Jobs · Healthcare

Senior Care Manager (RN)

Oklahoma Complete Health · Greater Enid Area · 1 mo ago
RemoteRemoteHealthcare$75k–$135k/yrFull-time
We need to output only HTML fragment, no html/body tags, no markdown fences. Use

for section headings: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Include only sections with real specific content. Remove boilerplate, EEO, etc. Must preserve all substantive info. Let's parse the posting. Position Purpose: Assesses, plans, and implements complex care management activities based on member activities to enable quality, cost-effective healthcare outcomes. Develops a personalized care plan / service plan for care members, addresses issues, and educates members and their families/care givers on services and benefit options available to receive appropriate high-quality care. Key Details: This is a field-based position, and applicants must reside in Oklahoma. Candidates must hold an active RN license. The ideal candidate will have experience working with children, foster care, and/or the juvenile justice system. Candidates should also be computer savvy and possess excellent communication, customer service, experience managing a complex medical caseload, and assessment skills. The work schedule is Monday through Friday, from 8:00 AM to 5:00 PM. Then a long list of duties (starting with "Develops and continuously assesses ongoing care plans / service plans and collaborates with providers..." etc). Those are responsibilities. Education/Experience: Requires a Degree from an Accredited School or Nursing or a Bachelor's degree in Nursing and 4 – 6 years of related experience. License/Certification RN - Registered Nurse - State Licensure and/or Compact State Licensure required Pay Range: $75,300.00 - $135,400.00 per year Then benefits paragraph: "At Centene, we connect people..." includes benefits description: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Also "Actual pay will be adjusted..." etc. That's more about pay. We need sections: About the role (maybe from Position Purpose). Responsibilities (list of duties). Requirements (maybe education/experience + license). Qualifications? Might overlap with Requirements. Skills (computer savvy, communication, customer service, assessment). Benefits (benefits paragraph). Pay (pay range). Schedule (work schedule). We must not create sections with filler like "commensurate with experience". We have actual content. We must not repeat job title as heading. No Job ID. We must remove boilerplate: EEO, equal opportunity, etc. Also remove "At Centene, we connect people..."? That's not boilerplate; it's a description of company and benefits. It includes benefits. We'll keep benefits part. We need to preserve all substantive info. So we need to include the purpose, details, duties list, education/experience, license, pay range, benefits, schedule. We need to format as HTML: use

for each section heading. Use
  • for any list of duties/requirements/benefits. Use

    for prose. We need to decide what goes where. Section "About the role": could be the Position Purpose paragraph. Section "Responsibilities": the long list of duties (starting with "Develops and continuously assesses..."). Section "Requirements": maybe education/experience and license? Or we could split: Requirements (education/experience) and Qualifications (license?). But we can combine if needed. The instruction: Prefer a few substantive sections over many thin ones. So we could have Requirements covering education/experience and license. Skills separate. Section "Skills": computer savvy, excellent communication, customer service, experience managing a complex medical caseload, assessment skills. Section "Benefits": the benefits paragraph. Section "Pay": pay range. Section "Schedule": work schedule. We must not create sections with placeholder text. All have content. Now we need to extract the duties list precisely. Let's copy the duties list from the posting: "Develops and continuously assesses ongoing care plans / service plans and collaborates with providers to identify providers, specialist, and/or community resources needed to address member's unmet needs Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / unmet needs May identify problems/barriers for care management and appropriate care management interventions for escalated cases Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations Reviews referrals information and intake assessments to develop appropriate care plans/service plans May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators Provides and/or facilitates education to members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits Partners with leadership team to improve and enhance care and quality delivery for members in a cost-effective manner May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness Provides guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice Engages and assists New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness Other duties or responsibilities as assigned by people leader to meet business needs Performs other duties as assigned. Complies with all policies and standards." We need to turn each line into

  • . Some lines have multiple sentences; keep as is. Now education/experience: "Requires a Degree from an Accredited School or Nursing or a Bachelor's degree in Nursing and 4 – 6 years of related experience." License/Certification: "RN - Registered Nurse - State Licensure and/or Compact State Licensure required" We could combine into Requirements. Skills: "computer savvy and possess excellent communication, customer service, experience managing a complex medical caseload, and assessment skills." Also maybe "ideal candidate will have experience working with children, foster care, and/or the juvenile justice system." That could be part of Requirements or Qualifications. It's a specific experience. Could go under Requirements as well. But we have to avoid duplication. Let's decide: Section "About the role": Position Purpose paragraph. Section "Responsibilities": duties list. Section "Requirements": includes education/experience, license, experience with children/foster care/juvenile justice, residency in Oklahoma, field-based, active RN license (already covered), maybe also "Candidates must hold an active RN license." That's license. Section "Skills": computer savvy, excellent communication, customer service, experience managing a complex medical caseload, assessment skills. Section "Benefits": benefits paragraph. Section "Pay": pay range. Section "Schedule": work schedule. We need to ensure we don't repeat info. For example, "Candidates must hold an active RN license." appears in Key Details and also License/Certification. We'll include once. Now we need to strip boilerplate: remove EEO, equal opportunity, etc. Also remove "At Centene, we connect people..."? That's not boilerplate; it's a description but includes benefits. We'll keep benefits part. Now produce HTML. We'll start with

    About the role

    then

    Position Purpose...

    Then

    Responsibilities

    then
    • ... each duty
    Then

    Requirements

    then
    • ... each requirement
    maybe combine multiple items. But we need to use
    • for any list of duties/requirements/benefits. For prose we use

      . So for Requirements we can make a list. Similarly Skills could be a list. Benefits could be a list (competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, flexible approach to work...). We'll make list. Pay could be a

      with the range. Schedule could be a

      . Now let's craft. About the role paragraph: "Assesses, plans, and implements complex care management activities based on member activities to enable quality, cost-effective healthcare outcomes. Develops a personalized care plan / service plan for care members, addresses issues, and educates members and their families/care givers on services and benefit options available to receive appropriate high-quality care." Now Responsibilities list: each line as

    • . Ensure we preserve punctuation. Let's list them: 1. Develops and continuously assesses ongoing care plans / service plans and collaborates with providers to identify providers, specialist, and/or community resources needed to address member's unmet needs 2. Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services 3. Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / unmet needs 4. May identify problems/barriers for care management and appropriate care management interventions for escalated cases 5. Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations 6. Reviews referrals information and intake assessments to develop appropriate care plans/service plans 7. May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources 8. Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed 9. Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators 10. Provides and/or facilitates education to members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits 11. Partners with leadership team to improve and enhance care and quality delivery for members in a cost-effective manner 12. May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness 13. Provides guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice 14. Engages and assists New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success 15. Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness 16. Other duties or responsibilities as assigned by people leader to meet business needs 17. Performs other duties as assigned. 18. Complies with all policies and standards. Now Requirements list: - Must reside in Oklahoma (field-based position) - Must hold an active RN license - Ideal candidate will have experience working with children, foster care, and/or the juvenile justice system - Requires a Degree from an Accredited School of Nursing or a Bachelor's degree in Nursing and 4 – 6 years of related experience - RN - Registered Nurse -

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