Integrated Care Coach

We need to output HTML fragment with sections: About the role? Actually the posting includes "Become a part of our caring community" intro, then duties, qualifications, etc. We need to use

for section headings: e.g., About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We must include only sections with real specific content. No filler. Must not repeat job title as heading. Must not include Job ID etc. Must remove boilerplate like EEO, legal, etc. Must preserve all substantive info. We need to decide which sections to include. Content: - Intro: "Become a part of our caring community The Care Coach provides proactive, patient centered care coordination and social needs support for the highest risk top 5% patient membership. You will serve as the primary contact for patients and focuses on care coordination, adherence coaching, healthcare navigation, transitions of care and reinforcing care plans. You will report to a Care Integration Team Manager within the CenterWell and Conviva Primary Care organization." That could be "About the role" section. - Duties And Responsibilities: list of duties. Should be under

Responsibilities

with

• . - Required Qualifications: list. Could be under

  Requirements

  or

  Qualifications

  . The instruction says use headings like Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We can combine. Probably "Requirements" for required qualifications, "Preferred Qualifications" maybe under Qualifications as well? But we can have a Qualifications section that includes both required and preferred? However we need to preserve all info. Could split: Requirements (required) and Qualifications (preferred). But we must not create thin sections. Might combine required and preferred under Qualifications with subheadings? But we only allowed

  headings; we could have multiple

  sections: Responsibilities, Requirements, Qualifications, Benefits, Pay, Schedule. That seems fine. - Preferred Qualifications: list. - "Use Your Skills To Make An Impact" includes mobile presence, travel, workstyle, location, hours. Could be under Skills? Or maybe under Schedule? Actually "Hours: Monday–Friday, 8:00 AM–5:00 PM; overtime may be required" is schedule. Also "Location: Must reside in designated market area". Could be under Skills? The instruction says use Skills heading for skills. But we have no explicit skills list besides maybe "Bilingual in English and Spanish". That's a qualification. So maybe we treat "Use Your Skills To Make An Impact" as a description of role; could be part of About the role or Responsibilities. But we have to preserve all substantive info. Could include a

  Skills

  with bullet list: mobile presence, travel, workstyle combination, location requirement, hours. However the instruction says use Skills heading for skills. Might be okay. - TB Statement, Driving Statement: these are requirements (maybe under Requirements). Should we include them? They are substantive: TB screening, driver safety program, valid driver's license, insurance. Should preserve. Could be under Requirements as bullet items. - Scheduled Weekly Hours 40: that's schedule info. Already have hours. - Pay Range: $53,700 - $72,600 per year, plus bonus incentive plan. That's Pay section. - Description Of Benefits: list of benefits. That's Benefits section. - About Us: description of Conviva and CenterWell. Could be About the role? Or maybe we could add an About the company section but not in allowed headings. The allowed headings list does not include About Us. But we could put that under About the role? Might be okay to include as part of About the role. However we must not invent sections not listed; but we can include extra sections if they have real content? 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, not exclusive? It says "Use

  for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule)." Likely they expect us to use those headings only. It also says "include a section ONLY when the posting has real, specific content for it". So we should only use those headings if we have content. So we can use About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We'll allocate content accordingly. Thus: - About the role: intro + maybe reporting line + brief overview of purpose. - Responsibilities: duties list. - Requirements: required qualifications + TB statement + driving statement + maybe location requirement? Location could be under Skills? But location is a requirement (must reside in designated market area). Could be under Requirements. - Qualifications: preferred qualifications list. - Skills: maybe mobile presence, travel, workstyle combination, bilingual ability? Actually bilingual is in preferred qualifications. Could move to Skills. But we already have Qualifications for preferred. Might be better to put bilingual under Skills. However we need to preserve all info; we can duplicate? No duplication? It's okay to mention in both but better to avoid duplication. Let's assign: Skills: mobile presence, travel, workstyle combination (clinic-based and field work), location requirement (must reside in designated market area), hours (Monday-Friday 8-5, overtime may be required). Also maybe bilingual? But bilingual is a qualification; we could keep it under Qualifications. - Benefits: description of benefits. - Pay: pay range + bonus incentive plan. - Schedule: maybe we already put hours under Skills; but we could also have Schedule section with weekly hours 40, Monday-Friday 8-5, overtime may be required. However we said we should not create thin sections. If we put hours under Skills, we might not need Schedule. But we have to decide. Given the instruction: "Prefer a few substantive sections over many thin ones." So we should combine related info. Perhaps we can have About the role, Responsibilities, Requirements, Qualifications, Benefits, Pay. That's six sections. Skills and Schedule could be merged into Requirements or About the role. But we need to include location, hours, travel etc. Those could be under Requirements (as job requirements) or About the role (as work style). Let's put them under Requirements as bullet items: "Must reside in designated market area", "Combination of clinic-based and field work (mobile presence, travel to patients’ homes, healthcare facilities, community-based settings, assigned clinics)", "Monday–Friday, 8:00 AM–5:00 PM; overtime may be required", "Valid state driver's license and personal vehicle liability insurance", "TB screening required". That covers many. Thus we may not need separate Skills or Schedule sections. But we need to use headings only when we have real specific content. If we omit Skills and Schedule, that's fine. Thus final sections: About the role, Responsibilities, Requirements, Qualifications, Benefits, Pay. Check if we have content for each: - About the role: intro paragraph. - Responsibilities: duties list (bullet points). - Requirements: required qualifications + location, workstyle, hours, driver license, TB screening, maybe also "Ability to discuss chronic conditions and reinforce medication instructions" etc. Actually those are in required qualifications list. We'll include them. - Qualifications: preferred qualifications list. - Benefits: description of benefits. - Pay: pay range + bonus incentive plan. We must not include boilerplate like EEO, legal, etc. Remove those. Now craft HTML. We'll use

  About the role

  then

  ...

  . For lists:
  • ...
  . Make sure to preserve all substantive info. Let's extract details. Intro: "Become a part of our caring community The Care Coach provides proactive, patient centered care coordination and social needs support for the highest risk top 5% patient membership. You will serve as the primary contact for patients and focuses on care coordination, adherence coaching, healthcare navigation, transitions of care and reinforcing care plans. You will report to a Care Integration Team Manager within the CenterWell and Conviva Primary Care organization." We can split into two sentences but keep as is. Responsibilities list from "Duties And Responsibilities" bullet points (they are semicolon separated but we can make each bullet). Let's list: - Conduct structured patient interviews and collect health-related information (e.g. medication regimen and barriers to adherence, social barriers, functional status.) Document and share findings with providers. - Perform home visits to observe living conditions, identify safety concerns, and review environmental or social factors impacting engagement. - Identify barriers to care, address immediate social stressors, and connect patients with appropriate community-based resources. - Deliver culturally appropriate education using approved materials to reinforce provider and pharmacist recommendations for chronic disease management. - Serve as a liaison between patients, primary care, specialists, pharmacies, home health, and community providers. Support care transitions, coordinate follow-up, and facilitate communication across care settings to close care gaps. Partner closely with the primary care provider to create care plans and priority action items. - Conduct timely follow-up after hospitalizations and emergency department visits to support safe transitions. Review discharge instructions, schedule/confirm follow-up appointments, verify patient reported medications and escalate discrepancies to providers. - Encourage and support patient connection to community-based programs that reinforce health goals, including initial engagement when appropriate. - Deliver patient centered, culturally sensitive care that respects patients’ beliefs, preferences, and social context. - Develop a holistic understanding of patient needs via a 5Ms framework (What Matters Most, Mind (Mentation), Mobility, Medications, Multi-complexity) and identify barriers impacting health outcomes. - Prepare, participate and discuss patients during High-Risk Rounds. We need to keep the content exactly; but we can rephrase slightly? Must preserve all substantive information; we can keep same meaning. We'll keep bullet points as above. Required Qualifications list: - Healthcare professional with 3+ years of Ambulatory, Primary Care, or Senior‑Care experience with direct patient care - Ability to discuss chronic conditions and reinforce medication instructions - Comfortability to regularly conduct home visits and community-based outreach - Demonstrated experience in patient education, care coordination, and social support of high-risk or geriatric populations Also we need to include location, workstyle, hours, driver license, TB screening as requirements. Add: - Must reside in designated market area - Combination of clinic-based and field work (mobile presence, involving travel to patients’ homes, healthcare facilities, community‑based settings, and assigned clinics) - Monday–Friday, 8:00 AM–5:00 PM; overtime may be required - Valid state driver's license and personal vehicle liability insurance (minimum limits as per state or $25,000 bodily injury per person/$25,000 per event/$10,000 property damage) - Required to be screened for TB (Humana's TB screening program) We might also include "This role is considered patient facing and is part of Humana's Tuberculosis (TB) screening program." Already covered. Preferred Qualifications list: - Active Unrestricted LPN/LVN license or MA Certification - Licensed or Unlicensed Medical professional with equivalent foreign Registered Nurse (RN) or Physician license - Experience in care coordination, case management, population health and/or value-based care models - Experience conducting post-hospital/ED follow up with appropriate escalation - Familiarity with Medicaid, Long-term Care, and HCBS programs - Experience working with seniors and medically complex populations - Prior home visit experience and knowledge of field safety practices - Bilingual in English and Spanish with the ability to read/write/speak in both languages Benefits list: from Description Of Benefits: - medical, dental and vision benefits - 401(k) retirement savings plan - time off (including paid time off, company and personal holidays, paid parental and caregiver leave) - short-term