Care Navigator - REMOTE

We need to output HTML fragment with sections: h3 headings for sections present: About the role, Responsibilities, Requirements (or Qualifications, Skills), Benefits, Pay, Schedule. We must not repeat job title. Must include only sections with real specific content. Remove boilerplate, navigation, legal, EEO, etc. Also remove application instructions, etc. Keep all substantive info. We need to parse the job description. Job Title: Care Navigator Job Description paragraph: "This role develops, assesses, and coordinates care management activities based on member needs to support quality, cost-effective healthcare outcomes. The Care Navigator creates or contributes to personalized care and service plans, connects members with appropriate providers and community resources, and educates members and their families or caregivers on available services and benefit options. Through advocacy and care coordination, this position helps members improve access to healthcare and receive appropriate, high-quality care." That's the "About the role" content. Responsibilities: list bullet points after "Responsibilities". We need to extract each bullet. The text after "Responsibilities" is a long sentence with many duties separated by periods. We need to split into list items. Let's extract each duty: - Evaluate members’ needs, identify barriers to care, assess available resources, and recommend and facilitate a care plan that supports the best possible outcomes. - Develop or contribute to personalized care and service plans, including ongoing updates, and identify appropriate providers, specialists, and community resources needed to support member care. - Provide psychosocial and resource support to members, caregivers, and care managers to help them access local services such as employment, education, housing, food, participant-directed services, independent living, justice-related resources, and foster care, based on service assessments and plans. - Coordinate, as appropriate, between members, families or caregivers, and the care provider team to ensure that identified care and services are accessible in a timely manner. - Monitor progress toward care and service plan goals and track changes in member status or condition; collaborate with healthcare providers to revise care or service plans as needed and refer members to care management for further evaluation when appropriate. - Collect, document, and maintain all member information and care management activities in accordance with current state, federal, and third-party payer regulations. - Perform on-site visits, when required, to assess member needs and collaborate with providers or community resources. - Provide education to care managers, members, and families or caregivers on procedures, healthcare provider instructions, care options, referrals, and healthcare benefits. - Support crisis intervention and crisis management efforts as needed, ensuring members receive appropriate and timely support. - Use care management platforms or healthcare CRM systems to manage caseloads, document interactions, and track member outcomes. - Engage in telephonic outreach to members as part of care navigation, care coordination, and population health initiatives. - Work effectively within a call center healthcare environment to respond to member needs and support care management programs. - Perform other duties or responsibilities as assigned to meet member and business needs. - Comply with all organizational policies, procedures, and standards. That's responsibilities. Essential Skills: list of bullet-like sentences. We need to decide which section to put them: could be "Requirements" or "Skills". The instruction says use headings like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We can combine essential skills and additional skills into a Skills section, or separate Requirements (education/experience) and Skills. Let's see content: Essential Skills includes Bachelor's degree, minimum 1 year experience, experience with care management platforms, etc. Additional Skills & Qualifications includes preferences. We could put Requirements (education/experience) and Skills (preferred skills). But we must not create thin sections; better to combine into one "Requirements" or "Qualifications" section that includes both required and preferred? The instruction: "Prefer a few substantive sections over many thin ones." So maybe we have sections: About the role, Responsibilities, Requirements (including education, experience, skills), Benefits, Pay, Schedule, Work Environment? Work Environment is also a section maybe but not in list of allowed headings? The allowed headings list includes About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Work Environment not listed, but we could incorporate into About the role or maybe omit if not needed? However we have substantive content about Work Environment: remote position, core hours, residency near Atlanta, occasional onsite, etc. That could go under Schedule? Actually schedule is separate. Work environment could be part of About the role or maybe we can create a "Work Environment" heading but not in allowed list; better to incorporate into About the role or maybe under "Schedule"? The schedule is core hours Monday-Friday 8-5. Work environment includes remote, residency requirement, occasional onsite, call center setting. Could be part of About the role description. We'll keep About the role expanded to include work environment details. Pay And Benefits: we have pay range and benefits list. So we need Pay section (with pay range) and Benefits section (list). Schedule: we have core hours Monday-Friday 8-5. Also mention residency requirement? That's not schedule but location. Could be part of About the role or maybe a separate "Location" but not allowed. We'll include schedule in Schedule section. We must not include boilerplate like "Application Deadline", "About Actalent", EEO, etc. Remove those. Now produce HTML:

About the role

This role develops, assesses, and coordinates care management activities based on member needs to support quality, cost-effective healthcare outcomes. The Care Navigator creates or contributes to personalized care and service plans, connects members with appropriate providers and community resources, and educates members and their families or caregivers on available services and benefit options. Through advocacy and care coordination, this position helps members improve access to healthcare and receive appropriate, high-quality care. This is a remote position with core hours of Monday through Friday, 8:00 AM to 5:00 PM. The role requires residency within approximately 45 minutes of the Atlanta office, as occasional onsite presence may be required for meetings. Work is primarily performed using care management platforms and healthcare CRM systems, along with telephonic outreach and other virtual communication tools. The environment is similar to a call center healthcare setting, with a focus on timely response to member needs, coordination with care teams, and adherence to regulatory and organizational standards.

Responsibilities

• Evaluate members’ needs, identify barriers to care, assess available resources, and recommend and facilitate a care plan that supports the best possible outcomes.
• Develop or contribute to personalized care and service plans, including ongoing updates, and identify appropriate providers, specialists, and community resources needed to support member care.
• Provide psychosocial and resource support to members, caregivers, and care managers to help them access local services such as employment, education, housing, food, participant-directed services, independent living, justice-related resources, and foster care, based on service assessments and plans.
• Coordinate, as appropriate, between members, families or caregivers, and the care provider team to ensure that identified care and services are accessible in a timely manner.
• Monitor progress toward care and service plan goals and track changes in member status or condition; collaborate with healthcare providers to revise care or service plans as needed and refer members to care management for further evaluation when appropriate.
• Collect, document, and maintain all member information and care management activities in accordance with current state, federal, and third-party payer regulations.
• Perform on-site visits, when required, to assess member needs and collaborate with providers or community resources.
• Provide education to care managers, members, and families or caregivers on procedures, healthcare provider instructions, care options, referrals, and healthcare benefits.
• Support crisis intervention and crisis management efforts as needed, ensuring members receive appropriate and timely support.
• Use care management platforms or healthcare CRM systems to manage caseloads, document interactions, and track member outcomes.
• Engage in telephonic outreach to members as part of care navigation, care coordination, and population health initiatives.
• Work effectively within a call center healthcare environment to respond to member needs and support care management programs.
• Perform other duties or responsibilities as assigned to meet member and business needs.
• Comply with all organizational policies, procedures, and standards.

Requirements

• Bachelor’s degree in Social Work, Psychology, Human Services, Behavioral Health, or a related field.
• Minimum 1 year of experience in Care Navigation, Care Coordination, Case Management, Member support, Population Health, Behavioral Health programs, or health plan/member services involving telephonic outreach.
• Experience with care management, care coordination, and care navigation for diverse member populations.
• Proficiency using care management platforms or healthcare CRM systems to document and track member interactions and outcomes.
• Experience managing a caseload in a healthcare or behavioral health setting.
• Experience in behavioral health, including working with members with psychosocial or behavioral needs.
• Experience with telephonic outreach to engage members, coordinate care, and provide education.
• Crisis intervention and crisis management skills to support members experiencing urgent or complex situations.
• Knowledge of Medicaid or managed care programs and related processes.
• Experience in population health or programs focused on improving health outcomes for defined member groups.
• Experience working in a call center healthcare environment or similar high-volume, member-facing setting.
• Strong ability to assess member needs, identify barriers to care, and connect members with appropriate community resources.
• Effective written and verbal communication skills to educate members, caregivers, and care teams.
• Ability to coordinate care among multiple providers, specialists, and community partners.
• Strong organizational and documentation skills to ensure compliance with state, federal, and third-party payer regulations.

We could also add Additional Skills & Qualifications as part of Requirements or maybe a separate Skills section. But to avoid thin sections, we could incorporate them into Requirements as well (they are preferences). However the instruction says "Prefer a few substantive sections over many thin ones." Adding another section for Additional Skills may be thin. Could merge them into Requirements as "Preferred qualifications" but we already have required. Might be okay to keep as part of Requirements but we could label them as "Preferred" within same list? Might be confusing. Perhaps better to have a "Skills" section that includes both essential and additional skills, while Requirements covers education/experience. Let's see: Essential Skills list includes education, experience, skills. Additional Skills & Qualifications list includes preferences that are similar to essential but with "strongly preferred". We could combine them into a single "Skills" section, and keep Requirements for education/experience. But we already put education/experience in Requirements list; we could move them to Requirements and keep Skills for the skill-based items. However the Essential Skills list already includes education and experience; splitting may cause duplication. Let's think: The instruction says use headings like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. So we could have Requirements (education/experience) and Skills (competencies). Let's extract: Requirements (education/experience): - Bachelor’s degree in Social Work, Psychology, Human Services, Behavioral Health, or a related field. - Minimum 1 year of experience in Care Navigation, Care Coordination, Case Management, Member support, Population Health, Behavioral Health programs, or health plan/member services involving telephonic outreach. - Experience with care management, care coordination, and care navigation for diverse member populations. - Experience managing a caseload in a healthcare or behavioral health setting. - Experience in behavioral health, including working with members with psychosocial or behavioral needs. - Experience with telephonic outreach to engage members, coordinate care, and provide education. - Crisis intervention and crisis management skills to support members experiencing urgent or complex situations. - Knowledge of Medicaid or managed care programs and related processes. - Experience in population health or programs focused on improving health outcomes for defined member groups. - Experience working in a