Job Summary

We are looking for a qualified and experienced Training Specialist – Clinical Programs to deliver impactful clinical training and development programs for licensed healthcare professionals supporting US managed care operations.

In this role, you will leverage your nursing background, clinical knowledge, and training expertise to build clinical competency, strengthen quality standards, and support continuous learning across clinical teams.

The ideal candidate is a licensed Registered Nurse with active Philippine and US nursing licenses, a solid understanding of US healthcare operations, and experience facilitating clinical training, education, or competency development.

Work Location: Vertis North, Quezon City
Work Arrangement: 100% On-site
Work Schedule: US Day Shift
Salary: Open, depending on the candidate's current or previous salary, relevant experience, and qualifications. Salary expectations should remain reasonable and aligned with the client's budget.
Target Start Date: On or before December 15

Key Responsibilities

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

• Develop and deliver training modules covering 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 to evaluate clinical knowledge and job readiness.

• Develop, review, and regularly update Standard Operating Procedures (SOPs), job aids, workflow guides, and other training materials.

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

• Identify clinical knowledge and performance gaps and recommend appropriate training interventions.

• Collaborate with Operations, Quality Assurance (QA), and Talent Acquisition (TA) teams to address performance gaps and support clinical training pipeline requirements.

• Promote continuous learning and ensure clinical staff are equipped to meet operational, quality, and compliance expectations.

Qualifications and Experience

Required Qualifications

• Bachelor of Science in Nursing (BSN) from an accredited nursing institution.

• Active Philippine Registered Nurse (PHRN) license.

• Active and unrestricted US Registered Nurse (USRN) license.

• Must have successfully passed the NCLEX examination.

• At least three (3) years of clinical experience.

• At least one (1) to two (2) years of experience in clinical training, education, facilitation, or a related capacity.

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

• Excellent facilitation, communication, presentation, and clinical documentation skills.

• Willingness to work 100% on-site at Vertis North, Quezon City, on a US day-shift schedule.

Preferred Qualifications and Experience

• Previous clinical training experience within a Healthcare BPO environment.

• Experience supporting Utilization Review (UR) or Utilization Management (UM) operations.

• Exposure to URAC/NCQA standards, accreditation requirements, or clinical documentation platforms.

• Currently working as a Clinical Trainer or Apprentice Trainer, with relevant clinical training and facilitation experience.

USRN License Validity Requirement

• The USRN license must be active and unrestricted at the time of application.

• Candidates whose USRN licenses are nearing expiration must be willing to complete the renewal process and maintain active licensure.