Jobs · OTHR

Care Manager - Behavioral Health

Humana · Oklahoma, United States · 1 mo ago
RemoteRemoteOTHR$59k–$81k/yrFull-time
We need to produce HTML fragment with sections: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections that have real specific content. Must not repeat job title. Must not include Job ID etc. Must preserve all substantive info. Remove boilerplate: cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, application instructions. Also remove generic filler like "commensurate with experience". Must not create sections unless posting has real specific content. We need to parse the posting. Key content: - Intro: "Become a part of our caring community At Humana, caring is everything..." This is about company culture, maybe "About the role"? Actually "About the role" would be description of role. The posting includes: "The individual in this role will work as an Oklahoma-based, primarily telephonic care manager, assessing and evaluating enrollees' needs and requirements to achieve or maintain optimal wellness by guiding enrollees/families towards and facilitating interaction with appropriate resources for their care and wellbeing." etc. So we can put that under "About the role". - Responsibilities: list of duties: "Perform telephonic and face-to-face assessments and evaluations of the member's needs and requirements..." etc. We need to extract bullet points. - Required Qualifications: list: Must Reside in Oklahoma, Active RN license or LCSW/LPC/LMFT, Minimum 1-year Behavioral Health clinical experience, 2+ years in-home case or care management, Experience working with Medicaid/Medicare enrollees, Knowledge of community health agencies, Comprehensive knowledge of Microsoft Office, Periodic travel to Humana Oklahoma City office. - Preferred Qualifications: Case Management Certification (CCM). Could be under "Qualifications" or "Preferred Qualifications". The instruction says use headings: Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We have to decide where to put required vs preferred. Possibly "Requirements" for required qualifications, "Qualifications" for preferred? Or "Skills" for Microsoft Office etc. But we need to follow instruction: Use headings exactly as given: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. So we need to map content accordingly. - Skills: maybe Microsoft Office knowledge, etc. - Benefits: description of benefits: medical, dental, vision, 401(k), time off, disability, life insurance, etc. - Pay: pay range $59,300 - $80,900 per year, bonus incentive plan. - Schedule: Scheduled Weekly Hours 40. Also Travel requirements: Must have valid driver's license, etc. Could be under Requirements or maybe under Skills? Travel is a requirement. Could be under Requirements. Also Work from Home requirements: internet speed, dedicated space. Could be under Requirements or maybe under Skills? Probably Requirements. Also Screening Requirements: TB screening. Could be under Requirements. We must not include boilerplate like Equal Opportunity Employer, etc. We must not include duplicated lines. We must preserve all substantive info. We need to output only HTML fragment, no /, no markdown fences. We'll produce sections with

headings and appropriate

or

  • . Let's extract content precisely. First, About the role: combine paragraphs describing role. From posting: "The individual in this role will work as an Oklahoma-based, primarily telephonic care manager, assessing and evaluating enrollees' needs and requirements to achieve or maintain optimal wellness by guiding enrollees/families towards and facilitating interaction with appropriate resources for their care and wellbeing. The individual in this role will work in collaboration with the interdisciplinary care management team. This team includes community health workers, housing support specialists, SDOH coordinators, and care management support assistants. The Care Manager, Telephonic Behavioral Health Nurse work assignments are varied but will focus on those enrollees with primarily behavioral health needs. The Care Manager, Behavioral Telephonic Nurse will utilize clinical expertise and experience to determine when face-to-face enrollee support is required. The Care Manager will engage the appropriate members of the care management team and/or coordinate in-person meetings between the care manager and the enrollee. This team-based approach is designed to ensure enrollees receive holistic person-centered care. Work assignments for this role are varied and frequently require interpretation and independent determination of the appropriate courses of action." We can put that as a

    under About the role. Responsibilities: list bullet points from "Position Responsibilities". Let's extract each sentence separated by period. "Perform telephonic and face-to-face assessments and evaluations of the member's needs and requirements. These assessments aim to achieve and/or maintain an optimal wellness state. The goal is achieved by guiding members/families toward the appropriate resources for the care and overall wellbeing of the member. Ensure member is progressing towards desired outcomes by monitoring care through assessments and/or evaluations. Create member care plans. Understand department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Employ a variety of strategies, approaches, and techniques to manage an Enrollee's behavioral, physical, environmental, and psycho-social health needs. Ensure Enrollees are progressing toward desired outcomes by monitoring their assessments and evaluations. Identify and resolve barriers that hinder effective care and ensures through continuous monitoring of assessments and evaluations that the Enrollee is progressing toward desired outcomes. Follow established guidelines/procedures. Collaborate with providers and community services to promote quality and cost-effective outcomes." We can make each as

  • . Required Qualifications: list: - Must Reside in Oklahoma - Active Registered Nurse (RN) license, or a Licensed Master Level Social Worker (LCSW, LPC, LMFT) - Minimum 1-year Behavioral Health clinical experience - 2 or more years of experience of in-home case or care management - Experience working with Medicaid and/or Medicare Enrollees to coordinate services, care needs, or benefits. - Knowledge of community health and social service agencies and additional community resources - Comprehensive knowledge of all Microsoft Office applications, including Word, Excel and PowerPoint - Periodic travel to Humana Oklahoma City office for meetings and training Also Travel requirements: Must have a Valid driver's license with reliable transportation and ability to travel within the state, as required. This role is part of Humana's Driver safety program and therefore requires an individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100,000/300,000/100,000 limits. Also Screening Requirements: TB screening. Also Work at Home Requirements: internet speed min 25 Mbps down, 10 Mbps up; dedicated space lacking interruptions to protect PHI/HIPAA. Also Travel: occasional travel to offices for training/meetings. We need to decide where to put these. Many are requirements. Could be under Requirements. Preferred Qualifications: Case Management Certification (CCM). Could be under Qualifications. Skills: maybe Microsoft Office knowledge is a skill, but we already put under Requirements. Could also put under Skills. But we need to avoid duplication. The instruction: "Use

    for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule)." So we have to use those headings if content exists. We can decide to put Microsoft Office under Skills, and other qualifications under Requirements. Let's think. Better to separate: Requirements: mandatory items (residency, license, experience, etc). Qualifications: preferred qualifications (CCM). Skills: specific skills like Microsoft Office, maybe also knowledge of community health agencies? But that could be knowledge. However we can put Microsoft Office under Skills, and community health knowledge under Requirements or Qualifications? Might be ambiguous. But we must preserve all substantive info; we can duplicate? The instruction says preserve ALL substantive information; do NOT invent or summarize away detail. Duplication is not prohibited but we should avoid duplicated lines. It says remove duplicated lines. So we should not repeat same info twice. So we need to allocate each piece to one section. Let's categorize: Requirements (mandatory): - Must Reside in Oklahoma - Active RN license or LCSW/LPC/LMFT - Minimum 1-year Behavioral Health clinical experience - 2+ years in-home case or care management - Experience working with Medicaid/Medicare enrollees to coordinate services, care needs, benefits - Knowledge of community health and social service agencies and additional community resources - Periodic travel to Humana Oklahoma City office for meetings and training - Valid driver's license with reliable transportation, ability to travel within state as required - Proof of personal vehicle liability insurance with at least 100,000/300,000/100,000 limits (Driver safety program) - TB screening (if selected) - Work from home: internet speed min 25 Mbps down, 10 Mbps up; dedicated space lacking interruptions to protect PHI/HIPAA - Occasional travel to Humana's offices for training or meetings (maybe covered by periodic travel) - Scheduled Weekly Hours 40 (maybe under Schedule) Qualifications (preferred): - Case Management Certification (CCM) Skills: - Comprehensive knowledge of all Microsoft Office applications, including Word, Excel and PowerPoint Benefits: - Medical, dental, vision benefits - 401(k) retirement savings plan - Time off (paid time off, company and personal holidays, paid parental and caregiver leave) - Short-term and long-term disability - Life insurance - Many other opportunities (but we can list the specifics) Pay: - Pay range $59,300 - $80,900 per year - Eligible for bonus incentive plan based on company/individual performance Schedule: - Scheduled Weekly Hours 40 We also have "About Humana Healthy Horizons" description; maybe that belongs under About the role? Could be separate but we only have About the role heading. Could include that as part of About the role. Also "About Us" about Humana Inc. Could be omitted as boilerplate? It's not required but maybe considered company description; but we might keep under About the role? The instruction says remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. "About Us" is not necessarily boilerplate but could be considered company overview; but we might keep it under About the role? However the instruction says "Prefer a few substantive sections over many thin ones." So we could combine company description into About the role? But About the role should be about the role, not company. However we have limited headings; we could put company description under About the role as part of context. But maybe better to omit "About Us" as it's not directly about the role; but it's substantive info about the company. The instruction says preserve ALL substantive information; do NOT invent or summarize away detail. So we should keep it. Where to put? Could be under About the role as a brief description of the organization. Or we could create a separate section but we don't have a heading for "About the company". Since only allowed headings are those listed, we could put it under About the role as a preamble. Thus About the role will include: description of Humana caring community, Humana Healthy Horizons, About Humana (company). We'll combine. Now we need to ensure we don't include boilerplate like Equal Opportunity Employer, etc. Remove that. Also remove duplicated lines: there may be repeated sentences about ensuring member progressing etc. We'll deduplicate. Let's extract responsibilities and ensure no duplicates. Responsibilities list we have includes "Ensure member is progressing towards desired outcomes by monitoring care through assessments and/or evaluations." and later "Ensure Enrollees are progressing toward desired outcomes by monitoring their assessments and evaluations." Slightly different but similar. We'll keep both as they are not exact duplicates but similar; but we could keep both. Also "Identify and resolve barriers that hinder effective care and ensures through continuous monitoring of assessments and evaluations that the Enrollee is progressing toward desired outcomes." That's similar to previous but we keep. Now we need to

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