Nurse Trainer/Auditor- Utilization Management - (Baton Rouge, LA)

Position Purpose: Develop, conduct, administer and analyze clinical training programs, conduct audits of clinical systems entry and/or processes, and assist in development of audit tools for Utilization Management team.* Develop and conduct clinical education courses, including case management education and training for new employees* Develop and maintain complex audit processes and audit tools related to authorizations, appeals, quality, case management, inter-rater reliability and data entry* Audit established guidelines (e.g. Interqual) for medical necessity* Analyze training needs and identify, select or develop appropriate training programs including training aids and materials* Audit staff in accordance with established auditing processes, work with staff to identify and resolve errors in data and reporting