RN Care Manager - Acute Case Management - Days - Bayfront Hospital

We need to output HTML fragment with sections: h3 headings for sections present: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We must only include sections that have real specific content. The posting includes Position Summary (overview), Job Description (core responsibilities), Education/Training, Licensure/Certification, Experience, Essential Functions (detailed responsibilities), About Orlando Health Bayfront Hospital (about employer), Benefits (list of benefits). Also schedule info: Shift: Day, Full-Time Schedule: 8am-4:30pm Mon-Fri with weekend rotations (up to 1-2 weekends per month) and holiday rotation. So we have schedule content. Pay: Not mentioned. So we should NOT include Pay section. Benefits: There's a list: Education & Career Growth Assistance, Comprehensive Health & Wellness coverage and resources, Financial & Retirement Planning with Company Match, Excellent Company Culture and Work–Life Balance, Family & Pet Support and more! Also earlier: Orlando Health is committed to providing you with benefits that go beyond the expected, with career-growing FREE education programs and well-being services to support you and your family through every stage of life. We begin your benefits on day one and offer flexibility wherever possible, so that you can be present for your passions. So we have benefits content. Thus sections: About the role (maybe Position Summary/Overview), Responsibilities (core responsibilities + essential functions), Requirements (Education/Training, Licensure/Certification, Experience), Qualifications (maybe combine with Requirements? but we need separate if content). Could treat Requirements as licensure/experience, Qualifications as education/training? But we need to avoid thin sections. Better to have: About the role (position summary), Responsibilities (core responsibilities + essential functions), Requirements (education, licensure, experience), Benefits (list). Also Schedule (shift info). Could also have Skills (maybe from essential functions: organizational skills, communication, leadership, critical thinking, computer literacy). That is present. So we can include Skills section. Qualifications maybe redundant; we could omit if not distinct. The instruction: Prefer a few substantive sections over many thin ones. So we can combine education/licensure/experience into Requirements. Skills separate. Benefits separate. Schedule separate. About the role separate. Thus headings: About the role, Responsibilities, Requirements, Skills, Benefits, Schedule. We must not repeat job title as heading. No Job ID. We must use

for each section heading. Use

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

  for prose. We need to preserve all substantive information; do not invent or summarize away detail. Must not omit details. So we need to include all responsibilities, essential functions, etc. That's a lot. We need to format as lists where appropriate. We need to decide what goes into

  • vs

    . For prose paragraphs, use

    . For lists of duties/requirements/benefits, use

    • . The posting has many bullet-like sentences; we can turn them into list items. We must not include boilerplate like EEO etc. Already removed. Let's extract content. Position Summary: "Position Summary Position Overview Title: RN Care Manager, Acute Department: Case Management Site: Bayfront Hospital Location: St. Petersburg, FL Shift: Day, Full-Time Schedule: 8am-4:30pm Mon-Fri with weekend rotations (up to 1-2 weekends per month) and holiday rotation Job Description An RN Case Manager (RNCM) is a registered nurse responsible for coordinating patient care across the continuum, ensuring safe, efficient, and appropriate utilization of healthcare resources while maintaining a strong focus on quality outcomes. The RNCM promotes and facilitates effective management of hospital resources from admission to discharge, collaborating with the assigned clinical team to identify patients most likely to benefit from care coordination services to include assessing patients’ risk factors and the need for care coordination, clinical utilization management and the transition to the next appropriate level of care." We can create About the role: combine Position Summary and Job Description overview. Responsibilities: Core Responsibilities list (Care Coordination, Discharge Planning, Patient & Family Advocacy, Compliance & Documentation) plus Essential Functions (many items). We'll list them as
      • . Requirements: Education/Training, Licensure/Certification, Experience. Skills: list of skills from Essential Functions: demonstrated organizational skills, excellent verbal and written communication skills, ability to lead and coordinate activities of a diverse group of people in a fast-paced environment, critical thinking and problem-solving skills, computer literacy. Also maybe interpersonal skills, team environment, etc. We'll capture those. Benefits: list from "Why Orlando Health Is Your Best Place To Work" bullet points plus earlier description. Schedule: shift info. We must not include fluff like "commensurate with experience". Not present. Now produce HTML. We need to ensure we don't include any markdown fences. Let's craft. About the role:

        ...

        containing the summary. Responsibilities:

        Responsibilities

        then
        with items. We need to include all responsibilities items from Core Responsibilities and Essential Functions. Let's list Core Responsibilities: - Assess patients upon admission for discharge planning needs - Develop and implement individualized care transition plans - Collaborate with physicians, nurses, social workers, therapists, and ancillary services - Ensure smooth transitions to post-acute care (SNF, rehab, home health, hospice) - Prevent avoidable delays in care or discharge - Monitor length of stay (LOS) and address barriers early - Participate in payer communication and authorization processes Discharge Planning: - Identify social, financial, and clinical barriers - Coordinate with families and caregivers - Arrange services such as DME, home health, transportation, or community resources - Ensure safe and timely discharge to the appropriate level of care Patient & Family Advocacy: - Educate patients and families about care plans and options - Promote informed decision-making - Address Social Determinants of Health (SDOH) impacting recovery Compliance & Documentation: - Maintain accurate documentation supporting medical necessity - Ensure regulatory and accreditation standards are met - Participate in quality improvement initiatives Essential Functions (many). We'll list them as separate items. Essential Functions list (I'll extract each sentence separated by periods). Might be long but we need to preserve all. Let's parse: "Initially and concurrently assesses all patients within assigned population to include, but not limited to:" Then subitems? Actually the list continues with colon and then items separated by commas? The text: "Accurate medical necessity screening and submission for Physician Advisor reviewCare coordination that includes admitting diagnosis/ medical history, current treatments, age, payment source, resources, support systems, anticipated needs, expected length of stay, appropriate level of service, special/ personal needs, and other relevant information.Assignment of initial DRG to determine GMLOS, while concurrently monitoring and managing LOS and transition planning as appropriate through assessment and reassessment and the application of InterQual guidelines.Leading and facilitating multi-disciplinary patient care conferencesManaging concurrent disputesMaking appropriate referrals to other departmentsIdentifying and referring complex patients to Social Work ServicesCommunicating with patients and families about the plan of careLeading and facilitating Complex Case ReviewIdentification and documentation of potentially avoidable daysIdentification and reporting over and underutilizationEnsures compliance with all regulatory standards including Federal, State, Local and Joint Commission with review requirements for Managed Contracts, Medicare, Medicaid, and Campus related to admission and continued stay approval.Adheres to Utilization Management Plan.Integrates National standards for care management scope of services including:Utilization Management supporting medical necessity and denial preventionTransition Management promoting appropriate length of stay, readmission prevention and patient satisfactionCare Coordination by demonstrating throughput efficiency while assuring care is the right sequence and appropriate level of careEducation provided to physicians, patients, families, and caregivers.Communicates appropriately and timely with the interdisciplinary team and third-party payers.Prioritizes activities in assigned areas to focus on high risk, high cost, and problem prone areas.Develops collaborative relationships with patient business, nursing, physicians, and patient/family to facilitate efficient movement through the continuum of care. Monitors and evaluates data, fiscal outcomes, and other relevant information to develop and implement strategies for improvement.Forwards identified quality and/or risk issues appropriately.Maintains positive relationships with outside/onsite reviewers and other payer representatives.Identifies cultural, socio-economic, religious, and other factors that may impact treatment.Involves patient’s family in the development of the treatment plan as appropriate while explaining procedures, therapies, systems treatment plans, and discharge plans in age/developmental/educational specific terms to patient/family.Reviews patient’s discharge plan at multidisciplinary meetings and/or staffing to facilitate communication with other healthcare team members.Prioritizes workload to manage multiple priorities while using problem-solving skills to meet goals.Enhances professional growth by participating in educational programs, current literature and/or workshops.Possesses excellent interpersonal skills and ability to work in a team environment.Respects the rights and privacy of others and holds staff member information in strict confidence.Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state and local standards. Maintains compliance with all Orlando Health policies and proceduresMaintains records and documentation of work performed in an organized and easily retrievable fashion while maintaining confidentiality of data and patient information.Reviews current literature on a regular basis, maintains reference materials and updates as required, and keeps abreast of relevant reimbursement information.Actively serves on committees and task forces to promote quality, cost-effective care for patient population.Required skills include demonstrated organizational skills, excellent verbal and written communication skills, ability to lead and coordinate activities of a diverse group of people in a fast-paced environment, critical thinking and problem-solving skills and computer literacy.Performs other duties as assigned or required." We need to split into sensible list items. Could break at each capitalized verb start? Might be messy but we can approximate. Given the instruction to preserve ALL substantive information, we need to include all these points. We can create a long
        with each sentence as
        • . Ensure we don't miss any. Let's manually split by periods where appropriate. I'll rewrite each item: - Initially and concurrently assesses all patients within assigned population to include, but not limited to: - Accurate medical necessity screening and submission for Physician Advisor review - Care coordination that includes admitting diagnosis/ medical history, current treatments, age, payment source, resources, support systems, anticipated needs, expected length of stay, appropriate level of service, special/ personal needs, and other relevant information - Assignment of initial DRG to determine GMLOS, while concurrently monitoring and managing LOS and transition planning as appropriate through assessment and reassessment and the application of InterQual guidelines - Leading and facilitating multi-disciplinary patient care conferences - Managing concurrent disputes - Making appropriate referrals to other departments - Identifying and referring complex patients to Social Work Services - Communicating with patients and families about the plan of care - Leading and facilitating Complex Case Review - Identification and documentation of potentially avoidable days - Identification and reporting over and underutilization - Ensures compliance with all regulatory standards including Federal, State, Local and Joint Commission with review requirements for Managed Contracts, Medicare, Medicaid, and Campus related to admission and continued stay approval - Adheres to Utilization Management Plan - Integrates National standards for care management scope of services including: - Utilization Management supporting medical necessity and denial prevention - Transition Management promoting appropriate length of stay, readmission prevention and patient satisfaction - Care Coordination by demonstrating throughput efficiency while assuring care is the right sequence and appropriate level of care - Education provided to physicians, patients, families, and caregivers - Communicates appropriately and timely with the interdisciplinary team and third-party payers - Prioritizes activities in assigned areas to focus on high risk, high cost, and problem prone areas - Develops collaborative relationships with patient business, nursing, physicians, and patient/family to facilitate efficient movement through the continuum of care - Monitors and evaluates data, fiscal outcomes, and other relevant information to develop and