Registered Nurse Case Manager

We need to output HTML fragment with sections for headings: 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. Remove boilerplate. Preserve all substantive info. We need to parse the job description. Given text: "191521 Job Description Serves as liaison between the patient and facility/physician. Ensures a continuum of quality patient care throughout hospitalization and oversees provisions for patient's discharge. Assesses, plans, oversees and evaluates the appropriateness of care throughout admission and hospitalization of the patient. Job Responsibility Facilitates patient management throughout hospitalization. Performs concurrent utilization management using evidence based medical necessity criteria. Submits data to management regarding case management and/or quality initiatives. Serves as an in-patient liaison - planning, assessing, implementing and evaluating patient in collaboration with the health care team. Conducts chart review for appropriateness of admission and continued length of stay; Facilitates throughput. Conducts clinical reviews and interacts with third party payers to obtain approval of hospital days, pre-certification and post-discharge eligibility in relation to clinical course. Ensures compliance with current state, federal, and third party payer regulations. Documents the case management process in the medical record; completes and documents a care coordination assessment on the patient. Serves as a liaison to patient, family, admitting, primary care physician, health care team, and hospital departments. Completes applicable areas of the patients discharge instruction sheet and the patient transfer sheet; ensures case management documentation is current and accurate. Manage a caseload of adult inpatients, coordinating care from admission through discharge with confidence and clinical insightEngage in complex discharge planning, collaborating with interdisciplinary teams to ensure seamless transitions and continuity of carePartner with your team and coworkers to coordinate scheduling, supporting one another to maintain balanced and effective coverageAdapt and contribute across units by floating to areas of need, broadening your skills and strengthening department-wide care deliveryShare in weekend and holiday rotations on an alternating basis, ensuring our patients receive consistent, high-quality support every day of the year through self-schedulingPerforms utilization management using Milliman guidelines and assessing medical necessity criteria and conducts chart review for appropriateness of admission and continued length of stay; Facilitates throughput.Documents the case management process in the medical record; completes and documents a care coordination assessment on patients and ensures documentation is current, accurate, meets CMS guidelines and is in-line with our department and intuitional standard of practiceCollaborates with interdisciplinary team including daily rounds, participation in family meetings, staff meetingsPerforms related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions.Complete PRI’sPerforms related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions. Job Qualification Graduate from an accredited School of Nursing. Bachelor’s Degree in Nursing, preferred. Must be enrolled in an accredited BSN program within two (2) years and obtain a BSN Degree within five (5) years of job entry date.Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed.Emergency Department experience, preferred.Knowledge of Milliman guidelines, preferredTwo years of experience in an acute care setting, preferredAbility to manage a diverse caseload, including complex discharge planning needs Strong time management, workflow, critical thinking and conflict resolution skillsTeam-oriented; able to coordinate self-scheduling collaboratively Flexible to float as neededFlexibility in days as neededAlternating weekends and holidays Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity)." We need to extract sections. First part before "Job Responsibility" seems like "About the role". It says: "Serves as liaison between the patient and facility/physician. Ensures a continuum of quality patient care throughout hospitalization and oversees provisions for patient's discharge. Assesses, plans, oversees and evaluates the appropriateness of care throughout admission and hospitalization of the patient." That's about the role. Then after "Job Responsibility" we have a long list of responsibilities. We'll put under

Responsibilities

with

• items. Then after responsibilities we see "Job Qualification". That likely maps to Qualifications (or Requirements). The text: "Job Qualification Graduate from an accredited School of Nursing. Bachelor’s Degree in Nursing, preferred. Must be enrolled in an accredited BSN program within two (2) years and obtain a BSN Degree within five (5) years of job entry date.Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed.Emergency Department experience, preferred.Knowledge of Milliman guidelines, preferredTwo years of experience in an acute care setting, preferredAbility to manage a diverse caseload, including complex discharge planning needs Strong time management, workflow, critical thinking and conflict resolution skillsTeam-oriented; able to coordinate self-scheduling collaboratively Flexible to float as neededFlexibility in days as neededAlternating weekends and holidays" That includes qualifications and also skills (team-oriented, flexible, etc). We need to separate Qualifications and Skills sections if possible. Qualifications: education, license, experience, certifications. Skills: time management, workflow, critical thinking, conflict resolution, team-oriented, coordinate self-scheduling, flexible to float, flexibility in days, alternating weekends/holidays. Also "Ability to manage a diverse caseload, including complex discharge planning needs" could be skill. We'll create Qualifications section with bullet list. Skills section with bullet list. Pay: There's "Additional Salary Detail" but it's generic: "The salary range and/or hourly rate listed is a good faith determination..." No actual numbers. According to rule: never create Pay/Schedule/Benefits sections unless posting actually states them. It does not give actual salary range; it's just a statement about how salary is determined. That's not specific content. So we should NOT include Pay section. Schedule: The text mentions "Share in weekend and holiday rotations on an alternating basis, ensuring our patients receive consistent, high-quality support every day of the year through self-scheduling" and "Flexibility in days as needed", "Alternating weekends and holidays". That's schedule info. So we can include Schedule section with bullet points. Benefits: none mentioned. Thus sections: About the role, Responsibilities, Qualifications, Skills, Schedule. We need to use

  for each heading. Use

  • for lists. Use

    for prose. We must not repeat job title. No Job ID etc. We must preserve all substantive info; do not invent or summarize away detail. Must not omit any details. We need to ensure we capture all responsibilities bullet points. Let's extract responsibilities list items. From after "Job Responsibility" until before "Job Qualification". The text is a bit messy with no punctuation. Let's parse. "Facilitates patient management throughout hospitalization. Performs concurrent utilization management using evidence based medical necessity criteria. Submits data to management regarding case management and/or quality initiatives. Serves as an in-patient liaison - planning, assessing, implementing and evaluating patient in collaboration with the health care team. Conducts chart review for appropriateness of admission and continued length of stay; Facilitates throughput. Conducts clinical reviews and interacts with third party payers to obtain approval of hospital days, pre-certification and post-discharge eligibility in relation to clinical course. Ensures compliance with current state, federal, and third party payer regulations. Documents the case management process in the medical record; completes and documents a care coordination assessment on the patient. Serves as a liaison to patient, family, admitting, primary care physician, health care team, and hospital departments. Completes applicable areas of the patients discharge instruction sheet and the patient transfer sheet; ensures case management documentation is current and accurate. Manage a caseload of adult inpatients, coordinating care from admission through discharge with confidence and clinical insightEngage in complex discharge planning, collaborating with interdisciplinary teams to ensure seamless transitions and continuity of carePartner with your team and coworkers to coordinate scheduling, supporting one another to maintain balanced and effective coverageAdapt and contribute across units by floating to areas of need, broadening your skills and strengthening department-wide care deliveryShare in weekend and holiday rotations on an alternating basis, ensuring our patients receive consistent, high-quality support every day of the year through self-schedulingPerforms utilization management using Milliman guidelines and assessing medical necessity criteria and conducts chart review for appropriateness of admission and continued length of stay; Facilitates throughput.Documents the case management process in the medical record; completes and documents a care coordination assessment on patients and ensures documentation is current, accurate, meets CMS guidelines and is in-line with our department and intuitional standard of practiceCollaborates with interdisciplinary team including daily rounds, participation in family meetings, staff meetingsPerforms related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions.Complete PRI’sPerforms related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions." We need to split into sensible bullet items. Some sentences run together without spaces. We'll need to insert appropriate breaks. Let's manually list responsibilities: 1. Facilitates patient management throughout hospitalization. 2. Performs concurrent utilization management using evidence based medical necessity criteria. 3. Submits data to management regarding case management and/or quality initiatives. 4. Serves as an in-patient liaison - planning, assessing, implementing and evaluating patient in collaboration with the health care team. 5. Conducts chart review for appropriateness of admission and continued length of stay; facilitates throughput. 6. Conducts clinical reviews and interacts with third party payers to obtain approval of hospital days, pre-certification and post-discharge eligibility in relation to clinical course. 7. Ensures compliance with current state, federal, and third party payer regulations. 8. Documents the case management process in the medical record; completes and documents a care coordination assessment on the patient. 9. Serves as a liaison to patient, family, admitting, primary care physician, health care team, and hospital departments. 10. Completes applicable areas of the patient's discharge instruction sheet and the patient transfer sheet; ensures case management documentation is current and accurate. 11. Manage a caseload of adult inpatients, coordinating care from admission through discharge with confidence and clinical insight. 12. Engage in complex discharge planning, collaborating with interdisciplinary teams to ensure seamless transitions and continuity of care. 13. Partner with your team and coworkers to coordinate scheduling, supporting one another to maintain balanced and effective coverage. 14. Adapt and contribute across units by floating to areas of need, broadening your skills and strengthening department-wide care delivery. 15. Share in weekend and holiday rotations on an alternating basis, ensuring our patients receive consistent, high-quality support every day of the year through self-scheduling. 16. Performs utilization management using Milliman guidelines and assessing medical necessity criteria and conducts chart review for appropriateness of admission and continued length of stay; facilitates throughput. 17. Documents the case management process in the medical record; completes and documents a care coordination assessment on patients and ensures documentation is current, accurate, meets CMS guidelines and is in-line with our department and institutional standard of practice. 18. Collaborates with interdisciplinary team including daily rounds, participation in family meetings, staff meetings. 19. Performs related duties as required. (Note: The ADA statement is boilerplate; we should remove it per instructions: remove EEO/equal-opportunity/scam-warning boilerplate. The ADA statement is likely boilerplate; we should drop it. Also "Complete PRI’s" unclear; maybe it's a typo