Transition of Care Coach (RN) East St Louis, IL
for section headings: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule.
We need to include sections only when posting has real specific content. The posting includes Job Summary (we can map to About the role). Essential Job Duties (Responsibilities). Required Qualifications (Qualifications). Preferred Qualifications (maybe also Qualifications or Skills). There's also mention of travel (40-50% local travel) - could be part of Responsibilities or maybe a note. There's Pay Range: $27.73 - $54.06 / HOURLY. So we need a Pay section. Benefits: "Molina Healthcare offers a competitive benefits and compensation package." That's vague but it's a statement about benefits. It's not specific details, but it's still a statement about benefits. The rule: include a section ONLY when posting has real, specific content for it — never emit a heading followed by filler/placeholder text (e.g. "commensurate with experience", "not specified", "N/A", "varies", "TBD"). "competitive benefits and compensation package" is vague but not placeholder like "varies". It's a statement that they offer benefits. It's not specific but it's still content. Might be acceptable. However they also say "Molina Healthcare offers a competitive benefits and compensation package." That's a statement about benefits. We'll include Benefits section with that sentence.
Schedule: Not mentioned. No schedule info. So we omit Schedule.
Skills: Could extract from qualifications: e.g., "Proactive and detail-oriented", "Ability to work within a variety of settings", etc. Those are more like skills/abilities. Could put under Skills section. But we already have Qualifications (required) and Preferred Qualifications. Might combine them. The instruction: Use headings for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). It says "Prefer a few substantive sections over many thin ones." So we could combine Required and Preferred Qualifications into Qualifications section. Skills could be derived from abilities listed. But we might just have Qualifications and Skills separate? Let's see: The posting includes many ability statements: "Proactive and detail-oriented.", "Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations.", "Ability to work independently, with minimal supervision and demonstrate self-motivation.", "Responsive in all forms of communication, and ability to remain calm in high-pressure situations.", "Ability to develop and maintain professional relationships.", "Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change.", "Excellent problem-solving, and critical-thinking skills.", "Excellent verbal and written communication skills.", "Microsoft Office suite/other applicable software program(s) proficiency." Those could be Skills.
Thus we can have sections: About the role (Job Summary), Responsibilities (Essential Job Duties), Qualifications (Required Qualifications + Preferred Qualifications), Skills (the ability statements), Benefits (competitive benefits), Pay (Pay Range). No Schedule.
We must not repeat job title as heading. Not include Job ID etc.
We must preserve all substantive information; do not invent or summarize away detail. So we need to include all details from the posting.
We need to format lists with - for any list of duties/requirements/benefits. For prose, use
.
Thus we need to decide what is a list: Essential Job Duties is a list of duties (multiple sentences). Could be turned into
- each duty. Similarly Required Qualifications is a list of qualifications. Preferred Qualifications also list. Skills also list.
We need to ensure we don't lose any detail.
Let's extract content.
Job Summary paragraph:
"Provides support for care transition activities. Facilitates transitional care processes and coordination for member discharge from hospital admission to all other settings. Strives to ensure that best possible services are available to members at time of hospital discharge, and focuses on goal to reduce member readmissions. Contributes to overarching strategy to provide quality and cost-effective member care."
That's prose; we can put in
.
Essential Job Duties: list of duties:
- Follows member throughout a 30 day program that starts at hospital admission and continues oversight through transitions from acute setting to all other settings, including nursing facility placement/private home, with the goal of reduced readmissions.
- Ensures safe and appropriate transitions by collaborating with the hospital discharge planner, as well as collaborating with hospitalists, outpatient providers, facility staff, and family/support network.
- Ensures member transitions to setting with adequate caregiving and functional support, as well as medical and medication oversight support.
- Works with participating ancillary providers, public agencies or other service providers to make sure necessary services and equipment are in place for safe transition.
- Conducts face-to-face visits of all members while in the hospital and, home visits high-risk members post-discharge as needed.
- Coordinates care and reassesses member needs using the Coleman Care Transition model post-discharge.
- Educates and supports member focusing on seven primary areas (Transition of Care Pillars): medication management, use of personal health record, follow-up care, signs and symptoms of worsening condition, nutrition, functional needs and or home and community-based services, and advance directives.
- Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts.
- Assesses for barriers to care, provides care coordination and assistance to member to address concerns.
- Facilitates interdisciplinary care team meetings (ICT) and collaboration.
- Provides consultation, recommendations and education as appropriate to non-behavioral health care managers.
- 40-50% local travel may be required (based upon state/contractual requirements).
We need to keep that last bullet about travel.
Required Qualifications:
- At least 2 years experience in health care, with at least 1 year of experience in hospital discharge planning, care management or behavioral health setting, or equivalent combination of relevant education and experience.
- Registered Nurse (RN). License must be active and unrestricted in state of practice.
- Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law.
- Knowledge of or experience using the Care Transitions Intervention (CTI) or similar model.
- Background in discharge planning and/or home health.
- Demonstrated knowledge of community resources.
- Proactive and detail-oriented.
- Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations.
- Ability to work independently, with minimal supervision and demonstrate self-motivation.
- Responsive in all forms of communication, and ability to remain calm in high-pressure situations.
- Ability to develop and maintain professional relationships.
- Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change.
- Excellent problem-solving, and critical-thinking skills.
- Excellent verbal and written communication skills.
- Microsoft Office suite/other applicable software program(s) proficiency.
Preferred Qualifications:
- Transitions of care sub-specialty certification and/or Certified Case Manager (CCM).
- Hospital discharge planning or home health experience.
- To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. (This is application instruction; we must remove application instructions per rule: "Remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions." So we need to drop that sentence.)
- Molina Healthcare offers a competitive benefits and compensation package. (This is benefits statement; we keep.)
- Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V (EEO boilerplate; remove.)
- Pay Range: $27.73 - $54.06 / HOURLY Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. (We need Pay section; we keep the range and note about variation.)
We must not include EEO line.
Now we need to decide sections.
About the role: Job Summary paragraph.
Responsibilities: Essential Job Duties list.
Qualifications: Could combine Required and Preferred (excluding application instructions and EEO). We'll list required qualifications as
- ... and preferred qualifications as maybe a subheading? But we only allowed headings from list; we could have a single Qualifications section with both required and preferred, maybe separate
but we can differentiate with a saying "Required Qualifications:" then list, then "Preferred Qualifications:" then list. However the instruction says use
- for any list of duties/requirements/benefits, and
for prose. So we can have a
for "Required Qualifications:" then a
. Then another for "Preferred Qualifications:" then a
. That's fine.
Skills: The ability statements (proactive, detail-oriented, ability to work..., etc.) Actually many of those are in Required Qualifications already. But we could separate them into Skills section to avoid duplication? However we must preserve all substantive information; we can't remove content. If we put them in Skills, we must also keep them somewhere else? The rule says preserve ALL substantive information; do NOT invent or summarize away detail. It doesn't forbid duplication, but we should not lose any info. If we move them to Skills and remove from Qualifications, we would be losing them from Qualifications unless we duplicate. Safer to keep them in Qualifications (as they are qualifications). Then Skills section could be empty? But we must not emit a heading followed by filler/placeholder text. So we should not create a Skills section if we have no specific content for it beyond what's already covered. However the instruction says "Prefer a few substantive sections over many thin ones." So we could omit Skills section entirely, and keep all ability statements within Qualifications. That would be fewer sections.
Thus sections: About the role, Responsibilities, Qualifications, Benefits, Pay.
We need to ensure we include all details: Job Summary, duties, qualifications (required and preferred), benefits statement, pay range.
We also need to include the travel note (40-50% local travel) which is in duties; we already included.
Now we need to format.
We'll output:
About the role
Provides support for care transition activities. Facilitates transitional care processes and coordination for member discharge from hospital admission to all other settings. Strives to ensure that best possible services are available to members at time of hospital discharge, and focuses on goal to reduce member readmissions. Contributes to overarching strategy to provide quality and cost-effective member care.
Responsibilities
- Follows member throughout a 30 day program that starts at hospital admission and continues oversight through transitions from acute setting to all other settings, including nursing facility placement/private home, with the goal of reduced readmissions.
- Ensures safe and appropriate transitions by collaborating with the hospital discharge planner, as well as collaborating with hospitalists, outpatient providers, facility staff, and family/support network.
- Ensures member transitions to setting with adequate caregiving and functional support, as well as medical and medication oversight support.
- Works with participating ancillary providers, public agencies or other service providers to make sure necessary services and equipment are in place for safe transition.
- Conducts face-to-face visits of all members while in the hospital and, home visits high-risk members post-discharge as needed.
- Coordinates care and reassesses member needs using the Coleman Care Transition model post-discharge.
- Educates and supports member focusing on seven primary areas (Transition of Care Pillars): medication management, use of personal health record, follow-up care, signs and symptoms of worsening condition, nutrition, functional needs and or home and community-based services, and advance directives.
- Uses motivational interviewing and Molina clinical guideposts to educate, support and
. Thus we need to decide what is a list: Essential Job Duties is a list of duties (multiple sentences). Could be turned into
- each duty. Similarly Required Qualifications is a list of qualifications. Preferred Qualifications also list. Skills also list.
We need to ensure we don't lose any detail.
Let's extract content.
Job Summary paragraph:
"Provides support for care transition activities. Facilitates transitional care processes and coordination for member discharge from hospital admission to all other settings. Strives to ensure that best possible services are available to members at time of hospital discharge, and focuses on goal to reduce member readmissions. Contributes to overarching strategy to provide quality and cost-effective member care."
That's prose; we can put in
. Essential Job Duties: list of duties: - Follows member throughout a 30 day program that starts at hospital admission and continues oversight through transitions from acute setting to all other settings, including nursing facility placement/private home, with the goal of reduced readmissions. - Ensures safe and appropriate transitions by collaborating with the hospital discharge planner, as well as collaborating with hospitalists, outpatient providers, facility staff, and family/support network. - Ensures member transitions to setting with adequate caregiving and functional support, as well as medical and medication oversight support. - Works with participating ancillary providers, public agencies or other service providers to make sure necessary services and equipment are in place for safe transition. - Conducts face-to-face visits of all members while in the hospital and, home visits high-risk members post-discharge as needed. - Coordinates care and reassesses member needs using the Coleman Care Transition model post-discharge. - Educates and supports member focusing on seven primary areas (Transition of Care Pillars): medication management, use of personal health record, follow-up care, signs and symptoms of worsening condition, nutrition, functional needs and or home and community-based services, and advance directives. - Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts. - Assesses for barriers to care, provides care coordination and assistance to member to address concerns. - Facilitates interdisciplinary care team meetings (ICT) and collaboration. - Provides consultation, recommendations and education as appropriate to non-behavioral health care managers. - 40-50% local travel may be required (based upon state/contractual requirements). We need to keep that last bullet about travel. Required Qualifications: - At least 2 years experience in health care, with at least 1 year of experience in hospital discharge planning, care management or behavioral health setting, or equivalent combination of relevant education and experience. - Registered Nurse (RN). License must be active and unrestricted in state of practice. - Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law. - Knowledge of or experience using the Care Transitions Intervention (CTI) or similar model. - Background in discharge planning and/or home health. - Demonstrated knowledge of community resources. - Proactive and detail-oriented. - Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations. - Ability to work independently, with minimal supervision and demonstrate self-motivation. - Responsive in all forms of communication, and ability to remain calm in high-pressure situations. - Ability to develop and maintain professional relationships. - Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change. - Excellent problem-solving, and critical-thinking skills. - Excellent verbal and written communication skills. - Microsoft Office suite/other applicable software program(s) proficiency. Preferred Qualifications: - Transitions of care sub-specialty certification and/or Certified Case Manager (CCM). - Hospital discharge planning or home health experience. - To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. (This is application instruction; we must remove application instructions per rule: "Remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions." So we need to drop that sentence.) - Molina Healthcare offers a competitive benefits and compensation package. (This is benefits statement; we keep.) - Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V (EEO boilerplate; remove.) - Pay Range: $27.73 - $54.06 / HOURLY Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. (We need Pay section; we keep the range and note about variation.) We must not include EEO line. Now we need to decide sections. About the role: Job Summary paragraph. Responsibilities: Essential Job Duties list. Qualifications: Could combine Required and Preferred (excluding application instructions and EEO). We'll list required qualifications as
- ... and preferred qualifications as maybe a subheading? But we only allowed headings from list; we could have a single Qualifications section with both required and preferred, maybe separate
- but we can differentiate with a
- for any list of duties/requirements/benefits, and
for prose. So we can have a
for "Required Qualifications:" then a
- . Then another
- Follows member throughout a 30 day program that starts at hospital admission and continues oversight through transitions from acute setting to all other settings, including nursing facility placement/private home, with the goal of reduced readmissions.
- Ensures safe and appropriate transitions by collaborating with the hospital discharge planner, as well as collaborating with hospitalists, outpatient providers, facility staff, and family/support network.
- Ensures member transitions to setting with adequate caregiving and functional support, as well as medical and medication oversight support.
- Works with participating ancillary providers, public agencies or other service providers to make sure necessary services and equipment are in place for safe transition.
- Conducts face-to-face visits of all members while in the hospital and, home visits high-risk members post-discharge as needed.
- Coordinates care and reassesses member needs using the Coleman Care Transition model post-discharge.
- Educates and supports member focusing on seven primary areas (Transition of Care Pillars): medication management, use of personal health record, follow-up care, signs and symptoms of worsening condition, nutrition, functional needs and or home and community-based services, and advance directives.
- Uses motivational interviewing and Molina clinical guideposts to educate, support and
for "Preferred Qualifications:" then a
- . That's fine.
Skills: The ability statements (proactive, detail-oriented, ability to work..., etc.) Actually many of those are in Required Qualifications already. But we could separate them into Skills section to avoid duplication? However we must preserve all substantive information; we can't remove content. If we put them in Skills, we must also keep them somewhere else? The rule says preserve ALL substantive information; do NOT invent or summarize away detail. It doesn't forbid duplication, but we should not lose any info. If we move them to Skills and remove from Qualifications, we would be losing them from Qualifications unless we duplicate. Safer to keep them in Qualifications (as they are qualifications). Then Skills section could be empty? But we must not emit a heading followed by filler/placeholder text. So we should not create a Skills section if we have no specific content for it beyond what's already covered. However the instruction says "Prefer a few substantive sections over many thin ones." So we could omit Skills section entirely, and keep all ability statements within Qualifications. That would be fewer sections.
Thus sections: About the role, Responsibilities, Qualifications, Benefits, Pay.
We need to ensure we include all details: Job Summary, duties, qualifications (required and preferred), benefits statement, pay range.
We also need to include the travel note (40-50% local travel) which is in duties; we already included.
Now we need to format.
We'll output:
About the role
Provides support for care transition activities. Facilitates transitional care processes and coordination for member discharge from hospital admission to all other settings. Strives to ensure that best possible services are available to members at time of hospital discharge, and focuses on goal to reduce member readmissions. Contributes to overarching strategy to provide quality and cost-effective member care.
Responsibilities
saying "Required Qualifications:" then list, then "Preferred Qualifications:" then list. However the instruction says use
- for any list of duties/requirements/benefits, and
- ... and preferred qualifications as maybe a subheading? But we only allowed headings from list; we could have a single Qualifications section with both required and preferred, maybe separate