Jobs · OTHR

Care Navigator

Home State Health · Missouri, United States · 1 mo ago
RemoteRemoteOTHR$22.94–$38.79/hrFull-time
We need to output HTML fragment only, with headings

for sections: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections that have real specific content. We must not repeat job title. Must not include Job ID etc. Must preserve all substantive info, not invent or summarize away detail. Remove boilerplate: cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. So we need to extract content. Let's parse the posting: Position Purpose: Develops, assesses, and coordinates care management activities based on member needs to provide quality, cost-effective healthcare outcomes. Develops or contributes to the development of a personalized care plan/service plan for members and educates members and their families/caregivers on services and benefit options available to improve health care access and receive appropriate high-quality care through advocacy and care coordination. Key Details: This role supports Foster Care children. Previous case management or foster care experience is strongly preferred. Missouri LPN license is preferred. Applicants for this role have the flexibility to work remotely from their home anywhere within the state of Missouri. The work schedule is Monday - Friday, 8am - 5pm. Then a long list of duties (some repeated). Let's extract duties: - Evaluates the needs of the member, barriers to care, the resources available, and recommends and facilitates the plan for the best outcome - Develops or contributes to the development of a personalized care plan/service ongoing care plans/service plans and works to identify providers, specialists, and/or community resources needed for care - Provides psychosocial and resource support to members/caregivers, and care managers to access local resources or services such as: employment, education, housing, food, participant direction, independent living, justice, foster care) based on service assessment and plans - Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure identified care or services are accessible to members in a timely manner - May monitor progress towards care plans/service plans goals and/or member status or change in condition, and collaborates with healthcare providers for care plan/service plan revision or address identified member needs, refer to care management for further evaluation as appropriate - Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators - May perform on-site visits to assess member’s needs and collaborate with providers or resources, as appropriate - May provide education to care manager and/or members and their families/caregivers on procedures, healthcare provider instructions, care options, referrals, and healthcare benefits - Other duties or responsibilities as assigned by people leader to meet the member and/or business needs - Performs other duties as assigned. - Complies with all policies and standards. Education/Experience: Requires a Bachelor’s degree and 2 – 4 years of related experience. Requirement is Graduate from an Accredited School of Nursing if holding clinical licensure. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position. Current state’s clinical license preferred Pay Range: $22.94 - $38.79 per hour Then a paragraph about Centene mission etc. Then benefits: "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 to decide sections. We have: - About the role: Could be the Position Purpose paragraph (maybe also key details about foster care children, remote work, schedule). But schedule is separate maybe. - Responsibilities: The list of duties. - Requirements: Education/Experience, license preferences, maybe also Missouri LPN license preferred, Bachelor's degree, 2-4 years experience, etc. - Qualifications: Could be similar to requirements; but we might combine. However we need to avoid thin sections. The instruction: Prefer a few substantive sections over many thin ones. So we could combine Education/Experience and license preferences into Requirements. Qualifications maybe not needed if overlapping. - Skills: Not explicitly listed; maybe we could infer but we shouldn't invent. So we should not create Skills section unless there is explicit skill list. There's none. - Benefits: We have benefits paragraph. - Pay: Pay range. - Schedule: Work schedule Monday-Friday 8am-5pm. Also we have remote work flexibility: Applicants can work remotely from home anywhere within Missouri. That could be part of About the role or maybe Schedule? But schedule is separate. Could include in About the role. We must not include boilerplate like EEO, equal opportunity, etc. We must not repeat job title. We must not include Job ID/requisition numbers. We must preserve all substantive info; do not invent or summarize away detail. So we need to keep the specifics: e.g., "Missouri LPN license is preferred", "Bachelor’s degree and 2 – 4 years of related experience", "Graduate from an Accredited School of Nursing if holding clinical licensure", "Current state’s clinical license preferred", "Pay Range: $22.94 - $38.79 per hour", "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." Also "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." That's part of benefits/pay details; we can include in Benefits or Pay sections. We need to avoid filler like "commensurate with experience", "not specified", etc. We don't have those. We need to output only HTML fragment, no /, no markdown fences. Thus produce something like:

About the role

Develops, assesses, and coordinates care management activities based on member needs to provide quality, cost-effective healthcare outcomes. Develops or contributes to the development of a personalized care plan/service plan for members and educates members and their families/caregivers on services and benefit options available to improve health care access and receive appropriate high-quality care through advocacy and care coordination. This role supports Foster Care children. Applicants have the flexibility to work remotely from their home anywhere within the state of Missouri.

Responsibilities

  • Evaluates the needs of the member, barriers to care, the resources available, and recommends and facilitates the plan for the best outcome
  • Develops or contributes to the development of a personalized care plan/service plan and works to identify providers, specialists, and/or community resources needed for care
  • Provides psychosocial and resource support to members/caregivers, and care managers to access local resources or services such as: employment, education, housing, food, participant direction, independent living, justice, foster care based on service assessment and plans
  • Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure identified care or services are accessible to members in a timely manner
  • May monitor progress towards care plan/service plan goals and/or member status or change in condition, and collaborates with healthcare providers for care plan/service plan revision or address identified member needs, refer to care management for further evaluation as appropriate
  • Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators
  • May perform on-site visits to assess member’s needs and collaborate with providers or resources, as appropriate
  • May provide education to care manager and/or members and their families/caregivers on procedures, healthcare provider instructions, care options, referrals, and healthcare benefits
  • Other duties or responsibilities as assigned by people leader to meet the member and/or business needs
  • Performs other duties as assigned
  • Complies with all policies and standards

Requirements

  • Bachelor’s degree and 2 – 4 years of related experience
  • Graduate from an Accredited School of Nursing if holding clinical licensure (or equivalent experience)
  • Current state’s clinical license preferred (Missouri LPN license preferred)

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

Pay range: $22.94 - $38.79 per hour. 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.

Schedule

Work schedule: Monday - Friday, 8am - 5pm.

We need to ensure we didn't miss any substantive info: The Key Details also mentioned "Previous case management or foster care experience is strongly preferred." That's a requirement/preference; we should include that in Requirements. Also "Missouri LPN license is preferred." Already included. Also "Applicants for this role have the flexibility to work remotely from their home anywhere within the state of Missouri." Already in About the role. Also "The work schedule is Monday - Friday, 8am - 5pm." Already in Schedule. Also "Evaluates the needs of the member, barriers to care, the resources available, and recommends and facilitates the plan for the best outcome" included. Also "Develops or contributes to the development of a personalized care plan/service ongoing care plans/service plans and works to identify providers, specialists, and/or community resources needed for care" we captured. Also "Provides psychosocial and resource support to members/caregivers, and care managers to access local resources or services such as: employment, education, housing, food, participant direction, independent living, justice, foster care) based on service assessment and plans" captured. Also "Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure identified care or services are accessible to members in a timely manner" captured. Also "May monitor progress towards care plans/service plans goals and/or member status or change in condition, and collaborates with healthcare providers for care plan/service plan revision or address identified member needs, refer to care management for further evaluation as appropriate" captured. Also "Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators" captured. Also "May perform on-site visits to assess member’s needs and collaborate with providers or resources, as appropriate" captured. Also "May provide education to care manager and/or members and their families/caregivers on procedures, healthcare provider instructions, care options, referrals, and healthcare benefits" captured. Also "Other duties or responsibilities as assigned by people leader to meet the member and/or business needs" captured. Also "Performs other duties as assigned." captured. Also "Complies with all policies and standards." captured. Education/Experience: we captured. Requirement is Graduate from an Accredited School of Nursing if holding clinical licensure. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position. We captured as "

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