Nurse Case Manager Care Coordination Part Time Days
Northwestern Medicine · Winfield, IL · 1 mo ago
On-siteMarketingPart-time
We need to output HTML fragment with sections: About the role? The posting includes description about mission etc. We need headings: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections where there is real specific content.
We have content: Days Part time, 0. 0.7 FTE, hours are 8-4:40. One weekend every 7 weeks and one holiday per year. That's schedule info. So we can have a Schedule section.
We have Benefits: they mention "We pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits". Also later "Benefits We offer a wide range of benefits...". So we have benefits content.
Pay: Not mentioned. So no Pay section.
Qualifications: they list Required and Preferred. So we can have Qualifications section.
Responsibilities: they have a big list after "Responsibilities:" So we have Responsibilities.
Skills: Not explicitly listed; maybe not needed.
About the role: Could be the introductory paragraph about mission etc. We have "At Northwestern Medicine, every patient interaction makes a difference..." That's about the role/organization. So we can have About the role.
We need to not repeat job title. No Job ID.
We need to remove boilerplate: EEO, background check, AI disclosure, etc. Also remove application instructions. Also remove duplicated lines.
We need to preserve all substantive information.
Let's extract content.
Intro: "At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the opportunity to join our quest for better health care, no matter where you work within the Northwestern Medicine system. We pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, our goal is to take care of our employees. Ready to join our quest for better?" That's about the role/organization.
Then "Job Description Days Part time, 0.7 FTE, hours are 8-4:40. One weekend every 7 weeks and one holiday per year." That's schedule.
Then "The Nurse Case Manager reflects the mission, vision, and values of NM, adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards." That's part of role description maybe About the role? Could be included in About the role.
Then list of duties: "Assists in coordinating the patient's stay from admission through discharge. Assists to expedite medically appropriate, cost-effective care. Helps to ensure patient is at the right level and site of care, and the patient moves along the continuum of care in a safe and timely manner." Then "Responsibilities:" then bullet list.
We need to combine responsibilities into
- .
Let's extract responsibilities list after "Responsibilities:":
- In collaboration with the patient/family, and members of the health care team, assesses, plans, implements, and evaluates the plan of care and the patient's response to treatment.
- Continually proactive in collaborating and educating physicians and multidisciplinary team in appropriateness of admission, continued stay, utilization of resources and expected LOS.
- Refers appropriate cases to patient financial services, peer review, patient relations, risk management.
- Collaborates with physicians and other health care team members to clarify admission status and plan of care.
- Utilizes all available tools and resources to gain better and complete picture of clinical assessment of the patient: notifies physicians and staff of concerns/variations.
- Relays pertinent information to appropriate care team members relative to admission, continuum of care and concerns related to discharge.
- Ensures that the interdisciplinary care plan and the discharge plan are comprehensive and consistent with the patient's clinical course, continuing care needs, and coordinated with covered services as available.
- Assesses and reassesses the patient for on-going care needs with knowledge of high-risk criteria and initiates referrals to the appropriate resources in a timely manner to progress toward the discharge plan.
- Participates in rounds and complex patient care conferences as indicated, identifying needs, barriers, and action plans.
- Performs utilization management activities of all inpatients and observation patients by applying approved criteria.
- Notify physician advisor of any outlier cases.
- Provides timely and thorough reviews to third party payers as requested or required.
- Experiences minimal denials based on lack of medical necessity.
- Has a good working knowledge base of available and diverse extended care providers for general population served.
- Asks co-workers for references for unfamiliar cases.
- Researches patient insurance plan in order to offer in-network providers of care and allow patient to make informed decisions.
- Partners with the nursing staff and physicians to convey accurate and timely information to post-acute care providers to encourage a smooth hand-off and create a seamless and safe discharge to the next continuum of care.
- Partners with the care delivery team to identify proactively and coordinate any educational needs for the patient and family.
- Ensures the patient is at the most appropriate level of care for the expressed severity of illness and level of services required.
- Applies National Guidelines and clear communication with physicians.
- Collaborates with physicians and other health care team members to clarify admission status and plan of care. (duplicate? but keep)
- Coordinates appropriate bed placement for patients with Patient care services, collaborating on location, staffing etc.
- Queries the admitting physician for additional information as needed to meet medical necessity for admission or appropriate level of care.
- Refers cases to physician advisor for any outlier cases.
- Coordinates patient activity and flow or movement between levels of care.
- Identifies potential throughput barriers and acts proactively to inform and alert upper management of anticipated delays.
- Reviews clinical against Milliman criteria to help determine patient class and level of care needed.
- Confers with MD to discuss clinical and appropriate level of care when needed.
We can keep as is.
Qualifications Required: Bachelors of Science in Nursing (required for hires after 01/01/2011) Registered Nurse in the state of Illinois One year of case management experience in an acute hospital setting Preferred: Two years’ experience in utilization review Case management certification Prior experience in case management or insurance setting. Bilingual
We need to format as list.
Benefits: "We pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, our goal is to take care of our employees." Also later: "Benefits We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Click on or copy and paste URL to your browser to view detailed benefits information NorthwesternMedicine Career Page https://jobs.nm.org/benefits Please refer to the Benefits Eligibility by Employment Classification to determine benefits eligibility for job postings. If sign-on bonus is included in a job posting eligibility is as followed: Internal employees and rehires who left Northwestern Medicine within 1 year are not eligible for the sign-on bonus. Exception: New graduate internal employees seeking their first licensed clinical position as a Registered Nurse at NM may be eligible."
We need to keep substantive benefit info but remove URLs? The instruction: remove application instructions, but benefits URL maybe considered reference; but it's not application instruction. However it's a link to benefits page; maybe we keep but it's not essential. Might be okay to keep but it's a URL. The instruction didn't say to remove URLs. But we might keep the description.
We should not include "Click on or copy and paste URL to your browser to view detailed benefits information" as it's like instruction; maybe remove that sentence as it's instruction. Keep the benefit description.
Thus Benefits section: list of benefits: tuition reimbursement, loan forgiveness, 401(k) matching, lifecycle benefits, wide range of benefits for physical, emotional, financial well-being, protection for unexpected life events, sign-on bonus eligibility details.
We can put as
- .
Schedule: "Days Part time, 0.7 FTE, hours are 8-4:40. One weekend every 7 weeks and one holiday per year."
We can put as
maybe. Now construct HTML:
About the role
At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the opportunity to join our quest for better health care, no matter where you work within the Northwestern Medicine system. We pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, our goal is to take care of our employees. Ready to join our quest for better? The Nurse Case Manager reflects the mission, vision, and values of NM, adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. Assists in coordinating the patient's stay from admission through discharge. Assists to expedite medically appropriate, cost-effective care. Helps to ensure patient is at the right level and site of care, and the patient moves along the continuum of care in a safe and timely manner.
Responsibilities
- In collaboration with the patient/family, and members of the health care team, assesses, plans, implements, and evaluates the plan of care and the patient's response to treatment.
- Continually proactive in collaborating and educating physicians and multidisciplinary team in appropriateness of admission, continued stay, utilization of resources and expected LOS.
- Refers appropriate cases to patient financial services, peer review, patient relations, risk management.
- Collaborates with physicians and other health care team members to clarify admission status and plan of care.
- Utilizes all available tools and resources to gain better and complete picture of clinical assessment of the patient: notifies physicians and staff of concerns/variations.
- Relays pertinent information to appropriate care team members relative to admission, continuum of care and concerns related to discharge.
- Ensures that the interdisciplinary care plan and the discharge plan are comprehensive and consistent with the patient's clinical course, continuing care needs, and coordinated with covered services as available.
- Assesses and reassesses the patient for on-going care needs with knowledge of high-risk criteria and initiates referrals to the appropriate resources in a timely manner to progress toward the discharge plan.
- Participates in rounds and complex patient care conferences as indicated, identifying needs, barriers, and action plans.
- Performs utilization management activities of all inpatients and observation patients by applying approved criteria.
- Notify physician advisor of any outlier cases.
- Provides timely and thorough reviews to third party payers as requested or required.
- Experiences minimal denials based on lack of medical necessity.
- Has a good working knowledge base of available and diverse extended care providers for general population served.
- Asks co-workers for references for unfamiliar cases.
- Researches patient insurance plan in order to offer in-network providers of care and allow patient to make informed decisions.
- Partners with the nursing staff and physicians to convey accurate and timely information to post-acute care providers to encourage a smooth hand-off and create a seamless and safe discharge to the next continuum of care.
- Partners with the care delivery team to identify proactively and coordinate any educational needs for the patient and family.
- Ensures the patient is at the most appropriate level of care for the expressed severity of illness and level of services required.
- Applies National Guidelines and clear communication with physicians.
- Collaborates with physicians and other health care team members to clarify admission status and plan of care.
- Coordinates appropriate bed placement for patients with Patient care services, collaborating on location, staffing etc.
- Queries the
- .
Schedule: "Days Part time, 0.7 FTE, hours are 8-4:40. One weekend every 7 weeks and one holiday per year."
We can put as