Jobs · OTHR

Community Health Worker - Medicaid

Highmark · United States · 1 mo ago
RemoteRemoteOTHR$20.72/hrFull-time
We need to output HTML fragment with sections: About the role? The job description includes JOB SUMMARY, ESSENTIAL RESPONSIBILITIES, EXPERIENCE, SKILLS, EDUCATION, LICENSES or CERTIFICATIONS, Language, Travel Required, PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS, Pay Range, etc. We must use

for section headings: e.g., About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We need to map content to these headings. The instruction: "use

for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule)." So we should use those exact headings? Probably we can use those headings as appropriate. We need to include a section only when posting has real, specific content for it. So we need to decide which sections apply. We have: - About the role: could be job summary. So we can put JOB SUMMARY under

About the role

. - Responsibilities: ESSENTIAL RESPONSIBILITIES. - Requirements: maybe EXPERIENCE? Or Requirements could combine experience, education, licenses. But we have separate sections for Qualifications, Skills, etc. The instruction list includes Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We need to decide which to include. We have: Experience (EXPERIENCE) -> could go under Requirements or Qualifications. Skills (SKILLS) -> under Skills. Education (EDUCATION) -> maybe under Qualifications. Licenses/Certifications -> maybe under Qualifications. Language, Travel Required -> maybe under Requirements? Or could be omitted if not substantive? Travel Required is specific: 50% - 75% travel. That's substantive, so we could include under Requirements or maybe a separate section? But we only have allowed headings list; we could put Travel under Requirements or maybe under Qualifications? Probably Requirements. Physical, Mental Demands and Working Conditions -> maybe under Requirements? Or could be omitted if not in allowed headings. But we could include under Requirements as well. Pay Range -> under Pay. Benefits: not mentioned explicitly; no benefits details. So we should NOT include Benefits section. Schedule: not mentioned; no schedule details. So omit Schedule. We must not include headings with filler text. So we will include only sections with real content. Thus sections: - About the role (job summary) - Responsibilities (essential responsibilities) - Requirements (experience, travel, physical/mental demands, maybe language) - Qualifications (education, licenses/certifications) - Skills (skills) - Pay (pay range) We need to ensure we don't repeat job title as heading. We need to use
  • for any list of duties/requirements/benefits, and

    for prose. Thus for each section we need to decide if content is list or prose. About the role: job summary is prose; we can put in

    . Responsibilities: list of duties; we can make

    • each responsibility sentence. Requirements: includes experience (1 year healthcare related customer service or marketing, 1 year CHW experience preferred, basic medical terminology, experience with targeted community/population), travel required 50%-75%, physical/mental demands (office-based or remote, physical work site never required?), language (none), maybe also mention compliance? But we can keep to substantive. We need to preserve all substantive information; do not invent or summarize away detail. So we need to include each bullet as separate
    • maybe. But we need to avoid boilerplate like "Other duties as assigned or requested." That's maybe okay to keep? It's part of responsibilities; we can keep. We must remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. So we need to strip out the disclaimer, compliance requirement, HIPAA, etc. Also remove the "Disclaimer", "Compliance Requirement", "Pay Range Minimum..."? Actually pay range we need to keep. The disclaimer about job description not comprehensive etc is boilerplate; we should remove. Also the compliance requirement about HIPAA etc is boilerplate; remove. Also the EEO statement about protected veterans etc is boilerplate; remove. Also the accessibility statement etc; remove. Also the California Consumer Privacy Act notice; remove. Thus we keep only the core job description content. Let's extract core sections: JOB SUMMARY: This job serves as a liaison and mediator between members, providers, community -based organizations, and the health plan. Works independently in the community, engaging members within a specific target population as determined by the Managed Care Organization. Works face-to-face and telephonically with members to provide basic health literacy, linkage to community resources, and assistance navigating the healthcare system. The Community Health Worker brings education and support to members in the community and serves as a healthcare advocate for members. This role will outreach and engage members to improve health outcomes, close care gaps and improve overall wellness. Community Health Workers will develop partnerships with local community based organizations and providers to support the needs of the members as well as the community. The incumbent works closely with the care management department and other internal team members to refer members for additional support and education beyond this role’s scope of practice. ESSENTIAL RESPONSIBILITIES: list each sentence separated by period? We'll break into items. - Initiate outreach efforts, both face-to-face and telephonically, related to targeted preventive health, care gaps, maternity, care transitions, health related social needs and chronic condition initiatives. - Educate members on the importance of targeted preventive health services, assess opportunities for care management intervention, and make appropriate referrals, including referrals to community resources as needed. - Contact member(s), providers, and community agencies to coordinate access to preventive health services and/or assistance to address health-related social needs. - Develop a rapport with members, community-based organizations and provider partners to establish a supportive relationship which empowers members to take an active role in their health and wellness. - Collaborate with human services providers such as Head Start Programs, WIC, community centers, and homeless shelters, in the identification and outreach to members in need of services. - Contribute to the development and preparation of educational materials for members and providers. - Provide summary and outcomes of outreach attempts and community education to management and peers. - Participate in the development of programs that are effective, measurable and innovative, with a special emphasis on reaching at risk members. - Conduct SDOH assessments as needed and assist with scheduling appointments, addressing social health barriers, and answering questions. - Understand the Organization's lines of business and benefits for members in order to provide accurate and current information to member. - Represent the company at community events, including events sponsored by community partners. - Other duties as assigned or requested. EXPERIENCE: Required 1 year of experience in a health care related customer service or marketing environment that would demonstrate the ability to positively impact on the engagement of members in the organization's condition and case management programs. 1 year of Community Health Worker experience or related field Preferred. Basic medical terminology background. Experience with the targeted community or population. SKILLS: list each bullet. - Knowledge of principles and processes for providing customer service. This includes customer needs assessment, meeting quality standards for services. - The ability to interact well with peers, supervisors and customers and work as a team member. - Ability to solve problems independently and creatively and be proactive, self-directed, assertive and creative in problem solving and system planning. - Ability to handle many tasks simultaneously and respond to customers and their issues promptly. - Possess good written and oral communication skills. - Have an appreciation of cultural diversity and sensitivity towards the Medicaid population with demonstrated expertise in topics related to cultural competency including working with members with limited English proficiency. - Be aware of issues members face related to healthcare including transportation, childcare, lack of knowledge concerning preventive health, distrust of the system as well as other personal, social, financial barriers. - Must demonstrate patience and empathy when interacting with members and all internal/external customers. EDUCATION: Required High School/GED. Preferred None. LICENSES or CERTIFICATIONS: Required Certified Community Health Worker (CCHW) - PA Certification Board within 12 months of start date. Preferred None. Language (Other Than English): None. Travel Required: 50% - 75%. PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS: Position Type Office-Based or Remote Position. Physical Work Site Required Never. We might combine Physical/mental demands into Requirements. Now we need to map to sections. About the role: job summary paragraph. Responsibilities: list. Requirements: could include Experience, Travel Required, Physical/mental demands, Language? But Language is none, maybe we can omit because it's not substantive (none). The instruction: do not include sections with filler/placeholder text like "not specified", "N/A", "varies", "TBD". Language None is basically none; maybe we can omit because it's not substantive. Similarly Preferred None for education/licenses maybe we can omit those lines. Thus Requirements: include Experience (required and preferred), Travel Required, Physical/mental demands (position type, physical work site). Possibly also include "Basic medical terminology background" as part of experience? It's under EXPERIENCE as a bullet; we can include. Qualifications: Education, Licenses/Certifications. Skills: list. Pay: Pay Range Minimum $20.72 Pay Range Maximum $30.12 plus description about base pay determination. We need to preserve all substantive info; we can include the paragraph about base pay determination as prose. We must not include Benefits or Schedule. Now produce HTML. We'll wrap each section in

      heading then content. For lists, use
      • each item. For prose, use

        . We need to ensure we don't include any extra text outside HTML fragment. Let's craft. About the role:

        This job serves as a liaison and mediator between members, providers, community-based organizations, and the health plan. Works independently in the community, engaging members within a specific target population as determined by the Managed Care Organization. Works face-to-face and telephonically with members to provide basic health literacy, linkage to community resources, and assistance navigating the healthcare system. The Community Health Worker brings education and support to members in the community and serves as a healthcare advocate for members. This role will outreach and engage members to improve health outcomes, close care gaps and improve overall wellness. Community Health Workers will develop partnerships with local community based organizations and providers to support the needs of the members as well as the community. The incumbent works closely with the care management department and other internal team members to refer members for additional support and education beyond this role’s scope of practice.

        Responsibilities: list each bullet. We'll create
        • ... etc. Requirements: we need to include experience items, travel, physical/mental demands. Experience items: - Required: 1 year of experience in a health care related customer service or marketing environment that would demonstrate the ability to positively impact on the engagement of members in the organization's condition and case management programs. - Preferred: 1 year of Community Health Worker experience or related field. - Basic medical terminology background. - Experience with the targeted community or population. Travel Required: 50% - 75% travel. Physical, Mental Demands and Working Conditions: Position Type Office-Based or Remote Position. Physical Work Site Required Never. We could combine as two list items. Thus Requirements list:
          • Required: 1 year of experience in a health care related customer service or marketing environment that would demonstrate the ability to positively impact on the engagement of members in the organization's condition and case management programs.
          • Preferred: 1 year of Community Health Worker experience or related field.
          • Basic medical terminology background.
          • Experience with the targeted community or population.
          • Travel required: 50% - 75%.
          • Position type: office-based or remote; physical work

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