Registered Nurse (RN) - Hospital Care Manager, Hospital Care Management, PT, Days

We need to output HTML fragment with sections: About the role? The posting includes Job Summary, Essential Functions, Supervisory/Management Responsibilities, Minimum Qualifications, Required Certifications..., Knowledge, Skills And Abilities, Work Shift, Location, Department, etc. We need to use

for section headings like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. However we should only include sections when posting has real specific content. We need to map content to these headings. We have: - Job Summary: could be "About the role". Use

About the role

then

with summary. - Essential Functions: could be "Responsibilities". Use

Responsibilities

then

• for each bullet. - Supervisory/Management Responsibilities: maybe part of Responsibilities? Could be separate but we can include under Responsibilities as it's about supervisory? It says non-management job, reporting to supervisor. Could be included in Responsibilities. - Minimum Qualifications: could be "Qualifications". Use

  Qualifications

  then list education, experience, etc. - Required Certifications, Registrations, Licenses: could be part of Qualifications or separate "Certifications". But we have only allowed headings: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. "Requirements" could cover certifications and licenses. "Skills" could cover Knowledge, Skills And Abilities. We need to avoid filler like "commensurate with experience". Not present. We need to preserve all substantive info. Remove boilerplate like Inspire health... repeated? The job summary includes that phrase at start; we should keep it as part of summary. We need to not repeat job title as heading. No Job ID. We need to output only HTML fragment. Let's extract content. Job Summary paragraph: "Inspire health. Serve with compassion. Be the difference. Job Summary Integral care team partner that focuses on patient engagement and activation, has primary accountability for patients' care transition out of the acute care setting and positively impacts longitudinal care plan alignment. In collaboration with physicians, leads the multidisciplinary team including clinical staff and payors to ensure efficient delivery of quality, cost-effective care. Leads the team for each patient individually with the goal to maximize autonomy where possible." We can combine into a paragraph. Essential Functions list: many sentences. We'll turn each into
• . List them: - Partners with the attending providers throughout hospitalization to promote effective and efficient utilization of clinical resources, ensuring quality, cost effective care. - Anticipate next steps and facilitate communication to maximize care efficiencies for the patient and family. - Identifies social determinants of health that increase the patient's risk for negative outcomes. - Ensures clear documentation for the interdisciplinary care team and coordinates post-acute plans with the ambulatory care management team as appropriate. - Facilitates patient access to resources and relevant services. - Addresses and resolves system problems impeding diagnostic or treatment progress. - Proactively identifies, resolves and documents delays and obstacles on the patient's behalf. - Drives change by identifying areas where performance improvement is needed. - Navigates value-based care with expertise and ensures longitudinal plan is patient focused and aligns with patient and caregiver goals. - On the basis of preliminary risk screening, assesses patients’ and family’s psychosocial risk factors through evaluation of prior functioning levels, appropriateness and adequacy of support systems, reaction to illness and ability to cope. - Maintains expert level knowledge of body systems and expected clinical outcomes for patient disease process. - Maintains current knowledge of changes in state and federal regulatory requirements related to the provision of care management services in an acute care setting. - Maintains care management knowledge to provide services in accordance with standards of practice as established by department and management. - Ensures medical necessity, appropriate level of care and timely implementation of plan of care in accordance with hospital(s) Utilization Review Plan. - Navigates the team through complex compliance, regulatory and insurance requirements. - Coordinates with third party payors on a regular basis. - Serves as a resource for patients and families with regard to their rights and responsibilities, when payment of care is denied or when care is no longer medically necessary. - Includes, but not limited to, delivery of the regulatory documents as provided by CMS. - Advocates for patient and family empowerment and independence to make autonomous health care decisions and access needed services within the health care system. - Performs other duties as assigned. Supervisory/Management Responsibilities: "This is a non-management job that will report to a supervisor, manager, director or executive." Could be a paragraph under Responsibilities. Minimum Qualifications: Education - Bachelor's degree in Nursing Experience - Three (3) years acute care nursing experience. One (1) year acute care case management experience preferred. In Lieu Of ... (multiple paragraphs). We'll need to preserve all. Let's capture the In Lieu Of text: "In lieu of the BSN requirement above, will accept a nursing diploma or Associate degree in nursing if candidate is a current Prisma Health team member. In lieu of the BSN requirement above, a nursing diploma or an Associate degree in Nursing may be considered if the applicant signs a BSN Memorandum of Understanding (MOU) agreeing to enroll in an accredited BSN or MSN program within one year and obtain a BSN or MSN degree within (4) four years of hire date. Further, employees must demonstrate sufficient progress annually toward obtaining an accredited BSN or MSN degree to remain eligible for employment or may be terminated. Employees in this title prior to 3/1/2025 are grandfathered into the title and are only required to have an AD N or Nursing Diploma." We need to keep that. Required Certifications, Registrations, Licenses: "Holds a current RN compact/multistate license recognized by the NCSBN Compact State or is licensed to practice as an RN in the state the team member is working. Accredited Case Manager (ACM) or Certified Case Manager (CCM) is preferred." Knowledge, Skills And Abilities: "Knowledge of Medical Necessity Criteria is preferred." Work Shift: "Day (United States of America)" Location: "Blount Memorial Hospital Facility Blount Memorial Hospital, Inc." Department: "BMH Hospital Care Management" Also there is a closing paragraph: "Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health." This is boilerplate? Might be considered generic but it's substantive? It's more marketing. Might be considered boilerplate but not explicitly listed to remove. The instruction: remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. This is not those. Could keep as part of About the role? Might be considered fluff but we can include as part of summary. We need to avoid creating sections like Benefits, Pay, Schedule unless posting actually states them. We have Work Shift (Day) and Location. Could we make a Schedule section? The posting has Work Shift: Day. That's schedule info. So we can include a

  Schedule

  with

  Day (United States of America)

  . Also Location could be part of About the role or separate? Not a standard heading; we could include Location in About the role paragraph or maybe as a separate

  but not a heading. Since we only have allowed headings, we could put location in About the role paragraph. We need to include all substantive info. Let's structure:

  About the role

  Inspire health. Serve with compassion. Be the difference. Integral care team partner that focuses on patient engagement and activation, has primary accountability for patients' care transition out of the acute care setting and positively impacts longitudinal care plan alignment. In collaboration with physicians, leads the multidisciplinary team including clinical staff and payors to ensure efficient delivery of quality, cost-effective care. Leads the team for each patient individually with the goal to maximize autonomy where possible. Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.

  Responsibilities

  • Partners with the attending providers throughout hospitalization to promote effective and efficient utilization of clinical resources, ensuring quality, cost effective care.
  • Anticipate next steps and facilitate communication to maximize care efficiencies for the patient and family.
  • Identifies social determinants of health that increase the patient's risk for negative outcomes.
  • Ensures clear documentation for the interdisciplinary care team and coordinates post-acute plans with the ambulatory care management team as appropriate.
  • Facilitates patient access to resources and relevant services.
  • Addresses and resolves system problems impeding diagnostic or treatment progress.
  • Proactively identifies, resolves and documents delays and obstacles on the patient's behalf.
  • Drives change by identifying areas where performance improvement is needed.
  • Navigates value-based care with expertise and ensures longitudinal plan is patient focused and aligns with patient and caregiver goals.
  • On the basis of preliminary risk screening, assesses patients’ and family’s psychosocial risk factors through evaluation of prior functioning levels, appropriateness and adequacy of support systems, reaction to illness and ability to cope.
  • Maintains expert level knowledge of body systems and expected clinical outcomes for patient disease process.
  • Maintains current knowledge of changes in state and federal regulatory requirements related to the provision of care management services in an acute care setting.
  • Maintains care management knowledge to provide services in accordance with standards of practice as established by department and management.
  • Ensures medical necessity, appropriate level of care and timely implementation of plan of care in accordance with hospital(s) Utilization Review Plan.
  • Navigates the team through complex compliance, regulatory and insurance requirements.
  • Coordinates with third party payors on a regular basis.
  • Serves as a resource for patients and families with regard to their rights and responsibilities, when payment of care is denied or when care is no longer medically necessary.
  • Includes, but not limited to, delivery of the regulatory documents as provided by CMS.
  • Advocates for patient and family empowerment and independence to make autonomous health care decisions and access needed services within the health care system.
  • Performs other duties as assigned.
  • This is a non-management job that will report to a supervisor, manager, director or executive.

  Qualifications

  Education: Bachelor's degree in Nursing

  Experience: Three (3) years acute care nursing experience. One (1) year acute care case management experience preferred.

  In lieu of the BSN requirement above, will accept a nursing diploma or Associate degree in nursing if candidate is a current Prisma Health team member.

  In lieu of the BSN requirement above, a nursing diploma or an Associate degree in Nursing may be considered if the applicant signs a BSN Memorandum of Understanding (MOU) agreeing to enroll in an accredited BSN or MSN program within one year and obtain a BSN or MSN degree within (4) four years of hire date. Further, employees must demonstrate sufficient progress annually toward obtaining an accredited BSN or MSN degree to remain eligible for employment or may be terminated.

  Employees in this title prior to 3/1/2025 are grandfathered into the title and are only required to have an AD N or Nursing Diploma.

  Requirements

  Holds a current RN compact/multistate license recognized by the NCSBN Compact State or is licensed to practice as an RN in the state the team member is working.

  Accredited Case Manager (ACM) or Certified Case Manager (CCM) is preferred.