Jobs · OTHR

Community Health Navigator

AmeriHealth Caritas · United States · 1 mo ago
RemoteRemoteOTHRFull-time
We need to output HTML fragment with sections: headings

for sections like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections where posting has real specific content. Must not repeat job title. Must not include Job ID etc. Must preserve all substantive info, not invent or summarize away detail. Remove boilerplate like cookie/navigation/legal/EEO etc. The posting includes: first paragraph about remote internet requirement, then "Your career starts now..." etc. That's about the role? Could be "About the role" or "About AmeriHealth Caritas". The instruction: use

for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). So we need to decide which sections are present. Content: - Intro: remote requirement, career starts now, mission, etc. Could be "About the role" or "About AmeriHealth Caritas". Probably "About the role" includes description of role and organization. - Responsibilities: listed after "Responsibilities:" with bullet points (Community Education, Member Outreach, etc). So we need

Responsibilities

with
  • items. - Work Arrangement: "Remote with required travel to include state wide coverage residing in DE." That's about schedule/location. Could be "Schedule" or "Work Arrangement". Since we have Schedule section possible, but we only include if posting actually states them. It does state remote with required travel. So we could put under Schedule. - Education/Experience: that's qualifications/requirements. Could be

    Qualifications

    or

    Requirements

    . The instruction includes both Requirements and Qualifications as possible headings. We need to decide which to use. The posting says "Education/Experience:" then list. Could be Qualifications. Also "Other Skills:" list. That could be Skills. - Benefits: "Our Comprehensive Benefits Package Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more." That's benefits. So

    Benefits

    with list. - Pay: Not explicitly stated. No mention of salary. So we should NOT create Pay section. - Schedule: Already covered maybe under Work Arrangement. Could be Schedule section with remote and travel details. We must not create sections with filler like "commensurate with experience". We have actual content. We need to preserve all substantive information; do not invent or summarize away detail. So we need to include all details from the posting, but we can format as lists. We must not repeat job title. No mention of job title in posting? Not given. So fine. We must not include cookie/navigation/legal/EEO etc. There's none. We need to output only HTML fragment, no /, no markdown fences. Thus produce something like:

    About the role

    For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet connection to support daily job responsibilities. A minimum bandwidth of 50 Mbps download and 5 Mbps upload is required. Those fully remote associates residing in states where service is required by contract, law, or regulation will be allowed to submit for reimbursement. Your career starts now. We’re looking for the next generation of health care leaders. At AmeriHealth Caritas, we’re passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we’d like to hear from you. Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more about us at www.amerihealthcaritas.com.

    Responsibilities

    • Community Education: Develops and maintains relationships with new and established community organizations via phone, mail, e-mail and personal visits.
    • Collaborates with internal departments and external agencies to obtain data that is pertinent to the overall success of health education/promotion programs.
    • Provides education to members and member representatives regarding nursing facility transitions and available benefits.
    • Member Outreach: Establishes connection for Long-Term Services and Supports members, identified as unable to reach through unannounced home visits and outreach calls.
    • Exercises judgment and discretion in the coordination of care by handling basic care follow up tasks and collaborating with AmeriHealth Caritas case management teams, community based health care providers, and other organizations.
    • Performs outreach calls to members to identify barriers and/or unmet needs.
    • Informs members of the required actions to fulfill HEDIS, EPSDT, and Plan requirements and other referred outreach, through phone calls or home visits, and encourages them to comply.
    • Assists in addressing members’ barriers to care and to encourage/foster relationships with their medical/dental providers (medical/dental homes.
    • Coordinates with Primary Care Physicians for the completion of Comprehensive Medical Reports needed for annual redeterminations.
    • Assists members with obtaining community resources and DME.
    • Performs in-facility assessments on Long-Term Services and Supports members with an interest in transitioning out of the nursing facility.
    • Assists in the transition of members from the nursing facility to community by assisting to obtain birth certificates, identification cards, social security cards and award letters, shopping for approved household items and sets up those items.
    • Performs initial telephonic outreach to new members and acts as a back up to the personal care coordinators.
    • Performs tasks as assigned by Long-Term Services and Supports management team to support members.
    • Documents contact with members within the case management system.

    Work Arrangement

    Remote with required travel to include state wide coverage residing in DE.

    But we need to use allowed headings: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Work Arrangement is not in list. Could map to Schedule. Since schedule includes remote and travel. So we could use

    Schedule

    with that content. Education/Experience could be Qualifications. Other Skills could be Skills. Thus sections: About the role, Responsibilities, Qualifications, Skills, Benefits, Schedule. We must not create Requirements if we don't have separate; we have Qualifications covering education/experience. Could also include Requirements but we can combine. Better to follow instruction: use headings from list; we can choose which to include. We'll include Qualifications for education/experience, Skills for other skills. Now Benefits: we need to list items. The benefits paragraph includes multiple items separated by commas. We could split into list items: Flexible work solutions including remote options, hybrid work schedules; Competitive pay; Paid time off including holidays and volunteer events; Health insurance coverage for you and your dependents on Day 1; 401(k); Tuition reimbursement; and more. We'll create
    • each. Now Schedule: remote with required travel to include state wide coverage residing in DE. Now ensure we preserve all substantive info: we must not lose any detail from the posting. Let's verify we captured all: From intro: remote internet requirement, career starts now, mission, etc. All included in About the role paragraph. Responsibilities: we captured each bullet as list items. Need to ensure we didn't miss any: The responsibilities block includes: Community Education - Develops and maintains relationships with new and established community organizations via phone, mail, e-mail and personal visits. - Collaborates with internal departments and external agencies to obtain data that is pertinent to the overall success of health education/promotion programs. - Provides education to members and member representatives regarding nursing facility transitions and available benefits. Member Outreach: - Establishes connection for Long-Term Services and Supports members, identified as unable to reach through unannounced home visits and outreach calls. - Exercises judgment and discretion in the coordination of care by handling basic care follow up tasks and collaborating with AmeriHealth Caritas case management teams, community based health care providers, and other organizations. - Performs outreach calls to members to identify barriers and/or unmet needs. - Informs members of the required actions to fulfill HEDIS, EPSDT, and Plan requirements and other referred outreach, through phone calls or home visits, and encourages them to comply. - Assists in addressing members’ barriers to care and to encourage/foster relationships with their medical/dental providers (medical/dental homes. - Coordinates with Primary Care Physicians for the completion of Comprehensive Medical Reports needed for annual redeterminations. - Assists members with obtaining community resources and DME. - Performs in-facility assessments on Long-Term Services and Supports members with an interest in transitioning out of the nursing facility. - Assists in the transition of members from the nursing facility to community by assisting to obtain birth certificates, identification cards, social security cards and award letters, shopping for approved household items and sets up those items. - Performs initial telephonic outreach to new members and acts as a back up to the personal care coordinators. - Performs tasks as assigned by Long-Term Services and Supports management team to support members. - Documents contact with members within the case management system. We captured all. Education/Experience: Associate’s Degree in Health Care, Human Services, or a related field or equivalent work experience (Behavioral Health or Substance Abuse) preferred. Bachelor’s Degree preferred. Minimum of 2 (two) years of health care in an office/clinic/hospital setting or human services experience. Other Skills: Community based care experience preferred. Knowledge of Medicaid requirements and plan, policies and procedures. Knowledge of managed care. 75% of time will be spent traveling. Physical ability to perform tasks that may require prolonged standing, sitting, and other activities necessary to perform job duties such as lifting premium giveaways, educational materials, and household items for set-up. Knowledge of and experience working with vulnerable populations preferred. Knowledge of and experience with substance use disorder and behavioral health preferred. Understand how to collaborate with a variety of different people and roles. Show strong growth mindset and are able to learn from setbacks. Stay focused and organized while juggling multiple deadlines. Ability to carefully handle confidential or time-sensitive information. Knowledge and experience with locating housing. We need to include all these in Skills section. Benefits: Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more. Schedule: Remote with required travel to include state wide coverage residing in DE. Now ensure we didn't miss any other info: The posting also includes "Work Arrangement: Remote with required travel to include state wide coverage residing in DE." That's schedule. Now check for any repeated lines: none. Now produce HTML. We must not include any extra text outside HTML. Let's craft. Be careful with HTML escaping: apostrophes etc fine. We'll produce:

      About the role

      For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet connection to support daily job responsibilities. A minimum bandwidth of 50 Mbps download and 5 Mbps upload is required. Those fully remote associates residing in states where service is

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