Manager, Comprehensive Care Advocacy
HealthPartners · Bloomington, MN · 1 mo ago
OTHRContract
We need to output HTML fragment with sections: h3 headings for sections present: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We must include only sections with real specific content. The posting includes description of role, responsibilities, qualifications, required qualifications, preferred qualifications, benefits description. No explicit Pay or Schedule. So we should not include Pay or Schedule sections. Also we should not repeat job title as heading. We need to use for section headings. Use
for section headings. Use - for any list of duties/requirements/benefits, and
for prose.
We need to preserve all substantive information, not invent or summarize away detail. Remove boilerplate: cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, application instructions. The posting includes an "About Us" paragraph and EEO statement at end; we should remove those as boilerplate. Also "Benefits Designed To Support Your Total Health" is benefits content; we should keep that. The "About Us" maybe considered boilerplate? It's descriptive of organization; could be considered not required? The instruction: remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. "About Us" is not explicitly listed but could be considered boilerplate? It's not EEO, but it's generic description. Might be okay to keep? The instruction says preserve ALL substantive information; does "About Us" count as substantive? It's about the organization, not the job. Might be considered boilerplate but not explicitly listed. Safer to keep? However they said remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate. "About Us" is not those. Could keep but might be considered filler. I'd keep it as a brief paragraph under maybe "About HealthPartners" but not a required heading. Since we only output sections with headings, we could embed that paragraph under a generic "About the role" or maybe not include a heading for it. The instruction: Use
for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). So we can choose which headings to include. The "About the role" heading could contain the initial description: "HealthPartners is hiring a Manager, Comprehensive Care Advocacy. This position exists to: ..." That's substantive. Then Responsibilities: list of accountabilities etc. Requirements: maybe required qualifications. Qualifications: maybe preferred qualifications? Or we could combine required and preferred under Requirements and Qualifications. Skills: maybe list of skills like communication, project management, etc. Benefits: the benefits paragraph.
We need to avoid filler like "commensurate with experience". Not present.
We must not repeat job title as heading. So we won't have a heading that is just the job title.
We need to output only HTML fragment, no /, no markdown fences.
Let's structure:
About the role
HealthPartners is hiring a Manager, Comprehensive Care Advocacy. This position exists to: Develop and manage successful, innovative, and member-centered Case/Disease Management programs; to assure strategic alignment of program activity; and to achieve annual goals and objectives. Provide innovative, dynamic, and service oriented leadership for supervisors and staff in the Case/Disease Management programs. Act as a clinical, program, and fiscal consultant for all members of the team regarding complex issues as they relate to Case/Disease Management.
Note: The original had "Cct as a clinical..." likely typo "Act". We'll keep as is? Should we preserve exactly? It says "Cct as a clinical, program, and fiscal consultant". That's likely a typo but we must preserve ALL substantive information; we should not correct typos? The instruction: Preserve ALL substantive information; do NOT invent or summarize away detail. It doesn't say to fix typos. So we should keep the exact text "Cct as a clinical, program, and fiscal consultant". Keep as is.
Then Responsibilities: we can list bullet points from "Accountabilities", "Leadership", "Program Management and Evaluation", "Process Management", "Clinical Design", "Member Focus", "Relationships and Team Building", "Quality Assurance and Compliance", "Integration", "Communication", "Technology", "Personal Development", "Other duties". That's many; we can combine into a with each bullet as a sentence or phrase. Must preserve all substantive information; we cannot omit details. So we need to include each bullet point as a list item, preserving the text.
We need to be careful not to include boilerplate like "Other duties as assigned." That's substantive? It's a line; we can keep.
We'll create a with - for each bullet.
Let's extract bullet points from the text:
Accountabilities:
- Responsible for the supervision of staff, including having the authority to hire, transfer, lay off, promote, discipline and discharge, train, reward and review performance of employees.
- Ensures compliance to organizational and departmental policies and procedures.
Leadership:
- Represents the case/disease management programs across the organization to ensure that the services are coordinated with strategic initiatives across the enterprise.
- Builds effective relationships, inspires others to achieve excellence, embraces change, and creates the willingness to change in others.
- Consistently applies the corporate values of HealthPartners in relationships, daily work, and program management.
- Designs practices, processes, and procedures which allow managing from a distance.
- Ensures that all staff receive regular performance feedback and a timely performance evaluation; collaborates with Senior Leadership regarding staff budget and compensation.
- Executes new strategic initiatives
Program Management and Evaluation:
- In collaboration with the Senior Leadership, develops program goals; utilizes the Triple Aim methodology to identify and prioritize drivers and strategies for each program.
- Develops and leads successful, timely strategies to meet annual program goals for Experience, Health, and Affordability.
- Identifies appropriate measures which will be used to monitor progress on these goals.
- Assumes responsibility for routine, timely measurement of program metrics and analyzes to identify trends and opportunities to improve.
- Process Management: Supports supervisor(s) in daily operations.
- Develops and monitors key metrics to monitor performance of key processes.
- Prioritizes and initiates improvement efforts as necessary and when appropriate.
Clinical Design:
- Designs and executes new, innovative programs with cross-functional and strategic partners, both internal and external
Member Focus:
- Ensures all staff and program functions are member focused, resulting in high levels of member and family satisfaction.
Relationships and Team Building:
- Creates and maintains high performing team(s); facilitates effective cross-functional teamwork within the department and with other departments to collaborate in patient care and performance improvement activities.
Quality Assurance and Compliance:
- Develops and maintains policies and procedures to support program(s) and to ensure adherence to contractual requirements, as well as regulatory and accreditation standards.
- Ensures timely completion of reports for health plan, regulatory, accreditation, reinsurance, and any other requirements.
- Works with Government Programs to ensure compliance with Medicare and Medicaid requirements and regulations.
Integration:
- Effectively integrates the Case/Disease Management program with other medical management programs within the health plan, HealthPartners Medical Group, contracted medical groups, and other strategic partners.
Communication:
- Effectively communicates with staff, physicians, members, management, customers, and others to facilitate the flow of information necessary for success of patients and families, employees, department, and the organization.
- Collaborates with senior leadership and program supervisors to establish and maintain routine reporting processes, both oral and written, to ensure ongoing and complete communication of program status, outcomes, changes, and ongoing activity to those within and outside of the department.
- Maintains appropriate confidentiality of information in accordance with HealthPartners corporate policies.
Technology:
- Ensures maximum program productivity through proficient use of technology including computers, phones, Rightfax, IP agent, cell phones, and pagers as appropriate.
Personal Development:
- Participates in ongoing independent study, education related professional activities, and professional affiliations to maintain knowledge in the areas of case/disease management, patient care services, and how to create standards of excellence in a growing and changing field of practice.
- Demonstrates effective project management skills, including use of project planning and tracking tools; development of achievable goals, objectives, and timelines; innovative use of resources, and attention to financial analysis.
- Demonstrates responsiveness to and appreciation of constructive feedback and recommendations for personal growth and development.
Other duties:
- Actively participates in the creation, update, and ongoing testing of business continuity and disaster recovery planning and preparation.
- Willingly participates in and/or effectively leads various committees, task forces, projects and quality improvement initiatives as needed and assigned.
- Other duties as assigned.
We need to ensure we didn't miss any.
Now Requirements section: Required Qualifications bullet list.
Required Qualifications:
- Professional college degree in healthcare field.
- Relevant certification coursework within 24 months of employment.
- Minimum of 5 years clinical practice experience; minimum of 5 years relevant case/disease management experience and current clinical knowledge.
- Five years of demonstrated effective, independent leadership and management skills as well as experience in the development of new and ongoing medical management programs that have resulted in measurable improvement of experience, health, and stewardship outcomes.
- Demonstrated skill and experience in effectively relating to and collaboratively working with physicians, medical administrators, and team members using a high level of expertise in written, oral, and interpersonal communications.
- Demonstrated skill and experience in designing and executing new programs and strategies
- Demonstrated working knowledge of QI, UM, benefit plans fiscal management, and various payment methodologies.
- Understanding of healthcare and/or HMO industry.
- Demonstrated ability to identify and negotiate boundaries of accountability and authority within multiple disciplines and departments.
- Demonstrated expertise in clinical, financial, and statistical data analysis and reporting.
- Demonstrated skill in effective use and management of automated medical management systems.
- Demonstrated flexibility, organization, and appropriate decision-making under challenging situations.
Preferred Qualifications:
- Registered Nurse with current license in the State of Minnesota, or equivalent; BSN preferred.
- Decision-making Makes independent decisions within the scope of this position’s accountabilities and determines the need for and the timing of consultation with senior leadership and/or medical director.
- Common areas of focus: Program-specific processes Program-specific Policies and Procedures Program design Strategic initiative execution
Note: The preferred qualifications section includes a weird line: "Decision-making Makes independent decisions..." It seems like a heading then description. We'll keep as is.
We could split into Required Qualifications and Preferred Qualifications under a "Requirements" heading or separate headings. The instruction says use headings like Requirements, Qualifications, Skills. We could have:
Requirements
Required Qualifications:
...
Preferred Qualifications:
...
Or we could have Qualifications
containing both required and preferred.
Skills: maybe we can extract skills from responsibilities like leadership, communication, project management, etc. But we already have many details; we could create a Skills section summarizing skill statements. However we must not invent or summarize away detail; we could list skill statements as bullet points from the text that are skill-oriented. But we already have them in responsibilities and qualifications. Might be redundant. The instruction: Prefer a few substantive sections over many thin ones. So we could combine Required and Preferred Qualifications into one Qualifications section, and maybe have Responsibilities section, and Benefits section. Skills maybe not needed if covered.
Thus we could have:
About the role
...
Responsibilities
...
Qualifications
Required Qualifications:
...
Preferred Qualifications:
...
Benefits
Benefits Designed To Support Your Total Health As a HealthPartners colleague, we’re committed to nurturing your diverse talents, valuing your dedication, and supporting your work-life balance. We offer a comprehensive range of benefits to support every aspect of your life,
for prose. We need to preserve all substantive information, not invent or summarize away detail. Remove boilerplate: cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, application instructions. The posting includes an "About Us" paragraph and EEO statement at end; we should remove those as boilerplate. Also "Benefits Designed To Support Your Total Health" is benefits content; we should keep that. The "About Us" maybe considered boilerplate? It's descriptive of organization; could be considered not required? The instruction: remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. "About Us" is not explicitly listed but could be considered boilerplate? It's not EEO, but it's generic description. Might be okay to keep? The instruction says preserve ALL substantive information; does "About Us" count as substantive? It's about the organization, not the job. Might be considered boilerplate but not explicitly listed. Safer to keep? However they said remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate. "About Us" is not those. Could keep but might be considered filler. I'd keep it as a brief paragraph under maybe "About HealthPartners" but not a required heading. Since we only output sections with headings, we could embed that paragraph under a generic "About the role" or maybe not include a heading for it. The instruction: Use
for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). So we can choose which headings to include. The "About the role" heading could contain the initial description: "HealthPartners is hiring a Manager, Comprehensive Care Advocacy. This position exists to: ..." That's substantive. Then Responsibilities: list of accountabilities etc. Requirements: maybe required qualifications. Qualifications: maybe preferred qualifications? Or we could combine required and preferred under Requirements and Qualifications. Skills: maybe list of skills like communication, project management, etc. Benefits: the benefits paragraph.
We need to avoid filler like "commensurate with experience". Not present.
We must not repeat job title as heading. So we won't have a heading that is just the job title.
We need to output only HTML fragment, no /, no markdown fences.
Let's structure:
About the role
HealthPartners is hiring a Manager, Comprehensive Care Advocacy. This position exists to: Develop and manage successful, innovative, and member-centered Case/Disease Management programs; to assure strategic alignment of program activity; and to achieve annual goals and objectives. Provide innovative, dynamic, and service oriented leadership for supervisors and staff in the Case/Disease Management programs. Act as a clinical, program, and fiscal consultant for all members of the team regarding complex issues as they relate to Case/Disease Management.
Note: The original had "Cct as a clinical..." likely typo "Act". We'll keep as is? Should we preserve exactly? It says "Cct as a clinical, program, and fiscal consultant". That's likely a typo but we must preserve ALL substantive information; we should not correct typos? The instruction: Preserve ALL substantive information; do NOT invent or summarize away detail. It doesn't say to fix typos. So we should keep the exact text "Cct as a clinical, program, and fiscal consultant". Keep as is. Then Responsibilities: we can list bullet points from "Accountabilities", "Leadership", "Program Management and Evaluation", "Process Management", "Clinical Design", "Member Focus", "Relationships and Team Building", "Quality Assurance and Compliance", "Integration", "Communication", "Technology", "Personal Development", "Other duties". That's many; we can combine into a- with each bullet as a sentence or phrase. Must preserve all substantive information; we cannot omit details. So we need to include each bullet point as a list item, preserving the text.
We need to be careful not to include boilerplate like "Other duties as assigned." That's substantive? It's a line; we can keep.
We'll create a
- for each bullet.
Let's extract bullet points from the text:
Accountabilities:
- Responsible for the supervision of staff, including having the authority to hire, transfer, lay off, promote, discipline and discharge, train, reward and review performance of employees.
- Ensures compliance to organizational and departmental policies and procedures.
Leadership:
- Represents the case/disease management programs across the organization to ensure that the services are coordinated with strategic initiatives across the enterprise.
- Builds effective relationships, inspires others to achieve excellence, embraces change, and creates the willingness to change in others.
- Consistently applies the corporate values of HealthPartners in relationships, daily work, and program management.
- Designs practices, processes, and procedures which allow managing from a distance.
- Ensures that all staff receive regular performance feedback and a timely performance evaluation; collaborates with Senior Leadership regarding staff budget and compensation.
- Executes new strategic initiatives
Program Management and Evaluation:
- In collaboration with the Senior Leadership, develops program goals; utilizes the Triple Aim methodology to identify and prioritize drivers and strategies for each program.
- Develops and leads successful, timely strategies to meet annual program goals for Experience, Health, and Affordability.
- Identifies appropriate measures which will be used to monitor progress on these goals.
- Assumes responsibility for routine, timely measurement of program metrics and analyzes to identify trends and opportunities to improve.
- Process Management: Supports supervisor(s) in daily operations.
- Develops and monitors key metrics to monitor performance of key processes.
- Prioritizes and initiates improvement efforts as necessary and when appropriate.
Clinical Design:
- Designs and executes new, innovative programs with cross-functional and strategic partners, both internal and external
Member Focus:
- Ensures all staff and program functions are member focused, resulting in high levels of member and family satisfaction.
Relationships and Team Building:
- Creates and maintains high performing team(s); facilitates effective cross-functional teamwork within the department and with other departments to collaborate in patient care and performance improvement activities.
Quality Assurance and Compliance:
- Develops and maintains policies and procedures to support program(s) and to ensure adherence to contractual requirements, as well as regulatory and accreditation standards.
- Ensures timely completion of reports for health plan, regulatory, accreditation, reinsurance, and any other requirements.
- Works with Government Programs to ensure compliance with Medicare and Medicaid requirements and regulations.
Integration:
- Effectively integrates the Case/Disease Management program with other medical management programs within the health plan, HealthPartners Medical Group, contracted medical groups, and other strategic partners.
Communication:
- Effectively communicates with staff, physicians, members, management, customers, and others to facilitate the flow of information necessary for success of patients and families, employees, department, and the organization.
- Collaborates with senior leadership and program supervisors to establish and maintain routine reporting processes, both oral and written, to ensure ongoing and complete communication of program status, outcomes, changes, and ongoing activity to those within and outside of the department.
- Maintains appropriate confidentiality of information in accordance with HealthPartners corporate policies.
Technology:
- Ensures maximum program productivity through proficient use of technology including computers, phones, Rightfax, IP agent, cell phones, and pagers as appropriate.
Personal Development:
- Participates in ongoing independent study, education related professional activities, and professional affiliations to maintain knowledge in the areas of case/disease management, patient care services, and how to create standards of excellence in a growing and changing field of practice.
- Demonstrates effective project management skills, including use of project planning and tracking tools; development of achievable goals, objectives, and timelines; innovative use of resources, and attention to financial analysis.
- Demonstrates responsiveness to and appreciation of constructive feedback and recommendations for personal growth and development.
Other duties:
- Actively participates in the creation, update, and ongoing testing of business continuity and disaster recovery planning and preparation.
- Willingly participates in and/or effectively leads various committees, task forces, projects and quality improvement initiatives as needed and assigned.
- Other duties as assigned.
We need to ensure we didn't miss any.
Now Requirements section: Required Qualifications bullet list.
Required Qualifications:
- Professional college degree in healthcare field.
- Relevant certification coursework within 24 months of employment.
- Minimum of 5 years clinical practice experience; minimum of 5 years relevant case/disease management experience and current clinical knowledge.
- Five years of demonstrated effective, independent leadership and management skills as well as experience in the development of new and ongoing medical management programs that have resulted in measurable improvement of experience, health, and stewardship outcomes.
- Demonstrated skill and experience in effectively relating to and collaboratively working with physicians, medical administrators, and team members using a high level of expertise in written, oral, and interpersonal communications.
- Demonstrated skill and experience in designing and executing new programs and strategies
- Demonstrated working knowledge of QI, UM, benefit plans fiscal management, and various payment methodologies.
- Understanding of healthcare and/or HMO industry.
- Demonstrated ability to identify and negotiate boundaries of accountability and authority within multiple disciplines and departments.
- Demonstrated expertise in clinical, financial, and statistical data analysis and reporting.
- Demonstrated skill in effective use and management of automated medical management systems.
- Demonstrated flexibility, organization, and appropriate decision-making under challenging situations.
Preferred Qualifications:
- Registered Nurse with current license in the State of Minnesota, or equivalent; BSN preferred.
- Decision-making Makes independent decisions within the scope of this position’s accountabilities and determines the need for and the timing of consultation with senior leadership and/or medical director.
- Common areas of focus: Program-specific processes Program-specific Policies and Procedures Program design Strategic initiative execution
Note: The preferred qualifications section includes a weird line: "Decision-making Makes independent decisions..." It seems like a heading then description. We'll keep as is.
We could split into Required Qualifications and Preferred Qualifications under a "Requirements" heading or separate headings. The instruction says use headings like Requirements, Qualifications, Skills. We could have:
Requirements
Required Qualifications:
- ...
Preferred Qualifications:
- ...
Qualifications
containing both required and preferred. Skills: maybe we can extract skills from responsibilities like leadership, communication, project management, etc. But we already have many details; we could create a Skills section summarizing skill statements. However we must not invent or summarize away detail; we could list skill statements as bullet points from the text that are skill-oriented. But we already have them in responsibilities and qualifications. Might be redundant. The instruction: Prefer a few substantive sections over many thin ones. So we could combine Required and Preferred Qualifications into one Qualifications section, and maybe have Responsibilities section, and Benefits section. Skills maybe not needed if covered. Thus we could have:About the role
...
Responsibilities
- ...
Qualifications
Required Qualifications:
- ...
Preferred Qualifications:
- ...
Benefits
Benefits Designed To Support Your Total Health As a HealthPartners colleague, we’re committed to nurturing your diverse talents, valuing your dedication, and supporting your work-life balance. We offer a comprehensive range of benefits to support every aspect of your life,
- with