Jobs · Healthcare

Care Manager (RN)

Home State Health · Missouri, United States · 1 mo ago
RemoteRemoteHealthcare$56k–$101k/yrFull-time
We need to output HTML fragment with sections: headings

for sections like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Use
  • for any list of duties/requirements/benefits, and

    for prose. Do NOT repeat job title as heading. Do NOT put Job ID etc. Remove boilerplate: cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, application instructions. Include a section ONLY when posting has real, specific content for it. So we need to parse the posting. Content: Position Purpose: Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families. Key Details: Applicants for this role have the flexibility to work remotely from their home anywhere within the state of Missouri. This role provides education and support to pregnant members. The work schedule is Monday - Friday, 8am - 5pm. Then a long list of duties (starting with "Evaluates the needs of the member..." etc). Then "Education/Experience: Requires a Degree from an Accredited School of Nursing or a Bachelor's degree in Nursing and 2 – 4 years of related experience. License/Certification RN - Registered Nurse - State Licensure and/or Compact State Licensure required". Then "Pay Range: $56,200.00 - $101,000.00 per year". Then a paragraph about Centene mission etc. Then benefits description: "Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules." Then "Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility." Then EEO boilerplate etc which we must remove. We need sections: About the role (maybe from Position Purpose and Key Details?), Responsibilities (list of duties), Requirements (Education/Experience, License/Certification), Benefits (list), Pay (Pay Range), Schedule (work schedule). Possibly also Qualifications? Could combine Requirements and Qualifications. But we need to follow instruction: use headings for sections like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections with real content. Thus we can have:

    About the role

    with prose summarizing Position Purpose and Key Details (maybe combine). Should not repeat job title.

    Responsibilities

    with
    • list of duties.

      Requirements

      with
      • for Education/Experience and License/Certification.

        Benefits

        with
        • list.

          Pay

          with

          showing pay range.

          Schedule

          with

          showing Monday - Friday, 8am - 5pm. We must not include sections like Qualifications, Skills if no specific content. Could we treat Requirements as both qualifications? Probably fine. We must preserve all substantive information; do not invent or summarize away detail. So we need to keep each duty as separate bullet. Also keep education/experience and license details. We need to remove duplicated lines: there is "Performs other duties as assigned." appears twice? Actually there is "Other duties or responsibilities as assigned by people leader to meet business needsPerforms other duties as assigned." It's duplicated. We should include only once. Also "Complies with all policies and standards." is a duty; include. Now let's extract duties list: From after "Key Details:" we have a block: Evaluates the needs of the member, barriers to accessing the appropriate care, social determinants of health needs, focusing on what the member identifies as priority and recommends and/or facilitates the plan for the best outcome Develops ongoing care plans / service plans and collaborates with providers to identify providers, specialists, and/or community resources to address member's unmet needs Identifies problems/barriers to care and provide appropriate care management interventions Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services Provides ongoing follow up and monitoring of member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / unmet needs Provides resource support to members and care managers for local resources for various services (e.g., employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans, as appropriate Facilitate care management and collaborate with appropriate providers or specialists to ensure member has timely access to needed care or services May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators Provides and/or facilitates education to members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner Other duties or responsibilities as assigned by people leader to meet business needs Performs other duties as assigned. Complies with all policies and standards. We need to deduplicate "Other duties or responsibilities as assigned by people leader to meet business needs" and "Performs other duties as assigned." They are similar but not identical; we could keep both? The instruction: remove duplicated lines. These are not exact duplicates but similar. Might consider them duplicates in meaning; but safer to keep only one? The phrase "Other duties or responsibilities as assigned by people leader to meet business needs" and "Performs other duties as assigned." are both generic. I'd keep one, maybe the first. Now education/experience: "Requires a Degree from an Accredited School of Nursing or a Bachelor's degree in Nursing and 2 – 4 years of related experience." License/Certification: "RN - Registered Nurse - State Licensure and/or Compact State Licensure required". We'll put as list items. Benefits: "competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules." Also maybe mention "comprehensive benefits package". We'll list each. Pay: "$56,200.00 - $101,000.00 per year". Also note about actual pay adjustment etc. That's also substantive; we should include that as prose maybe under Pay section. The instruction: Preserve ALL substantive information; do NOT invent or summarize away detail. So we need to include the note about actual pay adjustment etc. So Pay section could have

          with the range and the note. Schedule: "Monday - Friday, 8am - 5pm." Also note about remote work flexibility: "Applicants for this role have the flexibility to work remotely from their home anywhere within the state of Missouri." That's also schedule/location info. Could include in Schedule section or About the role. Since schedule heading is for work schedule, we can include both schedule and remote flexibility. But remote flexibility is not schedule; it's location. Could be part of About the role. We'll include remote flexibility in About the role. Now About the role: combine Position Purpose and Key Details (excluding schedule maybe). Position Purpose: "Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families." Key Details: remote flexibility, education and support to pregnant members. We'll put as prose. Now we must not include boilerplate EEO etc. Remove that. Now produce HTML fragment:

          About the role

          Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families. Applicants for this role have the flexibility to work remotely from their home anywhere within the state of Missouri. This role provides education and support to pregnant members.

          Responsibilities

          • Evaluates the needs of the member, barriers to accessing the appropriate care, social determinants of health needs, focusing on what the member identifies as priority and recommends and/or facilitates the plan for the best outcome
          • Develops ongoing care plans / service plans and collaborates with providers to identify providers, specialists, and/or community resources to address member's unmet needs
          • Identifies problems/barriers to care and provide appropriate care management interventions
          • Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services
          • Provides ongoing follow up and monitoring of member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / unmet needs
          • Provides resource support to members and care managers for local resources for various services (e.g., employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans, as appropriate
          • Facilitate care management and collaborate with appropriate providers or specialists to ensure member has timely access to needed care or services
          • May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources
          • Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators
          • Provides and/or facilitates education to members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits
          • Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner
          • Other duties or responsibilities as assigned by people leader to meet business needs
          • Complies with all policies and standards

          Requirements

          • Degree from an Accredited School of Nursing or a Bachelor's degree in Nursing and 2 – 4 years of related experience
          • RN - Registered Nurse - State Licensure and/or Compact State Licensure required

          Benefits

          • Competitive pay
          • Health insurance
          • 401K and stock purchase plans
          • Tuition reimbursement
          • Paid time off plus holidays
          • Flexible approach to work with remote, hybrid, field or office work schedules

          Pay

          $56,200.00 - $101,000.00 per year. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

          Schedule

          Monday - Friday, 8am - 5pm.

          Check for any duplicated content: we removed duplicate duty lines. We kept "Other duties or responsibilities as assigned by people leader to meet business needs". We omitted "Performs other duties as

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