Manager of Care Management

We need to output HTML fragment with sections: About the role (already present), Responsibilities (What You'll Do), Qualifications (including Preferred Qualifications maybe), Benefits? Not provided. Pay: Compensation given: $100,000 - $150,000 / year. So we need a Pay section. Schedule: Not given (full-time mentioned but not schedule details). Should we include Schedule? The posting says full-time position; but schedule not specified (e.g., Monday-Friday). The rule: never create Pay/Schedule/Benefits sections unless posting actually states them. It states compensation, so Pay section is okay. It states full-time but not schedule details like hours; maybe we can include Schedule only if specific schedule given. The posting says "This is a full-time position". That's not a schedule detail like "Monday-Friday, 9am-5pm". The rule: avoid filler like "not specified". So we should not create Schedule section because we don't have specific schedule. Benefits: not mentioned. So omit Benefits. We need headings:

for each section: About the role, Responsibilities, Qualifications, Pay. Possibly also "Environmental Job Requirements and Working Conditions" could be part of Responsibilities or Qualifications? It's more about working conditions; could be included under Responsibilities? But we should not create a section unless we have real content. Could incorporate into Responsibilities as a bullet? But it's separate section "Environmental Job Requirements and Working Conditions". Could treat as part of Responsibilities? However the instruction: Use

for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). So we can choose headings that match content. We have About the role, Responsibilities (What You'll Do), Qualifications (including Licenses/Certifications), Pay. We could also include "Working Conditions" as a separate heading if we want, but not in the list of examples; but we could still use

for any section heading. The examples are not exhaustive. But better to follow the pattern: we can include "Working Conditions" as a heading if we have content. However the instruction says "Prefer a few substantive sections over many thin ones." So maybe combine Working Conditions into Responsibilities or Qualifications. But it's about environment, travel, etc. Could be part of Responsibilities? Not exactly. Could be its own section but might be thin. However we have substantive content: ability to work fast-paced, occasional local travel, frequent use of computer, maintain compliance, ability to work independently, reasonable accommodations. That's enough for a section. Could be titled "Working Conditions". Let's include it. We must not repeat job title as heading. No Job ID. Remove boilerplate. We need to preserve all substantive information. Let's extract: About the Role paragraph: "We are currently seeking a highly motivated Manager, Care Management to support our Health Services Outpatient Care Management team at Astrana Health. This role is responsible for managing telephonic and in-home Care Management services and activities for high-risk patients, with the primary goal of preventing unnecessary utilization and improving patient outcomes. This position will lead a multidisciplinary clinical team, including providers, registered nurses, social workers, community health workers, and care coordinators. The ideal candidate is a strong people leader with deep care management expertise, a passion for serving complex patient populations, and a commitment to advancing value-based care. Our Values Put Patients First Empower Entrepreneurial Provider and Care Teams Operate with Integrity & Excellence Be Innovative Work As One Team" We should keep the values list maybe as a

or keep as prose. The values are bullet-like but not explicitly list. Could format as
• Put Patients First
... but the instruction: Use
• for any list of duties/requirements/benefits. Values could be considered a list. Safer to put as
  . Responsibilities (What You'll Do): list of bullet points (each starts with Ensure or Manage etc). We'll convert each line to
  • . Qualifications: includes Bachelor's degree..., Licensed in Rhode Island..., At least 3 years..., In-depth knowledge..., Strong understanding..., Experience leading..., Effective written..., Extensive experience..., Professional work ethic..., Ability to thrive..., Authentic passion... Also Preferred Qualifications: Massachusetts RN license..., Experience supporting integrated care..., Experience working within managed care..., Licenses/Certifications: Active RN, LMSW/LCSW, LMFT, LPC, PhD, or PsyD license in the applicable state; Rhode Island licensure required; Independent licensure required. We should keep all. Pay: Compensation: $100,000 - $150,000 / year. Working Conditions: This is a full-time position supporting telephonic and in-home Care Management services for high-risk patient populations Ability to work in a fast-paced environment while managing multiple priorities and deadlines Occasional local travel may be required to support business and patient care needs Frequent use of a computer, telephone, and standard office equipment Must maintain compliance with all HIPAA, state, and federal regulations Ability to work independently and collaboratively across multidisciplinary teams Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the role. We'll format as
    . Now produce HTML fragment:

    About the role

    We are currently seeking a highly motivated Manager, Care Management to support our Health Services Outpatient Care Management team at Astrana Health. This role is responsible for managing telephonic and in-home Care Management services and activities for high-risk patients, with the primary goal of preventing unnecessary utilization and improving patient outcomes. This position will lead a multidisciplinary clinical team, including providers, registered nurses, social workers, community health workers, and care coordinators. The ideal candidate is a strong people leader with deep care management expertise, a passion for serving complex patient populations, and a commitment to advancing value-based care.

    Our Values

    • Put Patients First
    • Empower Entrepreneurial Provider and Care Teams
    • Operate with Integrity & Excellence
    • Be Innovative
    • Work As One Team
    But the instruction said use

    for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). It didn't list Values. Could we embed values under About the role as a list? Might be better to keep as part of About the role

    . However the values are a list; we could include them under About the role as a
    after the paragraph. That avoids extra heading. Let's do that: About the role section includes paragraph and then a
    for values. Thus:

    About the role

    We are currently seeking a highly motivated Manager, Care Management to support our Health Services Outpatient Care Management team at Astrana Health. This role is responsible for managing telephonic and in-home Care Management services and activities for high-risk patients, with the primary goal of preventing unnecessary utilization and improving patient outcomes. This position will lead a multidisciplinary clinical team, including providers, registered nurses, social workers, community health workers, and care coordinators. The ideal candidate is a strong people leader with deep care management expertise, a passion for serving complex patient populations, and a commitment to advancing value-based care.

    • Put Patients First
    • Empower Entrepreneurial Provider and Care Teams
    • Operate with Integrity & Excellence
    • Be Innovative
    • Work As One Team
    Now Responsibilities:

    Responsibilities

    • Manage clinical services, including oversight of clinical policies, procedures, and daily activities of clinical team staff
    • Ensure adequate staffing to conduct care management activities and effectively distribute workloads
    • Ensure team members receive appropriate training to serve the population and demonstrate effective engagement activities for individuals with various disabilities, including chronic physical and behavioral health conditions
    • Ensure Integrated Clinical Services staff are trained on NCQA and HEDIS measures and processes to maintain compliance
    • Ensure all programs and clinical operations are in full compliance with state and federal regulations, including HIPAA
    • Ensure compliance with emergency management policies, procedures, and processes by serving as a liaison with other business units
    • Monitor the effectiveness of existing procedures and outreach/intervention efforts in demonstrating positive outcomes for patients
    • Ensure appropriate care planning, education, and interventions are conducted for members identified as at risk
    • Ensure staff coordinate the exchange of information between behavioral health and medical providers in developing comprehensive care plans for at-risk members
    • Monitor data to address quality measures, trends, and improvement opportunities, including provider issues, service gaps, and patient needs
    • Evaluate the effectiveness of care management programs and implement adjustments when opportunities for improvement are identified
    Qualifications:

    Qualifications

    • Bachelor's degree in Nursing or a related field, or graduation from an accredited School of Nursing
    • Licensed in Rhode Island; additional Massachusetts RN license preferred
    • At least 3 years of care management and/or utilization management experience
    • In-depth knowledge of assessment, diagnosis, and treatment of individuals with complex needs
    • Strong understanding of care management, mental health community resources, and local healthcare delivery systems
    • Experience leading a functional area, managing cross-functional teams on large-scale projects, or providing direct supervisory leadership, including hiring, training, work assignment, and performance management
    • Effective written and verbal communication skills
    • Extensive experience with Microsoft Office Suite, including Word, Excel, and PowerPoint
    • Professional work ethic and strong attention to detail
    • Ability to thrive in a fast-paced environment
    • Authentic passion for improving the lives of complex, high-risk patients and advancing value-based care
    We could also add Preferred Qualifications as a sublist under Qualifications, but we could just add more
    • items. However to keep clarity, we could add a heading "Preferred Qualifications" but that would be another thin section. Better to incorporate into Qualifications as separate bullet points with label? Could add a
    • with "Preferred Qualifications:" then nested list? Might be messy. Simpler: add extra bullet points for preferred qualifications. Thus add:
    • Massachusetts RN license
    • Experience supporting integrated care management programs for high-risk populations
    • Experience working within managed care, health plan, or value-based care environments
    • Active RN, LMSW/LCSW, LMFT, LPC, PhD, or PsyD license in the applicable state
    • Rhode Island licensure required
    • Independent licensure required
    But note some of these are also required (Rhode Island licensure required, Independent licensure required). We'll just list them. Now Pay:

    Pay

    $100,000 - $150,000 per year

    Working Conditions:

    Working Conditions

    • This is a full-time position supporting telephonic and in-home Care Management services for high-risk patient populations
    • Ability to work in a fast-paced environment while managing multiple priorities and deadlines
    • Occasional local travel may be required to support business and patient care needs
    • Frequent use of a computer, telephone, and standard office equipment
    • Must maintain compliance with all HIPAA, state, and federal regulations
    • Ability to work independently and collaboratively across multidisciplinary teams
    • Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the role