Registered Nurse Case Manager (RN)
for section headings. Use - for any list of duties/requirements/benefits. Use
for prose. Remove boilerplate (EEO, etc). Must preserve all substantive info. Must not invent or summarize away detail. Must include a section only when posting has real specific content. Must not emit heading followed by filler/placeholder text like "commensurate with experience", etc. Must not create Pay/Schedule/Benefits sections unless posting actually states them. The posting includes: Benefits: list of benefits (medical, dental, vision, life insurance, 401(k) with match, generous PTO, career development, HSAs, FSA, EAP, employee discount, voluntary benefits list). Also note eligibility may vary. So Benefits section is present.
Pay: posting includes "$59.28 - $91.10 hourly". Also "Individual wages are determined based upon a number of factors...". So Pay section present.
Schedule: posting includes Shift: Days, Job type: Full Time, Hours: 0800-1630, Schedule: 10 shifts per two week pay period. Alternating weekends required. So Schedule section present.
Also there is a sign-on bonus: "**Up to $25,000.00 Sign on Bonus for Qualified Candidates**". That could be part of Benefits or maybe separate? Could be considered part of Benefits or Pay? Probably include in Benefits as a bullet.
Also there is "Job Summary" with description of responsibilities. Could be part of Responsibilities section. The posting includes "Responsibilities" with priorities and percentages. Also earlier bullet list a) through n) etc. So we need to capture all responsibilities.
Qualifications: Required and Preferred.
Organization Description: description of Desert Care Network.
Also "Overview" at start: a paragraph about joining team, mission, etc. Could be "About the role" or maybe "Overview". The instruction: use
for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). So we can use About the role for overview paragraph.
We must not repeat job title as heading. So no heading for the job title.
We must not put Job ID/requisition numbers as headings. So ignore numbers.
We must remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. So remove EEO statements, Tenet statements, E-Verify link, etc. Also remove duplicated lines (like repeated EEO). Also remove "Note: Eligibility for benefits may vary by location and is determined by employment status" - that's substantive? It's about benefits eligibility; maybe keep as part of Benefits section as a note.
We must preserve ALL substantive information; do NOT invent or summarize away detail. So we need to keep all details: responsibilities list a) through n), priorities with percentages, qualifications required and preferred, organization description, benefits list, pay range, schedule details, sign-on bonus.
We must not create sections with filler/placeholder text. So we must ensure each section has actual content.
We need to decide which sections to include: About the role (overview paragraph), Responsibilities (the detailed duties), Qualifications (required and preferred), Benefits, Pay, Schedule, Organization Description maybe as "About the organization" but not in list of headings; but we could use "Organization Description" as a heading? The instruction gave examples but not limited to those; we can use any heading that matches content. Probably include "Organization Description" as .
We must not repeat content. Ensure we don't duplicate the responsibilities list both as bullet list a) through n) and also the priorities; we need to include both as they are substantive. Could combine? But we must preserve all detail; we can include both as separate lists under Responsibilities.
We need to use - for any list of duties/requirements/benefits. So for responsibilities we can have two lists: one for the a) through n) activities, and another for the priorities (maybe as list). For qualifications required and preferred, we can have two lists.
For benefits, we need a list.
For pay, we can have a
with the pay range and note about individual wages determination.
For schedule, we can have a
with shift, hours, schedule details, alternating weekends, sign-on bonus maybe as part of benefits or separate? Could include sign-on bonus in Benefits list.
We must not include duplicated lines: there are duplicated responsibilities priorities repeated later in the text; we need to include only once.
We must remove boilerplate like "The metrics below provide an indication..." that's part of Responsibilities? Actually it's after Qualifications? It appears after Qualifications? Actually after Qualifications there is a paragraph about metrics; that seems like part of Responsibilities or maybe a separate section "Performance Metrics". The instruction didn't list that as a heading but we could include as part of Responsibilities or maybe a separate "Performance Metrics". Since it's substantive, we should keep it. Could place under Responsibilities as a paragraph.
Also there is "Attends hospital workshop led by the Director of Case Management..." that's part of Responsibilities (maybe under responsibilities). We'll include.
Also "Information used to perform job:" and "Software used to perform job:" are details about responsibilities; we can include as a paragraph under Responsibilities.
Now we need to ensure we don't include any EEO statements etc.
Let's extract substantive content:
Overview paragraph:
"Join our dedicated healthcare team where compassion meets innovation! As a Registered Nurse with us, you'll have the opportunity to make a meaningful impact in patients' lives while enjoying a supportive work environment that fosters professional growth and work-life balance. Ready to be a vital part of our mission? Apply today and bring your passion for nursing to a place where it truly matters! At Desert Regional Medical Center, We Understand That Our Greatest Asset Is Our Dedicated Team Of Professionals. That’s Why We Offer More Than a Job – We Provide a Comprehensive Benefit Package That Prioritizes Your Health, Professional Development, And Work-life Balance."
But note that the benefits sentence is repeated later; we might want to keep overview without benefits duplication? The overview includes a sentence about benefits; but we also have a Benefits section later. We could keep overview as is, but that includes mention of benefits; it's okay not to duplicate? The instruction says preserve ALL substantive information; we can keep it even if duplicated elsewhere? It says remove duplicated lines. So we should avoid duplicating the same sentence. The overview includes a sentence about benefits that is essentially same as later Benefits section. To avoid duplication, we could keep overview without that sentence, or we could keep it and later benefits section but that would be duplication. Better to keep overview focusing on mission and work environment, and keep benefits separate. Let's see overview text: "Join our dedicated healthcare team where compassion meets innovation! As a Registered Nurse with us, you'll have the opportunity to make a meaningful impact in patients' lives while enjoying a supportive work environment that fosters professional growth and work-life balance. Ready to be a vital part of our mission? Apply today and bring your passion for nursing to a place where it truly matters! At Desert Regional Medical Center, We Understand That Our Greatest Asset Is Our Dedicated Team Of Professionals. That’s Why We Offer More Than a Job – We Provide a Comprehensive Benefit Package That Prioritizes Your Health, Professional Development, And Work-life Balance."
We could split: first two sentences about mission, third sentence about applying, fourth sentence about asset, fifth sentence about benefit package. The benefit package sentence is essentially summarizing benefits; we could keep it in overview but then benefits section would be duplicate. To avoid duplication, we could keep overview without the benefit sentence, or we could keep overview and then benefits section but maybe rephrase? The instruction says remove duplicated lines. So we should not have the same sentence twice. Let's keep overview without the benefit sentence, and keep benefits section detailed.
Thus overview paragraph: "Join our dedicated healthcare team where compassion meets innovation! As a Registered Nurse with us, you'll have the opportunity to make a meaningful impact in patients' lives while enjoying a supportive work environment that fosters professional growth and work-life balance. Ready to be a vital part of our mission? Apply today and bring your passion for nursing to a place where it truly matters! At Desert Regional Medical Center, We Understand That Our Greatest Asset Is Our Dedicated Team Of Professionals."
Now Responsibilities: we need to include:
- The individual in this position has overall responsibility for overseeing the clinical plan of care to conform to evidence-based practice and regulatory requirements. This position integrates care coordination, utilization management, and discharge planning. The individual’s responsibilities will include, but not be limited to the following activities:
a) medical necessity screening
b) care coordination
c) discharge planning
d) facilitating multi-disciplinary patient care conferences
e) managing concurrent disputes
f) making the appropriate referrals to other departments (e.g., nutrition, PT/OT/ST)
g) referring complex social issues to Social Service
h) communicating with patients and their families about the plan of care
i) collaborating with physicians, office staff and ancillary departments (e.g., lab, pharmacy)
j) participating in weekly Complex Case Review
k) arranging for post –discharge patient education
l) clear, complete and concise documentation in eCCM
m) maintaining accuracy of patient demographic and insurance information
n) identifying and documenting potentially avoidable days
o) identifying and reporting over and under utilization
o) and other duties as assigned. (Note there is duplicate o) maybe a typo; we can keep as one.)
- Attends hospital workshop led by the Director of Case Management or designee that includes the Tenet Case Management Model, InterQual, Discharge Planning, Utilization Management, and other topics specific to case management. Extended orientation with selected Case Managers may occur.
- Information used to perform job: patient data, healthcare staff documentation related to patient care, regulatory and payor requirements
- Software used to perform job: eCCM: Clinical data interface, InterQual, Case Management documentation, secure faxing, Avoidable Day tracking, Patient Medical Record and HPF, Hospital specific Clinical Software
- The metrics below provide an indication of the effectiveness of the individual in this role and may be used for evaluative purposes. The list below is not meant to be exhaustive; other relevant metrics may exist.
- Priorities with percentages:
Priority 1: Coordination of clinical care (medical necessity, appropriateness of care and resource utilization for admission, continued stay, discharge and post- acute care) compared to evidence-based practice, internal and external requirements. (40% daily, essential).
Priority 2: Identify and report variances in appropriateness of medical care provided, over/under utilization of resources compared to evidence-based practice and external requirements. This priority includes work with relevant software and communicating information through clear, complete and concise documentation in eCCM (40% daily, essential).
Priority 3: Effective collaboration with physicians, nurses, ancillary staff, payors, patients and families to achieve optimum clinical outcomes (10% daily, essential).
Priority 4. Remain current with relevant clinical/case management practices. (10% daily, essential).
We need to avoid duplication: The priorities appear again later in the text; we will include only once.
Now Qualifications:
Required:
- Current California RN license
- Minimum 2 years of acute case management experience
- Minimum 5 years bedside experience or 10 years in the relevant clinical specialty (e.g., case manager for pediatrics patients should have pediatric nursing experience)
- Excellent organizational skills
- Excellent verbal and written communication skills
- Ability to lead and coordinate activities of a diverse group of people
- Demonstrated critical thinking and problem solving skills
- Computer literate
- Case Managers hired prior to August 2009 are grandfathered in with the same performance expectations.
Preferred:
- B.S
for prose. Remove boilerplate (EEO, etc). Must preserve all substantive info. Must not invent or summarize away detail. Must include a section only when posting has real specific content. Must not emit heading followed by filler/placeholder text like "commensurate with experience", etc. Must not create Pay/Schedule/Benefits sections unless posting actually states them. The posting includes: Benefits: list of benefits (medical, dental, vision, life insurance, 401(k) with match, generous PTO, career development, HSAs, FSA, EAP, employee discount, voluntary benefits list). Also note eligibility may vary. So Benefits section is present. Pay: posting includes "$59.28 - $91.10 hourly". Also "Individual wages are determined based upon a number of factors...". So Pay section present. Schedule: posting includes Shift: Days, Job type: Full Time, Hours: 0800-1630, Schedule: 10 shifts per two week pay period. Alternating weekends required. So Schedule section present. Also there is a sign-on bonus: "**Up to $25,000.00 Sign on Bonus for Qualified Candidates**". That could be part of Benefits or maybe separate? Could be considered part of Benefits or Pay? Probably include in Benefits as a bullet. Also there is "Job Summary" with description of responsibilities. Could be part of Responsibilities section. The posting includes "Responsibilities" with priorities and percentages. Also earlier bullet list a) through n) etc. So we need to capture all responsibilities. Qualifications: Required and Preferred. Organization Description: description of Desert Care Network. Also "Overview" at start: a paragraph about joining team, mission, etc. Could be "About the role" or maybe "Overview". The instruction: use
for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). So we can use About the role for overview paragraph.
We must not repeat job title as heading. So no heading for the job title.
We must not put Job ID/requisition numbers as headings. So ignore numbers.
We must remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. So remove EEO statements, Tenet statements, E-Verify link, etc. Also remove duplicated lines (like repeated EEO). Also remove "Note: Eligibility for benefits may vary by location and is determined by employment status" - that's substantive? It's about benefits eligibility; maybe keep as part of Benefits section as a note.
We must preserve ALL substantive information; do NOT invent or summarize away detail. So we need to keep all details: responsibilities list a) through n), priorities with percentages, qualifications required and preferred, organization description, benefits list, pay range, schedule details, sign-on bonus.
We must not create sections with filler/placeholder text. So we must ensure each section has actual content.
We need to decide which sections to include: About the role (overview paragraph), Responsibilities (the detailed duties), Qualifications (required and preferred), Benefits, Pay, Schedule, Organization Description maybe as "About the organization" but not in list of headings; but we could use "Organization Description" as a heading? The instruction gave examples but not limited to those; we can use any heading that matches content. Probably include "Organization Description" as .
We must not repeat content. Ensure we don't duplicate the responsibilities list both as bullet list a) through n) and also the priorities; we need to include both as they are substantive. Could combine? But we must preserve all detail; we can include both as separate lists under Responsibilities.
We need to use - for any list of duties/requirements/benefits. So for responsibilities we can have two lists: one for the a) through n) activities, and another for the priorities (maybe as list). For qualifications required and preferred, we can have two lists.
For benefits, we need a list.
For pay, we can have a
with the pay range and note about individual wages determination.
For schedule, we can have a
with shift, hours, schedule details, alternating weekends, sign-on bonus maybe as part of benefits or separate? Could include sign-on bonus in Benefits list.
We must not include duplicated lines: there are duplicated responsibilities priorities repeated later in the text; we need to include only once.
We must remove boilerplate like "The metrics below provide an indication..." that's part of Responsibilities? Actually it's after Qualifications? It appears after Qualifications? Actually after Qualifications there is a paragraph about metrics; that seems like part of Responsibilities or maybe a separate section "Performance Metrics". The instruction didn't list that as a heading but we could include as part of Responsibilities or maybe a separate "Performance Metrics". Since it's substantive, we should keep it. Could place under Responsibilities as a paragraph.
Also there is "Attends hospital workshop led by the Director of Case Management..." that's part of Responsibilities (maybe under responsibilities). We'll include.
Also "Information used to perform job:" and "Software used to perform job:" are details about responsibilities; we can include as a paragraph under Responsibilities.
Now we need to ensure we don't include any EEO statements etc.
Let's extract substantive content:
Overview paragraph:
"Join our dedicated healthcare team where compassion meets innovation! As a Registered Nurse with us, you'll have the opportunity to make a meaningful impact in patients' lives while enjoying a supportive work environment that fosters professional growth and work-life balance. Ready to be a vital part of our mission? Apply today and bring your passion for nursing to a place where it truly matters! At Desert Regional Medical Center, We Understand That Our Greatest Asset Is Our Dedicated Team Of Professionals. That’s Why We Offer More Than a Job – We Provide a Comprehensive Benefit Package That Prioritizes Your Health, Professional Development, And Work-life Balance."
But note that the benefits sentence is repeated later; we might want to keep overview without benefits duplication? The overview includes a sentence about benefits; but we also have a Benefits section later. We could keep overview as is, but that includes mention of benefits; it's okay not to duplicate? The instruction says preserve ALL substantive information; we can keep it even if duplicated elsewhere? It says remove duplicated lines. So we should avoid duplicating the same sentence. The overview includes a sentence about benefits that is essentially same as later Benefits section. To avoid duplication, we could keep overview without that sentence, or we could keep it and later benefits section but that would be duplication. Better to keep overview focusing on mission and work environment, and keep benefits separate. Let's see overview text: "Join our dedicated healthcare team where compassion meets innovation! As a Registered Nurse with us, you'll have the opportunity to make a meaningful impact in patients' lives while enjoying a supportive work environment that fosters professional growth and work-life balance. Ready to be a vital part of our mission? Apply today and bring your passion for nursing to a place where it truly matters! At Desert Regional Medical Center, We Understand That Our Greatest Asset Is Our Dedicated Team Of Professionals. That’s Why We Offer More Than a Job – We Provide a Comprehensive Benefit Package That Prioritizes Your Health, Professional Development, And Work-life Balance."
We could split: first two sentences about mission, third sentence about applying, fourth sentence about asset, fifth sentence about benefit package. The benefit package sentence is essentially summarizing benefits; we could keep it in overview but then benefits section would be duplicate. To avoid duplication, we could keep overview without the benefit sentence, or we could keep overview and then benefits section but maybe rephrase? The instruction says remove duplicated lines. So we should not have the same sentence twice. Let's keep overview without the benefit sentence, and keep benefits section detailed.
Thus overview paragraph: "Join our dedicated healthcare team where compassion meets innovation! As a Registered Nurse with us, you'll have the opportunity to make a meaningful impact in patients' lives while enjoying a supportive work environment that fosters professional growth and work-life balance. Ready to be a vital part of our mission? Apply today and bring your passion for nursing to a place where it truly matters! At Desert Regional Medical Center, We Understand That Our Greatest Asset Is Our Dedicated Team Of Professionals."
Now Responsibilities: we need to include:
- The individual in this position has overall responsibility for overseeing the clinical plan of care to conform to evidence-based practice and regulatory requirements. This position integrates care coordination, utilization management, and discharge planning. The individual’s responsibilities will include, but not be limited to the following activities:
a) medical necessity screening
b) care coordination
c) discharge planning
d) facilitating multi-disciplinary patient care conferences
e) managing concurrent disputes
f) making the appropriate referrals to other departments (e.g., nutrition, PT/OT/ST)
g) referring complex social issues to Social Service
h) communicating with patients and their families about the plan of care
i) collaborating with physicians, office staff and ancillary departments (e.g., lab, pharmacy)
j) participating in weekly Complex Case Review
k) arranging for post –discharge patient education
l) clear, complete and concise documentation in eCCM
m) maintaining accuracy of patient demographic and insurance information
n) identifying and documenting potentially avoidable days
o) identifying and reporting over and under utilization
o) and other duties as assigned. (Note there is duplicate o) maybe a typo; we can keep as one.)
- Attends hospital workshop led by the Director of Case Management or designee that includes the Tenet Case Management Model, InterQual, Discharge Planning, Utilization Management, and other topics specific to case management. Extended orientation with selected Case Managers may occur.
- Information used to perform job: patient data, healthcare staff documentation related to patient care, regulatory and payor requirements
- Software used to perform job: eCCM: Clinical data interface, InterQual, Case Management documentation, secure faxing, Avoidable Day tracking, Patient Medical Record and HPF, Hospital specific Clinical Software
- The metrics below provide an indication of the effectiveness of the individual in this role and may be used for evaluative purposes. The list below is not meant to be exhaustive; other relevant metrics may exist.
- Priorities with percentages:
Priority 1: Coordination of clinical care (medical necessity, appropriateness of care and resource utilization for admission, continued stay, discharge and post- acute care) compared to evidence-based practice, internal and external requirements. (40% daily, essential).
Priority 2: Identify and report variances in appropriateness of medical care provided, over/under utilization of resources compared to evidence-based practice and external requirements. This priority includes work with relevant software and communicating information through clear, complete and concise documentation in eCCM (40% daily, essential).
Priority 3: Effective collaboration with physicians, nurses, ancillary staff, payors, patients and families to achieve optimum clinical outcomes (10% daily, essential).
Priority 4. Remain current with relevant clinical/case management practices. (10% daily, essential).
We need to avoid duplication: The priorities appear again later in the text; we will include only once.
Now Qualifications:
Required:
- Current California RN license
- Minimum 2 years of acute case management experience
- Minimum 5 years bedside experience or 10 years in the relevant clinical specialty (e.g., case manager for pediatrics patients should have pediatric nursing experience)
- Excellent organizational skills
- Excellent verbal and written communication skills
- Ability to lead and coordinate activities of a diverse group of people
- Demonstrated critical thinking and problem solving skills
- Computer literate
- Case Managers hired prior to August 2009 are grandfathered in with the same performance expectations.
Preferred:
- B.S
- for any list of duties/requirements/benefits. So for responsibilities we can have two lists: one for the a) through n) activities, and another for the priorities (maybe as list). For qualifications required and preferred, we can have two lists.
For benefits, we need a list.
For pay, we can have a
with the pay range and note about individual wages determination. For schedule, we can have a
with shift, hours, schedule details, alternating weekends, sign-on bonus maybe as part of benefits or separate? Could include sign-on bonus in Benefits list. We must not include duplicated lines: there are duplicated responsibilities priorities repeated later in the text; we need to include only once. We must remove boilerplate like "The metrics below provide an indication..." that's part of Responsibilities? Actually it's after Qualifications? It appears after Qualifications? Actually after Qualifications there is a paragraph about metrics; that seems like part of Responsibilities or maybe a separate section "Performance Metrics". The instruction didn't list that as a heading but we could include as part of Responsibilities or maybe a separate "Performance Metrics". Since it's substantive, we should keep it. Could place under Responsibilities as a paragraph. Also there is "Attends hospital workshop led by the Director of Case Management..." that's part of Responsibilities (maybe under responsibilities). We'll include. Also "Information used to perform job:" and "Software used to perform job:" are details about responsibilities; we can include as a paragraph under Responsibilities. Now we need to ensure we don't include any EEO statements etc. Let's extract substantive content: Overview paragraph: "Join our dedicated healthcare team where compassion meets innovation! As a Registered Nurse with us, you'll have the opportunity to make a meaningful impact in patients' lives while enjoying a supportive work environment that fosters professional growth and work-life balance. Ready to be a vital part of our mission? Apply today and bring your passion for nursing to a place where it truly matters! At Desert Regional Medical Center, We Understand That Our Greatest Asset Is Our Dedicated Team Of Professionals. That’s Why We Offer More Than a Job – We Provide a Comprehensive Benefit Package That Prioritizes Your Health, Professional Development, And Work-life Balance." But note that the benefits sentence is repeated later; we might want to keep overview without benefits duplication? The overview includes a sentence about benefits; but we also have a Benefits section later. We could keep overview as is, but that includes mention of benefits; it's okay not to duplicate? The instruction says preserve ALL substantive information; we can keep it even if duplicated elsewhere? It says remove duplicated lines. So we should avoid duplicating the same sentence. The overview includes a sentence about benefits that is essentially same as later Benefits section. To avoid duplication, we could keep overview without that sentence, or we could keep it and later benefits section but that would be duplication. Better to keep overview focusing on mission and work environment, and keep benefits separate. Let's see overview text: "Join our dedicated healthcare team where compassion meets innovation! As a Registered Nurse with us, you'll have the opportunity to make a meaningful impact in patients' lives while enjoying a supportive work environment that fosters professional growth and work-life balance. Ready to be a vital part of our mission? Apply today and bring your passion for nursing to a place where it truly matters! At Desert Regional Medical Center, We Understand That Our Greatest Asset Is Our Dedicated Team Of Professionals. That’s Why We Offer More Than a Job – We Provide a Comprehensive Benefit Package That Prioritizes Your Health, Professional Development, And Work-life Balance." We could split: first two sentences about mission, third sentence about applying, fourth sentence about asset, fifth sentence about benefit package. The benefit package sentence is essentially summarizing benefits; we could keep it in overview but then benefits section would be duplicate. To avoid duplication, we could keep overview without the benefit sentence, or we could keep overview and then benefits section but maybe rephrase? The instruction says remove duplicated lines. So we should not have the same sentence twice. Let's keep overview without the benefit sentence, and keep benefits section detailed. Thus overview paragraph: "Join our dedicated healthcare team where compassion meets innovation! As a Registered Nurse with us, you'll have the opportunity to make a meaningful impact in patients' lives while enjoying a supportive work environment that fosters professional growth and work-life balance. Ready to be a vital part of our mission? Apply today and bring your passion for nursing to a place where it truly matters! At Desert Regional Medical Center, We Understand That Our Greatest Asset Is Our Dedicated Team Of Professionals." Now Responsibilities: we need to include: - The individual in this position has overall responsibility for overseeing the clinical plan of care to conform to evidence-based practice and regulatory requirements. This position integrates care coordination, utilization management, and discharge planning. The individual’s responsibilities will include, but not be limited to the following activities: a) medical necessity screening b) care coordination c) discharge planning d) facilitating multi-disciplinary patient care conferences e) managing concurrent disputes f) making the appropriate referrals to other departments (e.g., nutrition, PT/OT/ST) g) referring complex social issues to Social Service h) communicating with patients and their families about the plan of care i) collaborating with physicians, office staff and ancillary departments (e.g., lab, pharmacy) j) participating in weekly Complex Case Review k) arranging for post –discharge patient education l) clear, complete and concise documentation in eCCM m) maintaining accuracy of patient demographic and insurance information n) identifying and documenting potentially avoidable days o) identifying and reporting over and under utilization o) and other duties as assigned. (Note there is duplicate o) maybe a typo; we can keep as one.) - Attends hospital workshop led by the Director of Case Management or designee that includes the Tenet Case Management Model, InterQual, Discharge Planning, Utilization Management, and other topics specific to case management. Extended orientation with selected Case Managers may occur. - Information used to perform job: patient data, healthcare staff documentation related to patient care, regulatory and payor requirements - Software used to perform job: eCCM: Clinical data interface, InterQual, Case Management documentation, secure faxing, Avoidable Day tracking, Patient Medical Record and HPF, Hospital specific Clinical Software - The metrics below provide an indication of the effectiveness of the individual in this role and may be used for evaluative purposes. The list below is not meant to be exhaustive; other relevant metrics may exist. - Priorities with percentages: Priority 1: Coordination of clinical care (medical necessity, appropriateness of care and resource utilization for admission, continued stay, discharge and post- acute care) compared to evidence-based practice, internal and external requirements. (40% daily, essential). Priority 2: Identify and report variances in appropriateness of medical care provided, over/under utilization of resources compared to evidence-based practice and external requirements. This priority includes work with relevant software and communicating information through clear, complete and concise documentation in eCCM (40% daily, essential). Priority 3: Effective collaboration with physicians, nurses, ancillary staff, payors, patients and families to achieve optimum clinical outcomes (10% daily, essential). Priority 4. Remain current with relevant clinical/case management practices. (10% daily, essential). We need to avoid duplication: The priorities appear again later in the text; we will include only once. Now Qualifications: Required: - Current California RN license - Minimum 2 years of acute case management experience - Minimum 5 years bedside experience or 10 years in the relevant clinical specialty (e.g., case manager for pediatrics patients should have pediatric nursing experience) - Excellent organizational skills - Excellent verbal and written communication skills - Ability to lead and coordinate activities of a diverse group of people - Demonstrated critical thinking and problem solving skills - Computer literate - Case Managers hired prior to August 2009 are grandfathered in with the same performance expectations. Preferred: - B.S