Field Care Coordinator - Washington & Unicoi County, TN
for section headings like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We need to include only sections with real specific content. We must not repeat job title as heading. No Job ID etc. Remove boilerplate, navigation, legal, EEO, equal-opportunity, scam-warning, duplicated lines, application instructions.
We need to preserve all substantive information.
Let's parse the posting.
First paragraph: "At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together."
That's generic marketing fluff but it's part of posting. Should we include? It's not a section heading. It could be part of "About the role" maybe. The instruction: Use for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). So we can create an "About the role" section with that paragraph.
Next: "The primary purpose of this position is the application of clinical knowledge to coordinate member care needs for assigned members who are primarily medically complex and require intensive medical and psychosocial support. The Care Coordinator works directly with members to ensure appropriate access to services and providers. Coordination of member care needs across the continuum begins with early identification of health risk factors, education, and prevention using the six essential activities of case management as per CMSA. Coordination also assures the provision of appropriate services in acute, home, chronic and alternative care settings, to meet member needs in the most cost-effective manner available. Collaborates with all members of the Care Coordination team including Case Management, Utilization Review and Behavioral Health team members. If you are located in or within commutable driving distance to primarily Washington and Unicoi counties, you'll enjoy the flexibility to work remotely* as you take on some tough challenges. This is a field-based role."
That's more description; could be part of About the role.
Then "Primary Responsibilities" heading appears in text. Then list of responsibilities (each sentence). We need to put those under Responsibilities
with - items.
Then after responsibilities, there is paragraph: "You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in." That's maybe part of Benefits or maybe generic. Could be part of Benefits? But there is later Benefits section: "In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements)." Also earlier: "Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc." and "The hourly pay for this role will range from $29 - $52 per hour based on full-time employment." So we need Pay section.
Also "Required Qualifications" heading then list. Then "Preferred Qualifications" heading then list.
Also "All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy." That's maybe a note but could be part of Requirements? It's a requirement for telecommuters. Might be included under Requirements or maybe as a note. But we can include under Requirements as a bullet? It's a requirement.
Also "We comply with all minimum wage laws as applicable." That's legal boilerplate; maybe drop.
EEO etc: drop.
We need to avoid duplication.
Let's extract substantive content.
About the role: combine first two paragraphs (marketing + purpose). Could be one
.
Responsibilities: list each bullet.
Let's list responsibilities sentences:
- Application of clinical knowledge to effect efficient case management for those accessing their Medicare/Medicaid benefits
- Incorporates evidence-based clinical practices into care coordination activities
- Delivers member-centered, individualized self-management support and patient education
- Ensure appropriate utilization and consistent application of the health benefits
- Conduct telephonic and face to face assessments according to Health Plan policy and procedure, including system documentation and State prescribed timeframes
- Serve as member advocate and facilitator to resolve issues that may be perceived as barriers to care
- Provide education and coordination of community resource referrals to members and providers
- Develop, implement, maintain and evaluate a member centered, individual care plan when services are indicated, based on member care needs identified through proactive collaboration and communication with members, families and providers
- Collaborate and communicate with other members of the Care Coordination Team to improve the quality and efficiency of health care delivery and ensure smooth transition of care coordination activities to other team members
- Monitor hospital encounters of assigned members and provide education and/or interventions as necessary to reduce frequency
- Refer clinical decisions beyond level of authority for members who do not meet established criteria to manager for review and decision
- Participate in the Health Plan Quality Improvement process including recognition of quality-of-care issues and forward information to appropriate staff for review and resolution
- Utilize Health Plan software to enter service requests, document, and monitor all aspects of member care coordination and service delivery
- Maintain time sensitive documentation to assure compliance with regulatory agencies
- Coordinate services for members following Health plan policy
- Perform other duties as assigned
We need to ensure each bullet is a
- .
Now Required Qualifications:
- Bachelor's degree in Social Work, Nursing or other health care profession including LPN
- 2+ years of clinical case management experience
- 1+ years of experience with MS Office, including Word, Excel, and Outlook
- Excellent organization, communication and time management skills
- Reside in or within a commutable driving distance to Washington county
- Access to reliable transportation and valid US driver's license with the ability to travel up to 75% within an assigned territory to meet with members and providers
Also "All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy." Could be a requirement but maybe separate note. Could be included as a bullet under Required Qualifications? It's a condition. We'll include as bullet.
Preferred Qualifications:
- LCSW, LBSW, Master's Degree (or higher) in Clinical Field
- CCM certification
- 1+ years of community case management experience coordinating care for individuals with complex needs
- Long term care experience
- Experience working in team-based care
- Working knowledge of Medicare/Medicaid regulations
- Working knowledge of medical terminology
Now Benefits: The paragraph: "In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements)." Also earlier: "You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in." That's more about rewards/recognition/development. Could be part of Benefits.
We could combine into Benefits section with bullets: comprehensive benefits package, incentive and recognition programs, equity stock purchase, 401k contribution, performance rewards/recognition, development opportunities.
But we must not invent details; we can only use what's stated. The reward/recognition paragraph: "You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in." That's a statement about rewards/recognition and development. We can include as a bullet: "Performance-based rewards and recognition, with clear directions for success and development opportunities for other roles."
But we need to ensure we don't add extra info not present. It's okay to rephrase but must preserve meaning. It's allowed to paraphrase? The instruction: "Preserve ALL substantive information; do NOT invent or summarize away detail." Paraphrasing is okay as long as we don't lose detail. We can keep the sentence as is inside a
or
- . Safer to keep as a
under Benefits.
Pay: "Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc." and "The hourly pay for this role will range from $29 - $52 per hour based on full-time employment." Also "We comply with all minimum wage laws as applicable." That's legal; maybe drop as boilerplate? It's a statement about compliance; could be considered boilerplate but it's about pay. Might keep as part of Pay section but it's generic. The instruction: remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate. "We comply with all minimum wage laws as applicable." is legal boilerplate; likely drop.
Thus Pay section: include two statements.
Schedule: Not mentioned explicitly. There's mention of remote flexibility, field-based role, travel up to 75%. No explicit schedule (full-time). Not given. So we should not create Schedule section.
Skills: Not explicitly listed; we have "Excellent organization, communication and time management skills" under qualifications. Could be a Skills section but we already have that under Required Qualifications. The instruction: prefer few substantive sections over many thin ones. So we can keep skills within Required Qualifications.
Thus sections: About the role, Responsibilities, Required Qualifications, Preferred Qualifications, Benefits, Pay.
Check for duplication: Ensure we didn't repeat any content.
Now produce HTML fragment.
Structure:
About the role
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together. The primary purpose of this position is the application of clinical knowledge to coordinate member care needs for assigned members who are primarily medically complex and require intensive medical and psychosocial support. The Care Coordinator works directly with members to ensure appropriate access to services and providers. Coordination of member care needs across the continuum begins with early identification of health risk factors, education, and prevention using the six essential activities of case management as per CMSA. Coordination also assures the provision of appropriate services in acute, home, chronic and alternative care settings, to meet member needs in the most cost-effective manner available. Collaborates with all members of the Care Coordination team including Case Management, Utilization Review and Behavioral Health team members. If you are located in or within commutable driving distance to primarily Washington and Unicoi counties, you'll enjoy the flexibility to work remotely* as you take on some tough challenges. This is a field-based role.
Responsibilities
- Application of clinical knowledge to effect efficient case management for those accessing their Medicare/Medicaid benefits
- Incorporates evidence-based clinical practices into care coordination activities
- Delivers member-centered, individualized self-management support and patient education
- Ensure appropriate utilization and consistent application of the health benefits
- Conduct telephonic and face to face assessments according to Health Plan policy and procedure, including system documentation and State prescribed timeframes
- Serve as member advocate and facilitator to resolve issues that may be perceived as barriers to care
- Provide education and coordination of community resource referrals to members and providers
- Develop, implement, maintain and evaluate a member centered, individual care plan when services are indicated, based on member care needs identified through proactive collaboration and communication with members, families and providers
- Collaborate and communicate with other members of the Care Coordination Team to improve the quality and efficiency of health care delivery and ensure smooth transition of care
Responsibilities
with- items.
Then after responsibilities, there is paragraph: "You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in." That's maybe part of Benefits or maybe generic. Could be part of Benefits? But there is later Benefits section: "In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements)." Also earlier: "Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc." and "The hourly pay for this role will range from $29 - $52 per hour based on full-time employment." So we need Pay section.
Also "Required Qualifications" heading then list. Then "Preferred Qualifications" heading then list.
Also "All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy." That's maybe a note but could be part of Requirements? It's a requirement for telecommuters. Might be included under Requirements or maybe as a note. But we can include under Requirements as a bullet? It's a requirement.
Also "We comply with all minimum wage laws as applicable." That's legal boilerplate; maybe drop.
EEO etc: drop.
We need to avoid duplication.
Let's extract substantive content.
About the role: combine first two paragraphs (marketing + purpose). Could be one
. Responsibilities: list each bullet. Let's list responsibilities sentences: - Application of clinical knowledge to effect efficient case management for those accessing their Medicare/Medicaid benefits - Incorporates evidence-based clinical practices into care coordination activities - Delivers member-centered, individualized self-management support and patient education - Ensure appropriate utilization and consistent application of the health benefits - Conduct telephonic and face to face assessments according to Health Plan policy and procedure, including system documentation and State prescribed timeframes - Serve as member advocate and facilitator to resolve issues that may be perceived as barriers to care - Provide education and coordination of community resource referrals to members and providers - Develop, implement, maintain and evaluate a member centered, individual care plan when services are indicated, based on member care needs identified through proactive collaboration and communication with members, families and providers - Collaborate and communicate with other members of the Care Coordination Team to improve the quality and efficiency of health care delivery and ensure smooth transition of care coordination activities to other team members - Monitor hospital encounters of assigned members and provide education and/or interventions as necessary to reduce frequency - Refer clinical decisions beyond level of authority for members who do not meet established criteria to manager for review and decision - Participate in the Health Plan Quality Improvement process including recognition of quality-of-care issues and forward information to appropriate staff for review and resolution - Utilize Health Plan software to enter service requests, document, and monitor all aspects of member care coordination and service delivery - Maintain time sensitive documentation to assure compliance with regulatory agencies - Coordinate services for members following Health plan policy - Perform other duties as assigned We need to ensure each bullet is a
- .
Now Required Qualifications:
- Bachelor's degree in Social Work, Nursing or other health care profession including LPN
- 2+ years of clinical case management experience
- 1+ years of experience with MS Office, including Word, Excel, and Outlook
- Excellent organization, communication and time management skills
- Reside in or within a commutable driving distance to Washington county
- Access to reliable transportation and valid US driver's license with the ability to travel up to 75% within an assigned territory to meet with members and providers
Also "All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy." Could be a requirement but maybe separate note. Could be included as a bullet under Required Qualifications? It's a condition. We'll include as bullet.
Preferred Qualifications:
- LCSW, LBSW, Master's Degree (or higher) in Clinical Field
- CCM certification
- 1+ years of community case management experience coordinating care for individuals with complex needs
- Long term care experience
- Experience working in team-based care
- Working knowledge of Medicare/Medicaid regulations
- Working knowledge of medical terminology
Now Benefits: The paragraph: "In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements)." Also earlier: "You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in." That's more about rewards/recognition/development. Could be part of Benefits.
We could combine into Benefits section with bullets: comprehensive benefits package, incentive and recognition programs, equity stock purchase, 401k contribution, performance rewards/recognition, development opportunities.
But we must not invent details; we can only use what's stated. The reward/recognition paragraph: "You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in." That's a statement about rewards/recognition and development. We can include as a bullet: "Performance-based rewards and recognition, with clear directions for success and development opportunities for other roles."
But we need to ensure we don't add extra info not present. It's okay to rephrase but must preserve meaning. It's allowed to paraphrase? The instruction: "Preserve ALL substantive information; do NOT invent or summarize away detail." Paraphrasing is okay as long as we don't lose detail. We can keep the sentence as is inside a
or
- . Safer to keep as a
under Benefits. Pay: "Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc." and "The hourly pay for this role will range from $29 - $52 per hour based on full-time employment." Also "We comply with all minimum wage laws as applicable." That's legal; maybe drop as boilerplate? It's a statement about compliance; could be considered boilerplate but it's about pay. Might keep as part of Pay section but it's generic. The instruction: remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate. "We comply with all minimum wage laws as applicable." is legal boilerplate; likely drop. Thus Pay section: include two statements. Schedule: Not mentioned explicitly. There's mention of remote flexibility, field-based role, travel up to 75%. No explicit schedule (full-time). Not given. So we should not create Schedule section. Skills: Not explicitly listed; we have "Excellent organization, communication and time management skills" under qualifications. Could be a Skills section but we already have that under Required Qualifications. The instruction: prefer few substantive sections over many thin ones. So we can keep skills within Required Qualifications. Thus sections: About the role, Responsibilities, Required Qualifications, Preferred Qualifications, Benefits, Pay. Check for duplication: Ensure we didn't repeat any content. Now produce HTML fragment. Structure:
About the role
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together. The primary purpose of this position is the application of clinical knowledge to coordinate member care needs for assigned members who are primarily medically complex and require intensive medical and psychosocial support. The Care Coordinator works directly with members to ensure appropriate access to services and providers. Coordination of member care needs across the continuum begins with early identification of health risk factors, education, and prevention using the six essential activities of case management as per CMSA. Coordination also assures the provision of appropriate services in acute, home, chronic and alternative care settings, to meet member needs in the most cost-effective manner available. Collaborates with all members of the Care Coordination team including Case Management, Utilization Review and Behavioral Health team members. If you are located in or within commutable driving distance to primarily Washington and Unicoi counties, you'll enjoy the flexibility to work remotely* as you take on some tough challenges. This is a field-based role.
Responsibilities
- Application of clinical knowledge to effect efficient case management for those accessing their Medicare/Medicaid benefits
- Incorporates evidence-based clinical practices into care coordination activities
- Delivers member-centered, individualized self-management support and patient education
- Ensure appropriate utilization and consistent application of the health benefits
- Conduct telephonic and face to face assessments according to Health Plan policy and procedure, including system documentation and State prescribed timeframes
- Serve as member advocate and facilitator to resolve issues that may be perceived as barriers to care
- Provide education and coordination of community resource referrals to members and providers
- Develop, implement, maintain and evaluate a member centered, individual care plan when services are indicated, based on member care needs identified through proactive collaboration and communication with members, families and providers
- Collaborate and communicate with other members of the Care Coordination Team to improve the quality and efficiency of health care delivery and ensure smooth transition of care