Case Manager Nurse
WellSpan Health · Ephrata, PA · 1 mo ago
OTHRFull-time
We need to output HTML fragment with sections: About the role? The posting includes General Summary, Responsibilities, Qualifications, Benefits Offered, About Us, About The Team. According to rules: Use for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). We should include sections only if posting has real specific content. We have content for Responsibilities, Qualifications, Benefits Offered, About Us, About The Team. Possibly also "General Summary" could be considered "About the role". The summary is a prose description of the role. So we can make an
for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). We should include sections only if posting has real specific content. We have content for Responsibilities, Qualifications, Benefits Offered, About Us, About The Team. Possibly also "General Summary" could be considered "About the role". The summary is a prose description of the role. So we can make an About the role
with that paragraph.
We must not repeat job title as heading (none given). No Job ID.
We must not include boilerplate like EEO etc. None present.
We need to use - for any list of duties/requirements/benefits. The responsibilities are a list of bullet-like sentences but not formatted as list. We should convert them to
- . Similarly qualifications maybe list? It includes Minimum Education, Work Experience, Licenses, Knowledge, Skills, And Abilities. Could be list. Benefits Offered is a list.
We need to preserve all substantive information, not invent or summarize away detail. So we need to keep each bullet point exactly as in text.
We need to remove duplicated lines. There's no duplication.
We need to output only HTML fragment, no /, no markdown fences.
Let's extract sections.
General Summary paragraph: "Performs a variety of duties and applies utilization and case management techniques to determine the most efficient use of resources to facilitate a patient's progression of care and the provision of appropriate, cost effective and quality health care. Works in a team model with social work in assigned patient care areas to address patient discharge needs. Provides leadership in the integration of utilization and case management principles."
We'll put that under
About the role
with .
Responsibilities: The section "Responsibilities Duties and Responsibilities" then list of sentences each starting with a verb. We'll convert each to
- . Ensure we keep the exact text.
List:
- Reviews assigned patients for medical necessity, utilization management, and appropriateness of setting for continued hospitalization.
- Initiates problem-solving techniques to prevent over and/or under utilization.
- Facilitates and coordinates the progression of patient care to optimize throughput and the utilization of resources to support continuous quality and cost of care efforts.
- Liaisons between utilization management team, third party payers, and the treatment team regarding the identified treatment plan in accordance with contractual guidelines and System policy.
- Assists the patient care team with the identification and coordination of alternative treatment settings to provide appropriate care, maintain quality of care, and reduce cost.
- Identifies conditions which require case management across the care continuum.
- Collaborates with members of the patient care team to identify interdisciplinary needs
- Collaborates with care management across the system to effectively transition patient care and support value-based care initiatives.
- Completes case management patient assessment, identifies needs, develops a discharge plan, and coordinates discharge needs (DME, Home Health, IV antibiotics, etc.) in collaboration with patients, families, and care team.
- Assists with the collection and analysis of utilization patterns, length of stay, readmissions, avoidable days, and denied cases.
- Brings known or suspected problems of under-, over-, or inappropriate utilization of resources to the attention of the appropriate manager(s).
Note there is a line "Common Expectations" after responsibilities. That seems like another subsection but not a heading we need to include? It's more like general expectations. Could be considered part of responsibilities or maybe a separate section like "Common Expectations". The rules only list certain headings; we could include it as a section if we think it's substantive. It's about safety, documentation, etc. Could be considered part of responsibilities but we could make a section "Common Expectations". However the instruction: "Use
for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule)." It gives examples but not exhaustive. We can add other headings if needed. But we should prefer few substantive sections over many thin ones. The "Common Expectations" is a block of prose; we could incorporate it into Responsibilities or About the role. Probably better to keep as a separate section "Common Expectations". However the examples didn't list that; but we can still use Common Expectations
. It's not prohibited. We'll decide to include it as a section.
But we need to check if we should treat it as part of Responsibilities. The responsibilities list ends before "Common Expectations". The "Common Expectations" paragraph is separate. We'll make a section.
Now Qualifications: The section "QUALIFICATIONS" then subparts: Minimum Education, Work Experience, Licenses, Knowledge, Skills, And Abilities. We'll make a Qualifications
and then maybe a with each bullet? But the subparts have headings inside. We could keep them as with bold? But we must not invent formatting. We could keep as
with line breaks. However rule: Use
- for any list of duties/requirements/benefits. Qualifications is a list of requirements, so we should use
- . Each requirement can be a list item containing the details. For example:
- Minimum Education: Associates Degree Required; Bachelors Degree Preferred
- Work Experience: 2 years Recent acute care experience Required; Field of Experience in Utilization Management, Case Management, or Clinical Nursing Specialty. Preferred
- Licenses: Licensed Registered Nurse Upon Hire Required or Registered Nurse Multi State License Upon Hire Required and Basic Life Support Upon Hire Required; Certified in Case Management Preferred
- Knowledge, Skills, And Abilities: Excellent interpersonal and communication skills.; Basic computer skills.; Desire and ability to work in a supportive and collaborative team environment.
We need to preserve all detail. We'll keep the exact phrasing but maybe combine lines.
Better to keep each bullet as a sentence: "Minimum Education Associates Degree Required Bachelors Degree Preferred". But original had line breaks. We'll preserve the meaning.
We'll produce
- Minimum Education: Associates Degree Required; Bachelors Degree Preferred.
etc.
Now Benefits Offered: list: Comprehensive health benefits, Retirement savings plan, Paid time off (PTO), Education assistance, Financial education and support, including DailyPay, Expanded Paid Parental Leave. We'll make - each.
About Us: paragraph about WellSpan Health vision etc. We'll make
About Us
with .
About The Team: paragraph about WellSpan Ephrata Community Hospital etc. We'll make
About The Team
with .
We must not include navigation, legal, EEO, etc. None.
Now ensure we don't include empty sections.
Let's craft HTML.
We'll start with
About the role
...
Then Responsibilities
...
Then Common Expectations
...
Then Qualifications
...
Then Benefits Offered
...
Then About Us
...
Then About The Team
...
Check for any duplicated lines: none.
Now extract the exact text for each.
About the role text: "Performs a variety of duties and applies utilization and case management techniques to determine the most efficient use of resources to facilitate a patient's progression of care and the provision of appropriate, cost effective and quality health care. Works in a team model with social work in assigned patient care areas to address patient discharge needs. Provides leadership in the integration of utilization and case management principles."
Common Expectations text: "Demonstrates a commitment to patient, visitor, and staff by complying with all applicable safety regulations, learning the impact of medical errors and methodology that will lead to reduction of errors; reporting actual and potential errors, as well as hazardous conditions; identifying opportunities to standardize processes and “error proof” systems that will lead to increased safety; and participating in safety education programs and root cause analyses as required.Prepares and maintains appropriate documentation as required.Maintains established policies and procedures, objectives, quality assessment and safety standards.Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation.Prepares and presents utilization data analysis as required.Participates in the development and delivery of educational information and process improvements related to job accountabilities and case management principles.Attends meetings as required."
Note there is no space after some semicolons; we keep as is.
Qualifications details:
Minimum Education Associates Degree Required Bachelors Degree Preferred
Work Experience 2 years Recent acute care experience Required Field of Experience in Utilization Management, Case Management, or Clinical Nursing Specialty. Preferred
Licenses Licensed Registered Nurse Upon Hire Required or Registered Nurse Multi State License Upon Hire Required and Basic Life Support Upon Hire Required Certified in Case Management Preferred
Knowledge, Skills, And Abilities Excellent interpersonal and communication skills. Basic computer skills. Desire and ability to work in a supportive and collaborative team environment.
We need to preserve punctuation. Let's copy exactly as lines but combine.
Original lines:
Minimum Education Associates Degree Required
Bachelors Degree Preferred
Work Experience 2 years Recent acute care experience Required
Field of Experience in Utilization Management, Case Management, or Clinical Nursing Specialty. Preferred
Licenses Licensed Registered Nurse Upon Hire Required or
Registered Nurse Multi State License Upon Hire Required and
Basic Life Support Upon Hire Required
Certified in Case Management Preferred
Knowledge, Skills, And Abilities Excellent interpersonal and communication skills.
Basic computer skills.
Desire and ability to work in a supportive and collaborative team environment.
We'll make each bullet a - containing the lines separated by spaces or semicolons? To preserve, we can keep line breaks inside
- using
but not required. Simpler: keep as one sentence with spaces.
Let's produce:
- Minimum Education: Associates Degree Required; Bachelors Degree Preferred.
- Work Experience: 2 years Recent acute care experience Required; Field of Experience in Utilization Management, Case Management, or Clinical Nursing Specialty. Preferred
- Licenses: Licensed Registered Nurse Upon Hire Required or Registered Nurse Multi State License Upon Hire Required and Basic Life Support Upon Hire Required; Certified in Case Management Preferred
- Knowledge, Skills, And Abilities: Excellent interpersonal and communication skills.; Basic computer skills.; Desire and ability to work in a supportive and collaborative team environment.
Check we didn't lose any detail: The original had "Field of Experience in Utilization Management, Case Management, or Clinical Nursing Specialty. Preferred" includes a period before Preferred. We kept that.
Now Benefits Offered lines:
Comprehensive health benefits
Retirement savings plan
Paid time off (PTO)
Education assistance
Financial education and support, including DailyPay
Expanded Paid Parental Leave
We'll make each - .
Now About Us text: "WellSpan Health’s vision is to reimagine healthcare through the delivery of comprehensive, equitable health and wellness solutions throughout our continuum of care. As an integrated delivery system focused on leading in value-based care, we encompass more than 2,300 employed providers, 250 locations, nine award-winning hospitals, home care and a behavioral health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region’s largest and one of the best in the nation. With a team 23,000 strong, WellSpan experts provide a range of services, from wellness and employer services solutions to advanced care for complex medical and behavioral conditions. Our clinically integrated network of 3,000 aligned physicians and advanced practice providers
- . Similarly qualifications maybe list? It includes Minimum Education, Work Experience, Licenses, Knowledge, Skills, And Abilities. Could be list. Benefits Offered is a list.
We need to preserve all substantive information, not invent or summarize away detail. So we need to keep each bullet point exactly as in text.
We need to remove duplicated lines. There's no duplication.
We need to output only HTML fragment, no /, no markdown fences.
Let's extract sections.
General Summary paragraph: "Performs a variety of duties and applies utilization and case management techniques to determine the most efficient use of resources to facilitate a patient's progression of care and the provision of appropriate, cost effective and quality health care. Works in a team model with social work in assigned patient care areas to address patient discharge needs. Provides leadership in the integration of utilization and case management principles."
We'll put that under
About the role
with. Responsibilities: The section "Responsibilities Duties and Responsibilities" then list of sentences each starting with a verb. We'll convert each to
- . Ensure we keep the exact text.
List:
- Reviews assigned patients for medical necessity, utilization management, and appropriateness of setting for continued hospitalization.
- Initiates problem-solving techniques to prevent over and/or under utilization.
- Facilitates and coordinates the progression of patient care to optimize throughput and the utilization of resources to support continuous quality and cost of care efforts.
- Liaisons between utilization management team, third party payers, and the treatment team regarding the identified treatment plan in accordance with contractual guidelines and System policy.
- Assists the patient care team with the identification and coordination of alternative treatment settings to provide appropriate care, maintain quality of care, and reduce cost.
- Identifies conditions which require case management across the care continuum.
- Collaborates with members of the patient care team to identify interdisciplinary needs
- Collaborates with care management across the system to effectively transition patient care and support value-based care initiatives.
- Completes case management patient assessment, identifies needs, develops a discharge plan, and coordinates discharge needs (DME, Home Health, IV antibiotics, etc.) in collaboration with patients, families, and care team.
- Assists with the collection and analysis of utilization patterns, length of stay, readmissions, avoidable days, and denied cases.
- Brings known or suspected problems of under-, over-, or inappropriate utilization of resources to the attention of the appropriate manager(s).
Note there is a line "Common Expectations" after responsibilities. That seems like another subsection but not a heading we need to include? It's more like general expectations. Could be considered part of responsibilities or maybe a separate section like "Common Expectations". The rules only list certain headings; we could include it as a section if we think it's substantive. It's about safety, documentation, etc. Could be considered part of responsibilities but we could make a section "Common Expectations". However the instruction: "Use
for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule)." It gives examples but not exhaustive. We can add other headings if needed. But we should prefer few substantive sections over many thin ones. The "Common Expectations" is a block of prose; we could incorporate it into Responsibilities or About the role. Probably better to keep as a separate section "Common Expectations". However the examples didn't list that; but we can still use
Common Expectations
. It's not prohibited. We'll decide to include it as a section. But we need to check if we should treat it as part of Responsibilities. The responsibilities list ends before "Common Expectations". The "Common Expectations" paragraph is separate. We'll make a section. Now Qualifications: The section "QUALIFICATIONS" then subparts: Minimum Education, Work Experience, Licenses, Knowledge, Skills, And Abilities. We'll make aQualifications
and then maybe a- with each bullet? But the subparts have headings inside. We could keep them as
- for any list of duties/requirements/benefits. Qualifications is a list of requirements, so we should use
- . Each requirement can be a list item containing the details. For example:
- Minimum Education: Associates Degree Required; Bachelors Degree Preferred
- Work Experience: 2 years Recent acute care experience Required; Field of Experience in Utilization Management, Case Management, or Clinical Nursing Specialty. Preferred
- Licenses: Licensed Registered Nurse Upon Hire Required or Registered Nurse Multi State License Upon Hire Required and Basic Life Support Upon Hire Required; Certified in Case Management Preferred
- Knowledge, Skills, And Abilities: Excellent interpersonal and communication skills.; Basic computer skills.; Desire and ability to work in a supportive and collaborative team environment.
We need to preserve all detail. We'll keep the exact phrasing but maybe combine lines.
Better to keep each bullet as a sentence: "Minimum Education Associates Degree Required Bachelors Degree Preferred". But original had line breaks. We'll preserve the meaning.
We'll produce
- Minimum Education: Associates Degree Required; Bachelors Degree Preferred. etc. Now Benefits Offered: list: Comprehensive health benefits, Retirement savings plan, Paid time off (PTO), Education assistance, Financial education and support, including DailyPay, Expanded Paid Parental Leave. We'll make
- each.
About Us: paragraph about WellSpan Health vision etc. We'll make
About Us
with. About The Team: paragraph about WellSpan Ephrata Community Hospital etc. We'll make
About The Team
with. We must not include navigation, legal, EEO, etc. None. Now ensure we don't include empty sections. Let's craft HTML. We'll start with
About the role
...
ThenResponsibilities
- ...
Common Expectations
...
ThenQualifications
- ...
Benefits Offered
- ...
About Us
...
ThenAbout The Team
...
Check for any duplicated lines: none. Now extract the exact text for each. About the role text: "Performs a variety of duties and applies utilization and case management techniques to determine the most efficient use of resources to facilitate a patient's progression of care and the provision of appropriate, cost effective and quality health care. Works in a team model with social work in assigned patient care areas to address patient discharge needs. Provides leadership in the integration of utilization and case management principles." Common Expectations text: "Demonstrates a commitment to patient, visitor, and staff by complying with all applicable safety regulations, learning the impact of medical errors and methodology that will lead to reduction of errors; reporting actual and potential errors, as well as hazardous conditions; identifying opportunities to standardize processes and “error proof” systems that will lead to increased safety; and participating in safety education programs and root cause analyses as required.Prepares and maintains appropriate documentation as required.Maintains established policies and procedures, objectives, quality assessment and safety standards.Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation.Prepares and presents utilization data analysis as required.Participates in the development and delivery of educational information and process improvements related to job accountabilities and case management principles.Attends meetings as required." Note there is no space after some semicolons; we keep as is. Qualifications details: Minimum Education Associates Degree Required Bachelors Degree Preferred Work Experience 2 years Recent acute care experience Required Field of Experience in Utilization Management, Case Management, or Clinical Nursing Specialty. Preferred Licenses Licensed Registered Nurse Upon Hire Required or Registered Nurse Multi State License Upon Hire Required and Basic Life Support Upon Hire Required Certified in Case Management Preferred Knowledge, Skills, And Abilities Excellent interpersonal and communication skills. Basic computer skills. Desire and ability to work in a supportive and collaborative team environment. We need to preserve punctuation. Let's copy exactly as lines but combine. Original lines: Minimum Education Associates Degree Required Bachelors Degree Preferred Work Experience 2 years Recent acute care experience Required Field of Experience in Utilization Management, Case Management, or Clinical Nursing Specialty. Preferred Licenses Licensed Registered Nurse Upon Hire Required or Registered Nurse Multi State License Upon Hire Required and Basic Life Support Upon Hire Required Certified in Case Management Preferred Knowledge, Skills, And Abilities Excellent interpersonal and communication skills. Basic computer skills. Desire and ability to work in a supportive and collaborative team environment. We'll make each bullet a - containing the lines separated by spaces or semicolons? To preserve, we can keep line breaks inside
- using
but not required. Simpler: keep as one sentence with spaces. Let's produce: - Minimum Education: Associates Degree Required; Bachelors Degree Preferred.
- Work Experience: 2 years Recent acute care experience Required; Field of Experience in Utilization Management, Case Management, or Clinical Nursing Specialty. Preferred
- Licenses: Licensed Registered Nurse Upon Hire Required or Registered Nurse Multi State License Upon Hire Required and Basic Life Support Upon Hire Required; Certified in Case Management Preferred
- Knowledge, Skills, And Abilities: Excellent interpersonal and communication skills.; Basic computer skills.; Desire and ability to work in a supportive and collaborative team environment. Check we didn't lose any detail: The original had "Field of Experience in Utilization Management, Case Management, or Clinical Nursing Specialty. Preferred" includes a period before Preferred. We kept that. Now Benefits Offered lines: Comprehensive health benefits Retirement savings plan Paid time off (PTO) Education assistance Financial education and support, including DailyPay Expanded Paid Parental Leave We'll make each
- . Now About Us text: "WellSpan Health’s vision is to reimagine healthcare through the delivery of comprehensive, equitable health and wellness solutions throughout our continuum of care. As an integrated delivery system focused on leading in value-based care, we encompass more than 2,300 employed providers, 250 locations, nine award-winning hospitals, home care and a behavioral health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region’s largest and one of the best in the nation. With a team 23,000 strong, WellSpan experts provide a range of services, from wellness and employer services solutions to advanced care for complex medical and behavioral conditions. Our clinically integrated network of 3,000 aligned physicians and advanced practice providers
- . Each requirement can be a list item containing the details. For example:
- Minimum Education: Associates Degree Required; Bachelors Degree Preferred
- Work Experience: 2 years Recent acute care experience Required; Field of Experience in Utilization Management, Case Management, or Clinical Nursing Specialty. Preferred
- Licenses: Licensed Registered Nurse Upon Hire Required or Registered Nurse Multi State License Upon Hire Required and Basic Life Support Upon Hire Required; Certified in Case Management Preferred
- Knowledge, Skills, And Abilities: Excellent interpersonal and communication skills.; Basic computer skills.; Desire and ability to work in a supportive and collaborative team environment.
We need to preserve all detail. We'll keep the exact phrasing but maybe combine lines.
Better to keep each bullet as a sentence: "Minimum Education Associates Degree Required Bachelors Degree Preferred". But original had line breaks. We'll preserve the meaning.
We'll produce
with bold? But we must not invent formatting. We could keep as
with line breaks. However rule: Use
- for any list of duties/requirements/benefits. Qualifications is a list of requirements, so we should use