Referral Management RN Training Manager

Company: Zimmerman Associates, Inc.
Location: Bethesda
Posted on: April 21, 2025

Job Description:

Zimmerman Associates, Inc. (ZAI) is currently seeking to hire a Referral Management RN Training Manager to support its contract with the Integrated Referral Management and Appointing Center (IRMAC), the National Capital Regions' premier coordinating authority for appointing and referral management services for beneficiaries in the Defense Health Network. This is an onsite employment opportunity. However, consideration maybe provided for teleworking upon customer's approval.

Please make sure you read the following details carefully before making any applications.

ROLE AND RESPONSIBILITIES:

The Referral Management RN Training Manager has overall responsibility for implementing and evaluating the in-house/new hire training for Referral management Reviewers and managing DoD specific training.

QUALIFICATIONS/SKILLS AND EXPERIENCE:

Licensed Registered Nurse with an unencumbered and active RN license from the State Board of Nursing and graduated from an accredited nursing program.
Nurse applicants must be a current U.S. licensed Registered Nurse.
License cannot be under investigation nor have any adverse action pending from a Nursing State Board or national licensing/certification agency.
All licenses must remain current, valid, and unrestricted during contract employment.
Three years of clinical nursing experience is required.
RM and Utilization Management (UM) experience is preferred.
Full time employment in a nursing field within the last 24 months is mandatory.
Three years of clinical nursing experience is required. RM and Utilization Management (UM) experience is preferred.
U.S Citizenship required as well as the ability to obtain a Public Trust Clearance.
Knowledge, skills, and computer literacy to interpret and apply medical care criteria, such as InterQual, Milliman Ambulatory Care Guidelines, Specialty Referral Guidelines (SRGs) or other evidence-based guidelines identified by the MHS.
Proficient in the usage and understanding of medical terminology, MHS, VA-DOD Sharing Program, TRICARE, HIPAA, release of medical information.
Demonstrated ability to manage a high-performing and efficient team.
Excellent oral and written communication skills, interpersonal skills, superior customer service, leadership, and organizational skills.
Working knowledge of computers, specifically the Internet, Microsoft Word, Microsoft PowerPoint, Microsoft Access, Microsoft Excel, and Windows.

ESSENTIAL TASKS:

Develop training topics based on monitoring observations, changes to standards, policies, and procedures.
Train, orient and assess competency of Referral Management Reviewers to ensure that they will be proficient in performing the Referral duties upon completion of training.
Provide remedial and updated training to staff based on organizational changes.
Prepare initial and annual competency assessment for Referral staff, ensuring completion after initial training and annul afterwards.
Identify gaps in performance during annual competency assessment and provide a training plan based on the assessment to meet the individuals' needs.
Ensure all new personnel have an established account prior to reporting to the IRMAC site for initial training.
Perform all the duties and responsibilities of the RN Team (as set forth in the Statement of Work, Section 5.10.5).
Develop and implement Performance Improvement Plans (PIPs) for Agents who fail to meet monthly standards, to include next steps for coordination with Floor Supervisors and Lead Agents.
Develop and coordinate on-line and in-house training to account for IRMAC staff and the NCR weekly training sessions to ensure all personnel receive adequate training on all topics.
Provide Referral Management training to all incoming contract staff to be able to review referrals; to include utilizing the SRG, where to locate.
Complete training on the components of a correct review; when to accept., reject and send to the network.
Knowledge of the MCSC requirements.
Expert knowledge of booking protocols.
When not engaged in training staff, the RN will perform duties as set forth in the Statement of Work Section 5.10.5.
Extremely knowledgeable on ROFR process.
Must be knowledgeable and able to perform all the duties and requirements of the Referral Registered Nurse.
When not engaged in training will work as RN completing all the duties and responsibilities as that of the RN Team Lead.
Complete 1200-1600 Referrals with less than 5 mistakes/month.



ZAI is an equal opportunity employer. In compliance with Federal and State Equal Opportunity Laws, qualified applicants are considered for all positions applied for without regard to race, color, religion, sex), national origin, marital status, disability, age, veteran status or any other legally protected status.

Keywords: Zimmerman Associates, Inc., Dale City , Referral Management RN Training Manager, Healthcare , Bethesda, Virginia