Jobs · OTHR · California

Health Care Guide I

Partnership HealthPlan of California · Santa Rosa, CA · 1 mo ago
OTHR$29.9535–$35.1954/hrFull-time
We need to produce HTML fragment with headings

for sections: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections that have real specific content. The posting includes Overview (which can be About the role). Responsibilities (Essential Duties and Responsibilities and Secondary Duties). Qualifications (Education and Experience, Special Skills, Licenses and Certifications, Performance Based Competencies). There's also Work Environment And Physical Demands (maybe part of Requirements? Could be separate but not listed as a required heading; we can include under Requirements or maybe as a separate section but not in list; we should stick to allowed headings. The allowed headings list includes Requirements (maybe for qualifications). We can put Education and Experience under Qualifications, and Special Skills etc under Skills. Benefits, Pay, Schedule: we have Pay (HIRING RANGE). No explicit Benefits or Schedule. So we should not create those sections unless present. So we will have sections: About the role (from Overview), Responsibilities, Qualifications, Skills, Pay. Possibly also Work Environment? Not in allowed headings; we could incorporate into Qualifications or Requirements but better to omit if not matching allowed headings. The instruction: "Use

for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule)." It says e.g., meaning those are examples; we can use others? Probably we should stick to those. It says "include a section ONLY when the posting has real, specific content for it". So we can include sections for those headings that have content. We have content for About the role (Overview). Responsibilities (Essential and Secondary). Qualifications (Education and Experience). Skills (Special Skills, Licenses and Certifications, Performance Based Competencies). Pay (HIRING RANGE). No Benefits, Schedule, Requirements (maybe we could treat Qualifications as Requirements). But we already have Qualifications. Could also have Requirements (maybe combine Education and Experience). But we should not duplicate. Let's produce sections: About the role, Responsibilities, Qualifications, Skills, Pay. We need to use
  • for any list of duties/requirements/benefits. So for Responsibilities we should list each duty as
  • . For Qualifications we might list Education and Experience as
  • ? It's prose but we can list bullet points. For Skills we list each skill as
  • . For Pay we can just put

    with the range. We must preserve ALL substantive information; do not invent or summarize away detail. Remove boilerplate etc. So we need to include all duties exactly as written (maybe slight formatting). We must not repeat the job title as heading. No Job ID etc. We need to output only HTML fragment. Let's extract duties: Essential Duties and Responsibilities (list): - Acts as the point of contact for members, families, providers, and/or community agencies calling into the Care Coordination Department requesting assistance and information About Available Partnership Programs And Information. - With direction, initiates and processes referrals to appropriate programs in accordance with department policies, and communicates referral outcomes to referral source. - Collaborates with members, families, providers, and/or community agencies to identify member needs and/or barriers. - Conducts targeted assessments to identify care coordination needs. - Researches appropriate and available Partnership and/or community resources and provides guidance to member and interdisciplinary care team. - Creatively utilizes available resources in the most cost-effective manner in collaboration with the Case Manager. - Assists members to ensure timely access to providers and services. - Initiates and processes referrals to appropriate programs in accordance with department policies, and communicates referral outcomes to referral source. (duplicate) - Completes timely and accurate documentation in appropriate systems in accordance with department policies. - Supports the Care Coordination Department by answering the ACD telephone line, determining call urgency and routing calls appropriately - Provides excellent customer service and communicates with others in accordance with Partnership standards and expectations. - Exhibits high professional standards as outlined in Partnership’s Code of Conduct - Communicates clearly and effectively through all mediums of communication with members, providers, vendors, community partners, and Partnership employees. - Responds to inquiries in a timely manner. - Connects members to community agencies when necessary Secondary Duties and Responsibilities: - Obtains records and information as requested by clinical staff. - Provides support and assistance to clinical staff as needed. - Collaborates with internal Partnership departments to resolve issues. - Attends required meetings and trainings in person when assigned. - Provides periodic coverage during vacations or sick time for Health Care Guide staff as needed within assigned team. - Performs other duties as assigned by the direct supervisor, including the assumption of new duties. We should keep duplicates? The posting has duplicate line about initiates and processes referrals appears twice. We should preserve all substantive information; we could keep both but it's duplicate. Might be okay to keep both; but we could deduplicate? The instruction: "Preserve ALL substantive information; do NOT invent or summarize away detail." Duplicate is still substantive info; removing it could be summarizing away detail? It's duplicate but still info. Safer to keep both as separate

  • entries. Now Qualifications: Education and Experience: "High school diploma or equivalent combination of experience and education required; associate’s or bachelor’s degree preferred. Two (2) years of experience working in a health care setting recommended, to include experience in case management or care coordination; or any work experience, training or specialized education that would likely provide the ability to perform the essential functions of the position. Preference may be given to individuals certified and/or licensed in a health related field." We can break into bullet points? Could be a

    but instruction: Use

    • for any list of duties/requirements/benefits. This is a list of qualifications; we can treat as list. So each sentence as
    • . Special Skills, Licenses and Certifications: list of abilities. We need to capture all: - Ability to use good judgment, take personal initiative, and use discretion in performing job responsibilities. - Attention to detail and accuracy. - Basic knowledge of medical terminology and coding. - Ability to listen actively and practice motivational interviewing. - Knowledge of the Partnership and basic concepts of managed care. - Ability to learn the following: case management role within a health plan setting, and the HealthPlan eligibility categories. - Ability to use computer software for word processing, spreadsheets, and email, operating multiple computer programs simultaneously. - Ability to function effectively with frequent interruptions and direction from multiple team members. - Ability to work in an environment with diverse individuals and groups. - Ability to establish collaborative relationships. - Ability to work autonomously within a team setting. - Ability to prioritize workload and initiate action to acquire needed information from professionals by phone. - Bilingual skills in an approved threshold language is preferred. - Valid California driver’s license and proof of current automobile insurance compliant with Partnership policy are required to operate a vehicle and travel for company business. Performance Based Competencies: - Communicates clearly and effectively through all mediums of communication with members, providers, vendors, community partners, and Partnership employees. - Models appropriate behavior for department. - Ability to work effectively with Medi-Cal and other special needs populations. - Ability to work with ethnically and culturally diverse populations. - Ability to maintain positive, cooperative relationships with the community, professional groups, public officials, and agencies and represent the department with professionalism. - Ability to manage multiple tasks. We could combine Skills and Performance Based Competencies under Skills section, or separate. Since allowed heading Skills, we can put all skill-related bullets under Skills. Now Pay: "HIRING RANGE: $29.9535 - $35.1954". We'll put in

      . Now About the role: Overview paragraph: "In collaboration with Care Coordination team members, this position provides support and guidance to HealthPlan members referred to the Care Coordination Department for Case Management services and programs. The Health Care Guide I works closely with members, families, providers, community agencies, and the interdisciplinary care team to assist in coordination of benefits in a timely and cost-effective manner, while connecting members to available internal and external resources." We'll put that in

      under

      About the role

      . Now ensure we don't include boilerplate like "IMPORTANT DISCLAIMER NOTICE", "All HealthPlan employees are expected to:", etc. Those are boilerplate? The disclaimer is likely boilerplate; we should remove. Also the list of expectations (Provide highest possible level of service...) maybe also boilerplate; we should remove. Also "Work Environment And Physical Demands" maybe not a standard heading; but we could include under Requirements? Not in allowed headings; we could omit. The instruction says to remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. The Work Environment section is not boilerplate but maybe considered part of job description; but we don't have a heading for it; we could incorporate into Qualifications or Requirements but not required. Safer to omit if not matching allowed headings. However, we might lose substantive info (physical demands). But the instruction says to include a section ONLY when posting has real, specific content for it — never emit a heading followed by filler/placeholder text. It doesn't forbid adding other headings not in the list, but the examples given are those. It says "Use

      for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule)." The "e.g." suggests those are examples; we could use others if needed. But to be safe, we could add a section for Work Environment under

      Work Environment

      . However, the instruction says "Use

      for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule)." It doesn't forbid other headings, but we should follow the pattern. I'd include Work Environment as a section because it's substantive. But the allowed headings list includes Requirements; we could put Work Environment under Requirements. But Requirements is more about qualifications. Hmm. Given the ambiguity, I think we should stick to the provided examples and only include those sections that have content. Work Environment is not in the list, but we could treat it as part of Requirements (maybe). However, the posting has a distinct "Work Environment And Physical Demands" section; we could map that to Requirements heading. But Requirements is more about qualifications; but we can still put it there. However, we already have Qualifications and Skills sections; we could add a Requirements section for Work Environment. But that might be redundant. Better to follow the instruction: Use

      for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). So we should only use those headings. If we have content that doesn't fit, we could incorporate into existing sections. For Work Environment, we could add a

      under Qualifications or Requirements. But we already have Qualifications (education/experience) and Skills (abilities). Work Environment could go under Requirements (maybe). Let's create a Requirements section for Work Environment And Physical Demands. That seems plausible. Thus sections: About the role, Responsibilities, Requirements (Work Environment), Qualifications (Education/Experience), Skills (Abilities etc), Pay. We must not create Benefits or Schedule. Now we need to ensure we don't repeat the job title as heading. No job title present. Now produce HTML. We'll need to escape any special characters? Not needed. Let's craft:

      About the role

      In collaboration with Care Coordination team members, this position provides support and guidance to HealthPlan members referred to the Care Coordination Department for Case Management services and programs. The Health Care Guide I works closely with members, families, providers, community agencies, and the interdisciplinary care team to assist in coordination of benefits in a timely and cost-effective manner, while connecting members to available internal and external resources.

      Responsibilities

      • Acts as the

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