as assigned. 

10% 

FINANCIAL RESPONSIBILITY (Specify Revenue/Budget/Expense): N/A 

SUPERVISORY RESPONSIBILITIES 

If direct report positions are listed below, the following responsibilities will be performed in accordance with guidelines, policies and procedures and applicable laws. Supervisory responsibilities include interviewing, hiring, and training employees; planning, assigning and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems. 

Direct Reports (titles) 

N/A 

Indirect Reports (titles) 

N/A 

Who We Are

We are a community built on care. Our caregivers and supporting staff extend compassion to those in need, helping to improve the health and well-being of those we serve, and provide comfort and healing. Your community is our community.

Our Story

We started out as a small operation in California. In May 1969, we acquired four hospitals, some additional care facilities and real estate for the future development of hospitals. Over the years, we've grown tremendously in size, scope and capability, building a home in new markets over time, and curating those homes to provide a compassionate environment for those entrusting us with their care.

We have a rich history at Tenet. There are so many stories of compassionate care; so many "firsts" in terms of medical innovation; so many examples of enhancing healthcare delivery and shaping a business that is truly centered around patients and community need. Tenet and our predecessors have enabled us to touch many different elements of healthcare and make a difference in the lives of others.

Our Impact Today

Today, we are leading health system and services platform that continues to evolve in lockstep with community need. Tenet's operations include three businesses - our hospitals and physicians, USPI and Conifer Health Solutions.

Our impact spreads far and deep with 65 hospitals and approximately 510 outpatient centers and additional sites of care. We are differentiated by our top notch medical specialists and service lines that are tailored within each community we serve. The work Conifer is doing will help provide the foundation for better health for clients across the country, through the delivery of healthcare-focused revenue cycle management and value-based care solutions.

Together as an enterprise, we work to save lives and can accept nothing less than excellence from ourselves in service of our patients and their families, every day.

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Confirmed 2 hours ago. Posted 30+ days ago.

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