Jobs · Healthcare

Care Manager

Maryland Physicians Care · Linthicum, MD · 1 mo ago
RemoteRemoteHealthcareFull-time
We need to output HTML fragment with sections: About the role? Actually we have sections: About Maryland Care Management, Inc. (MCMI) (maybe "About the role"? The instruction: use

for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). So we need to map content accordingly. We have: - Job Type Full-time (metadata, can be folded into short p or dropped) - Description Summary/Position Objectives: The Care Manager plans... (this is about role). Could be "About the role" heading. - About Maryland Care Management, Inc. (MCMI) ... (company description). Could be "About the company"? Not listed but we can use "About the role"? Actually we already used that for summary. Maybe we can combine? But we need to preserve all substantive info. Could have "About the role" for summary/objectives, and then maybe "About the company" not in list but we could still use heading? The instruction says use those headings as examples, not exclusive? It says use

for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). Probably we should stick to those headings where applicable. So we need sections: About the role (summary/objectives), Responsibilities (What You'll Do), Requirements (Knowledge and Skills, Education And Work Experience), Benefits (benefits listed), Pay (Salary Description). Possibly also Qualifications? Could combine Requirements and Qualifications. But we have Education And Work Experience etc. Could put under Requirements. Skills maybe separate? But we have Knowledge and Skills includes skills. Could put under Skills. However we need to avoid thin sections. Let's decide: - About the role: summary/objectives + maybe company description? But company description is not about role. Could be separate "About the company" but not in list; maybe we can omit? But we must preserve ALL substantive information. If we omit company description, we lose info. So we need a section for it. Could use "About the role" for summary, and then another heading like "About the company" though not in examples but still a heading. The instruction says use

for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). It doesn't forbid other headings, but suggests those as examples. Safer to include a heading for company info, maybe "About the company". That seems reasonable. - Responsibilities: "What You'll Do" list. - Requirements: includes Knowledge and Skills, Education And Work Experience, maybe also "Requirements" heading. - Benefits: benefits listed. - Pay: Salary Description. We should not include Schedule (not present). Also not include Qualifications separate if we already have Requirements. We need to use
  • for any list of duties/requirements/benefits. So for responsibilities list, we need
    • . For requirements list (knowledge and skills, education/work experience) we can also list as
      • . For benefits list also. We need to use

        for prose. We must not repeat job title as heading. Not include Job ID etc. Remove boilerplate: EEOC statement, etc. Also remove "Job Type Full-time" maybe fold into short p. We must preserve all substantive information: summary/objectives, company description, why join us? (benefits etc), What You'll Do list, Secondary Functions (maybe part of responsibilities?), Requirements (knowledge and skills, education and work experience), Salary Description. We need to decide what to include from "Why join us?" includes benefits and also culture statements. We'll put benefits in Benefits section; culture statements maybe not needed but could be part of About the company? Could be omitted? It's substantive but not required headings; we could include as a paragraph under About the company. We must not include EEOC statement, etc. We must not include duplicated lines. Let's extract content. Summary/Position Objectives: "The Care Manager plans, develops, implements, and oversees care plans for members with identified care management needs. This role improves the coordination, continuity, accessibility, and appropriate utilization of health care services and community resources for high-risk members and members with special needs." About Maryland Care Management, Inc. (MCMI): "Maryland Care Management, Inc. (MCMI) manages Maryland Physician Care's (MPC) statewide provider network of hospitals and physicians. Maryland Physicians Care has been providing services to the HealthChoice Medicaid populations since 1996, and we are proud of our footprint in the community. With over 230,000 members, MPC consistently has been one of MD's largest Medicaid-managed care organizations." Why join us? (benefits and culture): "MCMI recognizes the importance of flexibility and offers multiple work arrangements. Along with competitive pay, we offer excellent benefits (medical, dental, and vision plans, 100% employer Term Life Insurance, Short and Long-Term Disability, 401k Employer Match up to 4%) as well as 20 days of PTO, and tuition assistance/professional development plans. Your future colleagues at MCMI are welcoming, friendly, and eager to help each other succeed. We are committed to Diversity, Equity, and Inclusion, providing organizational-wide social opportunities, and constantly improving our ongoing efforts to positively impact our members' lives." What You'll Do (list): - Assists in developing, maintaining, and monitoring processes to promote the timely identification and assessment of high risk and special needs members. - Serves as an interdisciplinary team member in management of identified members, performing clinical/social determinants of health assessments and in collaboration with physicians, determining medical needs. - Conducts telephone or face-to-face interviews of members to identify risk factors and the need for care management. - Fosters professional networks and relationships with service and resource providers to promote continuity and quality of care for members. - Initiates, develops, plans, and implements care plans designed to promote the delivery of quality care and service to members with identified CM needs. - Utilizes clinical judgment to discharge members from care management according to plan policies and procedures. - Maintains care management records according to plan policies and procedures and ensures data integrity in health plan information systems. - Collects, evaluates, and reports clinical, functional and program activity as applicable. - Identifies cases to assess for impact of care management services, and assists with data collection as needed. - Educates members' medical providers regarding the members' special needs to ensure consideration to the unique needs of the patients in treatment planning. - Coordinates and communicates with community support and social service systems for members. - Reduces care costs without sacrificing quality through effective service coordination and multidisciplinary collaboration. - Collaborates with multidisciplinary teams to facilitate member care and reduce care management barriers. - Assists with the development of policies and procedures related to care management. - Communicates effectively with supervisor/manager regarding departmental issues, member issues, program status, compliance issues, etc. Secondary Functions (list): - Following HIPAA guidelines, the Care Manager maintains confidentiality of patient information and adheres to appropriate release of medical information procedures. - Demonstrates an understanding of the functions of other departments, communicates with other departments appropriately and maintains positive working relationships. - Identifies and reports gaps in the service delivery system. Requirements Knowledge and Skills: - Strong computer and keyboarding skills with proficiency in Microsoft Office 365 and common computer and office hardware. - Understanding of remote work tools and platforms (Microsoft Teams, Zoom, SharePoint, etc.) - Ability to perform mathematical skills and statistical calculations accurately. - Demonstrated written and verbal communication skills. - Ability to conduct presentations and training before small and large groups. - Knowledge of the Americans with Disabilities Act of 1990. - Strong problem-solving, organizational, and time management skills with the ability to consistently work in a fast-paced environment. Education And Work Experience: - Graduate of an Accredited School of Nursing. - Current, unrestricted Registered Nurse license to practice in Maryland. - 2+ years of clinical nursing experience in an acute care or community setting. - 2+ years of Care Management experience. - Experience assisting members with accessing community agencies and resources. - Knowledge of government-sponsored managed care programs is preferred. - BSN preferred. - CCM preferred. Salary Description: "88-97k" Job Type Full-time: maybe include as short p: "Job Type: Full-time". Now produce HTML. We'll have sections:

        About the role

        Summary/Position Objectives text.

        About the company

        About Maryland Care Management, Inc. (MCMI) text.

        Why join us? culture text (maybe combine).

        But we need Benefits section separate. So we could put benefits in Benefits section, and keep culture in About the company. Thus:

        About the company

        About Maryland Care Management, Inc. (MCMI) text.

        Why join us? MCMI recognizes the importance of flexibility and offers multiple work arrangements. Your future colleagues at MCMI are welcoming, friendly, and eager to help each other succeed. We are committed to Diversity, Equity, and Inclusion, providing organizational-wide social opportunities, and constantly improving our ongoing efforts to positively impact our members' lives.

        Benefits

        • competitive pay
        • excellent benefits (medical, dental, and vision plans, 100% employer Term Life Insurance, Short and Long-Term Disability, 401k Employer Match up to 4%)
        • 20 days of PTO
        • tuition assistance/professional development plans
        But we need to preserve the exact phrasing: "Along with competitive pay, we offer excellent benefits (medical, dental, and vision plans, 100% employer Term Life Insurance, Short and Long-Term Disability, 401k Employer Match up to 4%) as well as 20 days of PTO, and tuition assistance/professional development plans." Could split into list items but must preserve all info. Could do one
      • containing the whole sentence. However instruction: use
        • for any list of duties/requirements/benefits. So we can make each benefit as separate list items, but need to ensure we don't lose info. Could break down: competitive pay, medical/dental/vision plans, 100% employer Term Life Insurance, Short and Long-Term Disability, 401k Employer Match up to 4%, 20 days of PTO, tuition assistance/professional development plans. That's fine. Now Responsibilities: combine What You'll Do and Secondary Functions? Could be separate sections but we have only Responsibilities heading. Could put all duties under Responsibilities. That includes both lists. Thus:

          Responsibilities

          • Assists in developing, maintaining, and monitoring processes to promote the timely identification and assessment of high risk and special needs members.
          • ... (all items)
          • Following HIPAA guidelines, the Care Manager maintains confidentiality of patient information and adheres to appropriate release of medical information procedures.
          • Demonstrates an understanding of the functions of other departments, communicates with other departments appropriately and maintains positive working relationships.
          • Identifies and reports gaps in the service delivery system.
          Now Requirements: combine Knowledge and Skills and Education And Work Experience.

          Requirements

          • Strong computer and keyboarding skills with proficiency in Microsoft Office 365 and common computer and office hardware.
          • Understanding of remote work tools and platforms (Microsoft Teams, Zoom, SharePoint, etc.)
          • Ability to perform mathematical skills and statistical calculations accurately.
          • Demonstrated written and verbal communication skills.
          • Ability to conduct presentations and training before small and large groups.
          • Knowledge of the Americans with Disabilities Act of 199

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