Jobs · Healthcare

LVN or LPN, Case Manager - Remote

Optum · Cypress, CA · 4 wk ago
Healthcare$20–$36/hrFull-time
We need to output HTML fragment with sections: About the role? The posting includes intro paragraphs about Optum and role description. We need headings for sections that have content: maybe "About the role", "Responsibilities", "Qualifications", "Skills", "Benefits", "Pay", "Schedule". Must not repeat job title as heading. Must not include Job ID etc. Must not include boilerplate like EEO, legal, etc. Must preserve all substantive info. We need to parse the posting. Let's extract sections: Intro: "Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together." Then: "The After Hours Care Manager - LPN. provides inpatient care management services related to discharge planning/coordination; HLOC transfers; ED Diversion. The goal of this position is to enhance the quality of member management, through collaboration with Physicians, facility representatives, and inpatient care coordinators. Ensures compliance to contractual and service standards as identified by relevant health insurance plans. Adheres to policies, procedures, and regulations to ensure compliance. Work Hours: Available to work weekends and holidays. Morning shift with 2 weekends on and 2 weekends off totaling 40 hrs per week, 8am PST - 4:30pm PST. If you are located in California, you will have the flexibility to work remotely* as you take on some tough challenges." Then "Primary Responsibilities" list. Then "The information listed above is not comprehensive..." that's boilerplate, should be removed. Then "Professional Competencies" list. Then "Skills" list (actually they have "Skills" heading then bullet list). Actually they have "Skills" heading then bullet list of competencies? Let's see: after Professional Competencies they have "Skills" heading then bullet list: "All staff members are to promote a positive and productive work environment..." etc. That's more like "Skills" or "Competencies". We'll treat as "Skills". Then "You'll be rewarded and recognized..." that's benefits? Actually it's about rewards and recognition, development. Could be part of Benefits? But we have a Benefits section later: "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: "Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities." So we can combine benefits. Pay: "The hourly pay for this role will range from $20 - $36 per hour based on full-time employment." Schedule: "Work Hours: Available to work weekends and holidays. Morning shift with 2 weekends on and 2 weekends off totaling 40 hrs per week, 8am PST - 4:30pm PST." Also remote flexibility for California. We need to include sections only if real specific content. Thus sections: - About the role (intro + role description) - Responsibilities (Primary Responsibilities list) - Qualifications (Required Qualifications + Preferred Qualifications) - Skills (Professional Competencies + Skills list) - Benefits (benefits package, incentive, recognition, equity stock purchase, 401k, comprehensive benefits, career development) - Pay (hourly pay range) - Schedule (work hours, weekends, remote flexibility) We must not include placeholder like "commensurate with experience". Not present. We must not include duplicated lines. We must remove boilerplate: "The information listed above is not comprehensive..." etc. Also "This job description is not an employment agreement..." etc. Also EEO statements, drug-free workplace, etc. Also "All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy." That's maybe part of Benefits? It's a policy; could be included under Benefits? Might be considered substantive? It's about remote work policy. Could be included under Benefits or maybe under Schedule? It's about remote work requirement. Might be considered part of Benefits? I'd include it under Benefits as a note. But we must not include EEO/equal-opportunity etc. So remove those paragraphs. Also remove "UnitedHealth Group is an Equal Employment Opportunity employer..." etc. Also remove "UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment." Also remove "At UnitedHealth Group, our mission is to help people live healthier lives..." that's maybe part of About the role? It's generic mission statement; could be considered boilerplate? It's about mission; but it's substantive? Might be considered part of About the role. However it's generic; but we can keep as part of About the role? The instruction: remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. The mission statement might be considered boilerplate but it's not explicitly listed. Safer to keep? Might be considered part of About the role. I'd keep it as part of About the role because it's about the organization's mission. But we also have earlier Optum description. Could combine. Let's craft HTML. We'll use

for each section heading. Inside sections, use

for prose,

  • for lists. We need to preserve all substantive info. Let's gather content. About the role: - Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. - The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. - Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. - Come make an impact on the communities we serve as you help us advance health optimization on a global scale. - Join us to start Caring. Connecting. Growing together. - The After Hours Care Manager - LPN provides inpatient care management services related to discharge planning/coordination; HLOC transfers; ED Diversion. - The goal of this position is to enhance the quality of member management, through collaboration with Physicians, facility representatives, and inpatient care coordinators. - Ensures compliance to contractual and service standards as identified by relevant health insurance plans. - Adheres to policies, procedures, and regulations to ensure compliance. - Work Hours: Available to work weekends and holidays. Morning shift with 2 weekends on and 2 weekends off totaling 40 hrs per week, 8am PST - 4:30pm PST. - If you are located in California, you will have the flexibility to work remotely* as you take on some tough challenges. - At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. We might split mission statement into About the role. Responsibilities list: From "Primary Responsibilities" bullet list: - Performs job function telephonically - Coordinates safe transfers, and discharge instructions as directed by the hospitalists and Care Management teams - Delegates provisions for discharge including but not limited to follow-up appointments, home health, social services, transportation to care coordinators to ensure appropriate and timely movement of patients through the various levels of care - Consistently and accurately completes required documentation - Approves medically appropriate referrals within required regulatory timeframes to facilitate safe discharges or transfers - Ensures appropriate utilization of medical facilities and services within the parameters of the patients' benefits - Maintains effective communication with the physicians, hospitals, extended care facilities, and when necessary, patients and families - Demonstrates a thorough understanding of the cost consequences resulting from care management decisions through utilization of Division of Financial Responsibility (DOFR) - Communicates authorization or denial of services to appropriate parties and may include patient (or agent), attending / referring physician or facility administration - Track team caseloads, completes staffing schedule, and escalates issues to management as needed - Seeks and identifies opportunities for process improvement - Expected to participate in weekend and holiday coverage rotation per business needs - Maintains caseload per defined medical management department standards - Meets or exceeds productivity targets - Identifies patients appropriate for high-risk post discharge programs and refers accordingly - Demonstrates ability to work independently and implement innovative approaches to complex member situations - Performs additional duties as assigned We need to keep all. Professional Competencies list: - Consistently exhibits behavior that demonstrate Optum's commitment to superior customer service, including quality, care and concern with each and every internal and external customer - Ability to use written and oral communication skills - Ability to effectively communicate and collaborate with physicians, patients, families and ancillary staff - Ability to make sound, independent judgments and act professionally under pressure - Demonstrates effective documentation and verbal communication skills: factual, accurate, clear and timely to support delivery of effective patient care interventions and collaborative management - Demonstrate knowledge of PC applications and other role supportive technology - Ability to work with multiple computer platforms simultaneously - Ability to analyze problems and formulate appropriate plans, solutions and courses of action - Ability to work with frequent interruptions - Ability to establish and maintain cooperative working relationships with individuals at all levels of the organization and affiliates - Ability to maintain confidentiality of patient and all related entity business matters of the organization and its partners - Ability to manage detail and work with accuracy - Skill in working effectively under deadlines and changing priorities - Ability to effectively delegate action items appropriately to non-clinical staff in accordance with their role and scope of practice - Knowledge of current standards of patient care - Thorough understanding of LPN scope of practice Skills list (under "Skills" heading): - All staff members are to promote a positive and productive work environment by acting maturely and responsibly, satisfactorily performing his or her job responsibilities and conducting themselves in a professional, courteous, and respectful manner toward fellow employees, physicians and patients - Must hold relationships to a high standard- respectful approach to all people and interactions, listening to understand, take emotional accountability and exemplify balance of self with all interactions, be receptive to feedback and opportunities keeping an open mind towards growth - Performs all duties in a manner which promotes and supports the Core Values and Mission Statement - Working knowledge of health care delivery systems - Follows written and oral instructions and completes routine tasks independently - Ensures confidentiality of patient information following HIPAA guidelines and company policies - Attends/completes training to meet requirements of the job position and as needed or mandated by company policies and regulations - Has regular and predictable attendance We could combine Professional Competencies and Skills into one "Skills" section, but we have both headings. The instruction: Prefer a few substantive sections over many thin ones. Could combine them into "Skills and Competencies". But we need to use headings exactly as allowed: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. They said use

    for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). So we can choose among those. We have Qualifications (Required + Preferred). We have Skills (we can include both Professional Competencies and Skills). We have Benefits, Pay, Schedule. We have About the role. We have Responsibilities. We don't need Requirements separate if we have Qualifications. Thus sections: About the role, Respons

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