Clinical Services Coordinator, Intermediate
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 as heading. Must not include Job ID etc. Must preserve all substantive info, remove boilerplate, duplicated lines, application instructions, EEO etc.
We need to parse the job description.
First, "Your Role" paragraph: "The Clinical Services Coordinator, Intermediate provides clinical support, utilization management, and support for members ranging from coordination of care to health risk assessments. In this role you will maintain an on-going case load in which you will assist the member, family and/or caregiver, and provider in the coordination and utilization management of services. Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow – personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning."
That's about the role. Could be "About the role" heading.
Then "Responsibilities" heading: list after "Your Work In this role, you will:" then bullet points.
We need to extract bullet points:
- Process faxed/phoned in authorizations, requests and/or calls left on voicemail.
- Select support for Case Manager such as mailings, surveys
- Data entry including authorization forms, high risk member information, verbal HIPPA authorizations information for case creation
- Support to Advanced/Specialist CSC
- Research member eligibility/benefits and provider networks
- Be responsible for establishing trusting relationships with members while providing person-centered support and services
- Perform telephonic member screenings to determine specific needs and services covered by the health plan; communicating and coordinating with PCPs, specialists, and other providers on behalf of members including appointment scheduling
- Initiate follow-up to confirm and coordinate additional needs of the member to support coordination of care across care settings and needs
- Document member specific care coordination and follow up actions in a timely manner according to regulatory standards in the appropriate information systems independently and in coordination with case managers and other team members
Also note there is "Hybrid Virtual Work" after Qualifications? Actually after Qualifications there is "Hybrid Virtual Work This role allows employees to work virtually full-time, however employees will be expected to come to the office based on business need." That's about schedule/location. Could be under Schedule or maybe "Work Arrangement". But we only have headings: Benefits, Pay, Schedule. So schedule info can go under Schedule heading.
Then "About Us" about Blue Shield of California: that's company description; could be under "About the role"? Actually "About Us" is company overview; maybe we can include under "About the role"? But we already have "About the role" heading for role description. Could also add a separate "About the company" but not in allowed headings. The instruction says use headings for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). It doesn't forbid other headings? It says use for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). Likely we should only use those headings; we can omit others. So we can incorporate company info maybe under "About the role" or maybe we can omit as not required? But we must preserve ALL substantive information; cannot drop company description. However we could incorporate it under "About the role" as part of role description? Might be okay.
Then "Our Values" etc: that's boilerplate? It's values, maybe could be under "About the role" or maybe we could create a "Skills" section? Not exactly. Values are not skills. Could be omitted? The instruction says remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. Values might be considered boilerplate? Not exactly legal; it's company values. Might be considered substantive? It's generic but still part of posting. The instruction: "Prefer a few substantive sections over many thin ones." Could include values under "About the role" as part of description.
Then "Our Workplace Model" includes schedule info (two days per week). That's schedule details. Also physical requirements etc. Could be schedule.
Then "Equal Employment Opportunity:" is EEO boilerplate, should be removed.
Then "JOB INFO" includes Job Identification etc: should be dropped.
Then "Pay Range for California : $21.73 to $30.43 Pay Range for Bay Area : $24.50 to $34.31 Note : Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate experience, location (California, Bay Area, or outside California), and current employee salaries for similar roles. Role can be filled by a candidate requiring sponsorship : No"
That's pay info. So we need a Pay heading with that content.
Also schedule: we have hybrid virtual work, workplace model (two days per week). Also location list: multiple locations. Could be schedule or maybe we could add a "Locations" but not allowed. Could incorporate location list under Schedule or maybe under About the role? Probably schedule.
We also have "Requirements" heading: we have qualifications section: "Requires 3 years of prior relevant experience Requires a High School Diploma, GED, or an additional 1 yr of relevant experience in lieu of diploma Demonstrated excellent communication skills with individuals, including physicians, members, patients, and service providers". That's qualifications/requirements. Could be under "Qualifications" heading. Also "Skills" maybe we could separate communication skills as skills. But we have both qualifications and skills headings allowed. We could put experience and education under Qualifications, and communication skills under Skills. Or we could combine.
We need to avoid filler like "commensurate with experience". Not present.
We must not create Pay/Schedule/Benefits sections unless posting actually states them. We have Pay info, yes. Schedule info: we have hybrid virtual work and workplace model (two days per week). So we can create Schedule.
Benefits: posting does not mention benefits explicitly. No benefits info. So we should NOT create Benefits section.
Skills: we have communication skills; could be under Skills.
Requirements: maybe we can combine with Qualifications? The instruction says use headings for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). So we can have both Requirements and Qualifications if content distinct. Requirements could be experience and education; Qualifications could be something else? But we have only qualifications content. Could treat Requirements as experience/education, Qualifications as demonstrated communication skills? Or we could put all under Qualifications and skip Requirements. But we need to preserve all substantive info; we can put experience/education under Requirements, and communication skills under Skills. That seems logical.
Let's extract:
Requirements:
- 3 years of prior relevant experience
- High School Diploma, GED, or an additional 1 yr of relevant experience in lieu of diploma
Skills:
- Demonstrated excellent communication skills with individuals, including physicians, members, patients, and service providers
Qualifications: maybe we could also include "Hybrid Virtual Work"? No that's schedule. Or "Leadership model" etc? That's more about role.
But we already have About the role covering leadership model etc.
Thus we can have:
About the role
About the role
... (role description paragraph plus leadership model, mission, values maybe)
Responsibilities
- ... each bullet
Requirements
- 3 years of prior relevant experience
- High School Diploma, GED, or an additional 1 yr of relevant experience in lieu of diploma
Skills
- Demonstrated excellent communication skills with individuals, including physicians, members, patients, and service providers
Pay
Pay Range for California: $21.73 to $30.43; Pay Range for Bay Area: $24.50 to $34.31. Note: This range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including candidate experience, location (California, Bay Area, or outside California), and current employee salaries for similar roles. Role can be filled by a candidate requiring sponsorship: No.
Schedule
This role allows employees to work virtually full-time, however employees will be expected to come to the office based on business need. According to the workplace model, most teams come into the office two days per week; employees living more than 50 miles from an office location, out-of-state employees, and employees in certain member-facing roles should work with their manager to determine in-office time based on business need. For employees with medical conditions that may impact their ability to work in-office, reasonable accommodations are provided. Physical requirements: Office Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work day.
We also have location list: multiple locations. Could be included under Schedule or maybe under About the role? Might be better to add a short paragraph under Schedule about locations: "Locations: El Dorado Hills, CA; Long Beach, CA; Lodi, CA; Oakland, CA; Rancho Cordova, CA; Redding, CA; San Diego, CA; Woodland Hills, CA." But schedule heading is about schedule; location is separate. However we have no heading for location. Could we add location under About the role? Might be okay to include location list in About the role paragraph. But we must preserve all substantive info; we can add location list under Schedule as additional info (though not strictly schedule). Or we could create a separate heading like "Locations" but not allowed. The instruction says use