Case Manager Utilization RN, Per Diem Day

We need to output HTML fragment with sections: h3 for headings like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections where there is real specific content. We must not repeat job title. Must not include Job ID etc. Must preserve all substantive info, no invented details. Remove boilerplate. We need to parse the job posting. Key content: Job Summary: description of role. Essential Responsibilities: long list. Experience: Basic Qualifications: Two (2) years combined RN experience in an acute care setting or case management required. Education: Completion of an accredited RN training program that allows graduates to take RN license exam. License, Certification, Registration: Registered Nurse License (California) Basic Life Support Additional Requirements: Demonstrated ability to utilize/apply the general and specialized principles, practices, techniques and methods of Utilization review/management, discharge planning or case management. Working knowledge of regulatory requirements and accreditation standards (TJC, Medicare, Medi-Cal, etc.). Demonstrated ability to utilize written and verbal communication, interpersonal, critical thinking and problem-solving skills. Demonstrated ability in planning, organizing, conflict resolution and negotiating skills. Computer literacy skills required. Preferred Qualifications: Bachelors degree in nursing or healthcare related field. Recent Acute Care Experience within 5 years preferred. Primary Location: California, Harbor City, South Bay Medical Center Scheduled Weekly Hours: 1 Shift: Day Workdays: Mon, Tue, Wed, Thu, Fri, Sat, Sun Working Hours Start: 08:30 AM Working Hours End: 05:00 PM Job Schedule: Per Diem Job Type: Standard Worker Location: Onsite Employee Status: Regular Employee Group/Union Affiliation: B21|AFSCME|SCNSC Job Level: Individual Contributor Department: South Bay Med Center - Utilization Management - 0801 Pay Range: $77.69 - $95.08 / hour Travel: Yes, 10 % of the Time Work Setting: Onsite We need sections: About the role (maybe from Job Summary), Responsibilities (Essential Responsibilities), Requirements (Basic Qualifications, Education, License, Additional Requirements?), Qualifications (Preferred Qualifications?), Skills (maybe from Additional Requirements?), Benefits (none given), Pay (Pay Range), Schedule (Scheduled Weekly Hours, Shift, Workdays, Working Hours, Job Schedule). Also maybe Location? Not a heading but could be in About the role or a short p. We must not create sections with filler. So we include sections where we have content. We need to use

for each section heading. Use

• for any list of duties/requirements/benefits. Use

  for prose. We must not repeat job title. So no heading for job title. We must not include Job ID etc. We must preserve all substantive info. So we need to include all details from the posting, but we can reorganize into sections. We must not invent or summarize away detail. So we need to keep specifics like numbers, times, etc. We need to decide how to split content. Potential sections: - About the role (Job Summary) - Responsibilities (Essential Responsibilities) - Requirements (Basic Qualifications, Education, License, Certification, Registration, Additional Requirements) - Qualifications (Preferred Qualifications) - Skills (maybe part of Additional Requirements but we could embed in Requirements) - Pay (Pay Range) - Schedule (Scheduled Weekly Hours, Shift, Workdays, Working Hours Start/End, Job Schedule, Travel %) - Benefits: none given, so omit. We need to ensure we don't create sections with placeholder like "commensurate with experience". Not present. We need to avoid duplication. Let's extract content. Job Summary paragraph: "Works collaboratively with an MD to coordinate and screen for the appropriateness of admissions and Continued stays. Makes recommendations to the physicians for alternate levels of care when the patient does not meet the medical necessity for Inpatient hospitalization. Interacts with the family, patient and other disciplines to coordinate a safe and acceptable discharge plan. Functions as an indirect caregiver, patient advocate and manages patients in the most cost effective way without compromising quality. Transfers stable non-members to planned Health care facilities. Responsible for complying with AB 1203, Post Stabilization notification. Complies with other duties as described. Must be able to work collaboratively with the Multidisciplinary team, multitask and in a fast pace environment." That's the summary. Essential Responsibilities: a long paragraph with many sentences. We could break into list items for each duty. The instruction: Use

  • for any list of duties/requirements/benefits. So we should convert the responsibilities into a list. Each sentence could be a list item. Must preserve all substantive info; we can split sentences. Similarly for Requirements: we can list Basic Qualifications, Education, License, Additional Requirements as list items. Preferred Qualifications as list. Skills: maybe we can extract from Additional Requirements: communication, interpersonal, critical thinking, problem-solving, planning, organizing, conflict resolution, negotiating, computer literacy. Could be a list. Pay: we have Pay Range: $77.69 - $95.08 / hour. Also note about total rewards but that's boilerplate? It says "Kaiser Permanente strives to offer a market competitive total rewards package..." That's generic; maybe we should omit as boilerplate? It's not specific to the role; it's a generic statement. The instruction: Remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate. This is about total rewards, maybe considered boilerplate? It's not EEO but it's a generic benefits statement. Might be considered boilerplate; safer to omit. We'll just include the Pay Range. Schedule: we have Scheduled Weekly Hours: 1 Shift: Day Workdays: Mon, Tue, Wed, Thu, Fri, Sat, Sun Working Hours Start: 08:30 AM Working Hours End: 05:00 PM Job Schedule: Per Diem Travel: Yes, 10 % of the Time. We could make a list. Location: Primary Location: California, Harbor City, South Bay Medical Center. Could be included in About the role or a separate short p. Department: South Bay Med Center - Utilization Management - 0801. Could be included. Employee Status etc: maybe not needed. We must preserve all substantive info; we can include location and department in About the role or a separate p. Let's structure:

    About the role

    Job summary text plus location and department maybe.

    But we need to avoid duplication: location appears also in Primary Location. We'll include it in About the role. Let's craft About the role p: "Works collaboratively with an MD to coordinate and screen for the appropriateness of admissions and continued stays. Makes recommendations to physicians for alternate levels of care when the patient does not meet medical necessity for inpatient hospitalization. Interacts with family, patient, and other disciplines to coordinate a safe and acceptable discharge plan. Functions as an indirect caregiver, patient advocate, and manages patients in the most cost-effective way without compromising quality. Transfers stable non-members to planned health care facilities. Responsible for complying with AB 1203, Post Stabilization notification. Must be able to work collaboratively with the multidisciplinary team, multitask, and function in a fast-paced environment. Primary location: California, Harbor City, South Bay Medical Center. Department: South Bay Med Center - Utilization Management - 0801." That preserves all. Now Responsibilities: we need to list each duty from Essential Responsibilities. Let's extract sentences: "Plans, develops, assesses and evaluates care provided to members." "Collaborates with physicians, other members of the multidisciplinary health care team and patient/family in the development, implementation and documentation of appropriate, individualized plans of care to ensure continuity, quality and appropriate resource use." "Recommends alternative levels of care and ensures compliance with federal, state and local requirements." "Assesses high risk patients in need of post-hospital care planning." "Develops and coordinates the implementation of a discharge plan to meet patients identified needs; communicates the plan to physicians, patient, family/caregivers, staff and appropriate community agencies." "Reviews, monitors, evaluates and coordinates the patients hospital stay to assure that all appropriate and essential services are delivered timely and efficiently." "Participates in the Bed Huddles and carries out recommendations congruent with the patients needs." "Coordinates the interdisciplinary approach to providing continuity of care, including Utilization management, Transfer coordination, Discharge planning, and obtaining all authorizations/approvals as needed for outside services for patients/families." "Conducts daily clinical reviews for utilization/quality management activities based on guidelines/standards for patients in a variety of settings, including outpatient, emergency room, inpatient and non-KFH facilities." "Acts as a liaison between in-patient facility and referral facilities/agencies and provides case management to patients referred." "Refers patients to community resources to meet post hospital needs." "Coordinates transfer of patients to appropriate facilities; maintains and provides required documentation." "Adheres to internal and external regulatory and accreditation requirements and compliance guidelines including but not limited to: TJC, DHS, HCFA, CMS, DMHC, NCQA and DOL." "Educates members of the healthcare team concerning their roles and responsibilities in the discharge planning process and appropriate use of resources." "Provides patients with education to assist with their discharge and help them cope with psychological problems related to acute and chronic illness." "Per established protocols, reports any incidence of unusual occurrences related to quality, risk and/or patient safety which are identified during case review or other activities." "Reviews, analyses and identifies utilization patterns and trends, problems or inappropriate utilization of resources and participates in the collection and analysis of data for special studies, projects, planning, or for routine utilization monitoring activities." "Coordinates, participates and or facilitates care planning rounds and patient family conferences as needed." "Participates in committees, teams or other work projects/duties as assigned." We'll put each as
  • . Now Requirements: we need Basic Qualifications, Education, License, Certification, Registration, Additional Requirements. We can combine into a list. Basic Qualifications: "Two (2) years combined RN experience in an acute care setting or case management required." Education: "Completion of an accredited RN training program that allows graduates to take RN license exam." License, Certification, Registration: "Registered Nurse License (California) Basic Life Support" Additional Requirements: list of items: - Demonstrated ability to utilize/apply the general and specialized principles, practices, techniques and methods of Utilization review/management, discharge planning or case management. - Working knowledge of regulatory requirements and accreditation standards (TJC, Medicare, Medi-Cal, etc.). - Demonstrated ability to utilize written and verbal communication, interpersonal, critical thinking and problem-solving skills. - Demonstrated ability in planning, organizing, conflict resolution and negotiating skills. - Computer literacy skills required. We could make each a list item. Now Preferred Qualifications: list: - Bachelors degree in nursing or healthcare related field. - Recent Acute Care Experience within 5 years preferred. Now Skills: maybe we can extract from Additional Requirements but we already have them. Could create a Skills section listing communication, interpersonal, critical thinking, problem-solving, planning, organizing, conflict resolution, negotiating, computer literacy. But that would duplicate. Better to keep Additional Requirements under Requirements and not create separate Skills unless we have distinct skills list. The instruction: Use

    for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). So we can have Skills section if we have specific skills content. We could extract skills from Additional Requirements and maybe also from elsewhere. But we risk duplication. However we could keep Requirements as qualifications and experience, and Skills as abilities. Let's decide: We'll create a Skills section listing the specific skill abilities: written and verbal communication, interpersonal, critical thinking, problem-solving, planning, organizing, conflict resolution, negotiating, computer literacy. Also maybe ability to utilize/utilize principles of UR/management etc. But that's more knowledge