Clinical Trainer - Work@Home USA | Sagility Health Job

· We are seeking a Trainer – Case Management with strong Case Management, Specialty Pharmacy, and clinical education experience. This role requires a combination of clinical expertise, care coordination knowledge, adult learning principles, and performance coaching skills to prepare clinicians to deliver high-quality, patient-centered care for members receiving specialty therapies.Clinical Trainer

·         We are seeking a Trainer – Case Management with strong Case Management, Specialty Pharmacy, and clinical education experience. This role requires a combination of clinical expertise, care coordination knowledge, adult learning principles, and performance coaching skills to prepare clinicians to deliver high-quality, patient-centered care for members receiving specialty therapies.

 

o   Facilitate new hire, upskilling, refresher, and ongoing clinical training in classroom, virtual, and blended learning environments.

o   Deliver training on Case Management, care coordination, care planning, health coaching, motivational interviewing, medication adherence, transitions of care, chronic disease management, and specialty pharmacy workflows.

o   Deliver just-in-time (JIT) training and nesting/OJT support, coaching clinicians on client workflows, patient engagement, and care coordination best practices.

o   Complete and maintain certification through the client-led Train-the-Trainer program.

o   Facilitate clinical simulations, role-play activities, case studies, and clinical decision-making exercises to reinforce learning and competency.

o   Prepare and submit training reports, competency scorecards, certification trackers, nesting dashboards, and learner performance reports accurately and on time.

o   Develop and maintain training materials, facilitator guides, job aids, assessments, and competency validation tools aligned with client requirements and evidence-based practice.

o   Manage training schedules, logistics, LMS records, and learning resources.

o   Monitor learner progress through case studies, simulations, documentation reviews, knowledge assessments, call observations, and competency evaluations.

o   Provide coaching, feedback, and remediation plans during training and nesting to ensure readiness for independent practice.

o   Partner with Operations, Clinical Leadership, Quality, and Client SMEs to ensure training reflects current workflows, quality requirements, and regulatory standards.

o   Provide recommendations for curriculum enhancements based on learner feedback, quality trends, regulatory updates, and operational performance.

o   Design and deliver refresher and upskilling programs based on client changes, quality findings, compliance requirements, and performance opportunities.

o   Stay current with government and commercial payer requirements, CMS regulations, accreditation standards (NCQA, URAC), specialty pharmacy practices, evidence-based care management principles, and adult learning methodologies.

o   Support clinical quality improvement initiatives, competency validation programs, and transition-to-production activities.

 

Qualifications

 

o   Active USRN license (United States Registered Nurse).

o   Minimum 5 years of clinical nursing experience.

o   Minimum 3 years of Case Management, Care Coordination, Disease Management, or related clinical experience.

o   Minimum 2 years of facilitation, adult education, or healthcare training experience.

o   Experience in member-facing, telephonic, virtual, or specialty pharmacy care management environments preferred.

o   Knowledge of CMS regulations, NCQA, and URAC standards.

o   Strong administrative, reporting, documentation, and training management skills.

o   Proficiency in Microsoft Office Suite, Learning Management Systems (LMS), EMR/EHR platforms, and care management systems.

o   Proven ability to coach learners, validate competencies, and support production readiness.

o   Excellent communication and facilitation skills, with the ability to translate complex clinical concepts into practical learning experiences.

o   Preferred certifications include Certified Case Manager (CCM) or Accredited Case Manager (ACM).

 

Skills

·         Strong clinical judgment, case management expertise, and care coordination knowledge.

·         Knowledge of specialty pharmacy care models, medication adherence programs, and patient engagement strategies.

·         Ability to evaluate clinical competency and validate readiness for independent practice.

·         Skilled in coaching, mentoring, remediation planning, and performance feedback.

·         Knowledge of Motivational Interviewing, chronic disease management, Social Determinants of Health (SDOH), and evidence-based practice.

·         Ability to design and deliver clinical education, refresher training, and competency-based learning programs.

·         Proficiency in training documentation, reporting, assessment development, and performance analytics.

·         Strong curriculum development and instructional design awareness, including recommending content improvements based on learner and operational data.

·         Strong communication, facilitation, and presentation skills, with the ability to simplify complex clinical concepts.

·         Effective collaboration and stakeholder management across operations, clinical leadership, quality, and client teams.

·         Strong time management, organization, and prioritization skills in a fast-paced healthcare environment.

·         Demonstrated commitment to continuous improvement, quality outcomes, and workforce readiness.

Work@Home USAUnited States of America