RN Case Manager - Case Management
for section headings: e.g., About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. But we should only include sections when posting has real specific content. The posting includes Position Summary (could be About the role). Primary Accountabilities could be Responsibilities. Work Experience includes Minimum Qualifications and Preferred Qualifications (could be Requirements/Qualifications/Skills). Physical Requirements could be maybe under Requirements? But we have a specific heading for Physical Requirements? Not in list but we could treat as Requirements. Benefits present. Schedule present.
We must not create Pay/Schedule/Benefits unless posting actually states them. Benefits present, Schedule present. Pay not present, so omit.
We need to use - for any list of duties/requirements/benefits. So we need to convert lists into
- . For prose use
.
We must preserve all substantive information, not invent or summarize away detail. Remove boilerplate like EEO etc. There's none.
We need to include section headings only when posting has real specific content. So we will have sections: About the role (position summary), Responsibilities (primary accountabilities), Requirements (minimum qualifications), Qualifications (preferred qualifications), Skills (maybe knowledge/skills/abilities?), Benefits, Schedule. Physical Requirements maybe could be part of Requirements or separate? The instruction list of allowed headings does not include Physical Requirements, but we could include it under Requirements or maybe as a separate section not in list? The instruction says: Use
for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). It gives examples but not exclusive? It says "Use for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule)." Likely they expect only those headings. So we should map content to those headings. Physical Requirements could go under Requirements or maybe Skills? Probably under Requirements (as part of job requirements). We'll include physical requirements within Requirements section as a list.
We need to avoid filler like "commensurate with experience". Not present.
We need to output only HTML fragment, no /, no markdown fences.
Let's extract content.
POSITION SUMMARY: The RN Case Manager is fully engaged in providing quality/no harm, customer service and stewardship by utilizing advanced clinical skills in the assessment, planning, intervention and evaluation of patient care in accordance with Federal Conditions of Participation, State of Florida regulations, and The Joint Commission (TJC) accreditation standards. The RN Case Manager uses sound clinical judgment, working collaboratively with the interdisciplinary team, patient, family, and significant support personnel to achieve optimal clinical outcomes through effective utilization of resources and discharge planning for all hospital admissions.
That's prose.
Primary Accountabilities: list of bullet-like sentences separated by periods. We'll convert each sentence to
- .
Let's list them:
- Initiates care transition at time of admission, developing and revising individualized discharge plans (as indicated by assessment/reassessment and response to treatment) to meet patient needs during their hospital stay, manage their length of stay, promote efficient utilization of resources, and plan for a safe discharge.
- Identifies at-risk populations using approved screening tool and following established referral processes for safe transition to next level care to prevent readmission.
- Practices autonomously, consistent with evidence-based standards.
- Serves as a case management resource expert for compliance with Medicare IM letter, 3008, 1823 PASSR, and DCF mandatory legal reporting, etc.
- Works with the Utilization Department, Physician Advisors, Hospitalists, Emergency and other physicians to ensure appropriate, cost-effective care with the best patient outcomes.
- Proactively identifies and either resolves or escalates delays and obstacles to discharge.
- Identifies reimbursement factors influencing choice of post-hospital providers and obtains authorizations as required, either directly or in collaboration with the payer’s case manager.
- Evaluates overall patient daily plan for effectiveness and involves patient and family in formulating plan goals.
- Works collaboratively and maintains active communication with physicians, nursing, physician advisor, and other members of the interdisciplinary care team to effect timely, appropriate patient resource management and patient transition.
- Demonstrates professional accountability through supporting patient’s rights, informed consents and advanced directives.
- Initiates appropriate referrals to ethics committee, clinical social worker, risk management or legal services as appropriate.
Now Work Experience MINIMUM QUALIFICATIONS:
Education: Associate Degree in Nursing
Licensure: Current, valid State of Florida RN license or endorsement.
Certification: Current American Heart Association Basic Life Support Healthcare Provider Completion Card upon hire and maintained.
Work Experience: At least three (3) years of clinical experience in an acute care hospital.
Knowledge/Skills/Abilities:
Strong analytical, data management and computer skills.
Excellent interpersonal communication and negotiation skills.
Demonstrated critical thinking in resolving or escalating barriers.
Ability to work autonomously and prioritize multiple tasks and role components.
Ability to exercise sound judgment in interactions with physicians, payers, patients and their families.
Flexibility to meet needs in sometimes high demand and stressful situations.
Preferred Qualifications:
Education: BSN or Bachelor’s Degree in related field.
Certification: CCM or ACM.
Work Experience: Case Management experience in a acute care hospital.
Knowledge/Skills/Abilities:
Knowledge of care transitions, utilization management, case management, performance improvement and managed care reimbursement.
Comprehensive knowledge of continuum-of-care post-acute community resources.
PHYSICAL REQUIREMENTS (Sedentary):
Majority of time involves sitting or standing; occasional walking, bending, stooping.
Long periods of computer time or at workstation.
Light work that may include lifting or moving objects up to 20 pounds with or without assistance.
May be exposed to inside environments with varied temperatures, air quality, lighting and/or low to moderate noise.
Communicating with others to exchange information.
Visual acuity and hand-eye coordination to perform tasks.
Workspace may vary from open to confined.
May require travel to various facilities within and beyond county perimeter; may require use of personal vehicle.
Benefits: The paragraph about Health First diversity etc.
Schedule: Full-Time Shift Times : 800am430pm (looks like 8:00am-4:30pm). We'll keep as given.
Now we need to map to sections.
About the role: position summary.
Responsibilities: primary accountabilities.
Requirements: minimum qualifications (education, licensure, certification, work experience, knowledge/skills/abilities). Could also include physical requirements? Might be better to include physical requirements under Requirements as a sublist.
Qualifications: preferred qualifications.
Skills: maybe we could separate knowledge/skills/abilities from minimum and preferred? But we already have them in Requirements and Qualifications. The instruction list includes Skills as a possible heading. Could we create a Skills section that aggregates the knowledge/skills/abilities from both minimum and preferred? But that would duplicate content. Better to follow the examples but only include sections with real content. We have content for Requirements (minimum) and Qualifications (preferred). We could also have Skills section that includes the knowledge/skills/abilities from both? But that would be redundant. The instruction says "Prefer a few substantive sections over many thin ones." So we might combine minimum and preferred into Requirements and Qualifications, and maybe not need Skills. However we have knowledge/skills/abilities listed under both; we could keep them within those sections.
Thus sections: About the role, Responsibilities, Requirements, Qualifications, Benefits, Schedule.
We need to use
- for any list of duties/requirements/benefits. So for Responsibilities we need a
. For Requirements we need a for each sub-item? Could break into sub-sections? But we can just make a with each qualification as - . For Qualifications similarly.
For Benefits we have prose (the Health First paragraph). Not a list, so
.
For Schedule we have a short statement; could be
.
Now we need to ensure we preserve all substantive information. Let's extract each piece exactly.
Position summary text: "The RN Case Manager is fully engaged in providing quality/no harm, customer service and stewardship by utilizing advanced clinical skills in the assessment, planning, intervention and evaluation of patient care in accordance with Federal Conditions of Participation, State of Florida regulations, and The Joint Commission (TJC) accreditation standards. The RN Case Manager uses sound clinical judgment, working collaboratively with the interdisciplinary team, patient, family, and significant support personnel to achieve optimal clinical outcomes through effective utilization of resources and discharge planning for all hospital admissions."
We'll keep that as
.
Primary accountabilities list: we need to keep each sentence exactly as in posting. Let's copy them.
Check punctuation: each ends with a period. We'll keep.
Now Minimum Qualifications:
Education: Associate Degree in Nursing
Licensure: Current, valid State of Florida RN license or endorsement.
Certification: Current American Heart Association Basic Life Support Healthcare Provider Completion Card upon hire and maintained.
Work Experience: At least three (3) years of clinical experience in an acute care hospital.
Knowledge/Skills/Abilities:
Strong analytical, data management and computer skills.
Excellent interpersonal communication and negotiation skills.
Demonstrated critical thinking in resolving or escalating barriers.
Ability to work autonomously and prioritize multiple tasks and role components.
Ability to exercise sound judgment in interactions with physicians, payers, patients and their families.
Flexibility to meet needs in sometimes high demand and stressful situations.
We'll treat each line as
- . For the "Knowledge/Skills/Abilities:" line, it's a heading; we could either include it as a
- or treat as a subheading. But instruction says use
- for any list of duties/requirements/benefits. So we can make each bullet a
- . The "Knowledge/Skills/Abilities:" could be a
- as well, but it's not a bullet item; it's a category. However we could keep it as a
- for simplicity, but that might be odd. Better to treat it as a
- with the label and then subsequent lines as sub-items? But we cannot nest
inside - without extra markup; but we could just include them as separate
- items. The instruction didn't forbid having a
- that is a category heading. It's okay.
Thus we will have
- Education: Associate Degree in Nursing
, etc.
Similarly for Preferred Qualifications:
Education: BSN or Bachelor’s Degree in related field.
Certification: CCM or ACM.
Work Experience: Case Management experience in a acute care hospital.
Knowledge/Skills/Abilities:
Knowledge of care transitions, utilization management, case management, performance improvement and managed care reimbursement.
Comprehensive knowledge of continuum-of-care post-acute community resources.
Now Physical Requirements: we need to include somewhere. Could add as a - under Requirements as well. Let's add after the knowledge/skills/abilities items.
Physical Requirements (Sedentary):
Majority of time involves sitting or standing; occasional walking, bending, stooping.
Long periods of computer time or at workstation.
Light work that may include lifting or moving objects up to 20 pounds with or without assistance.
May be exposed to inside environments with varied temperatures, air quality, lighting and/or low to moderate noise.
Communicating with others to exchange information.
Visual acuity and hand-eye coordination to perform tasks.
Workspace may vary from open to confined.
May require travel to various facilities within and beyond county perimeter; may require use of personal vehicle.
We'll treat each as
- .
Now Benefits paragraph: "At Health First, diversity and inclusion are essential for our
- . For prose use
. We must preserve all substantive information, not invent or summarize away detail. Remove boilerplate like EEO etc. There's none. We need to include section headings only when posting has real specific content. So we will have sections: About the role (position summary), Responsibilities (primary accountabilities), Requirements (minimum qualifications), Qualifications (preferred qualifications), Skills (maybe knowledge/skills/abilities?), Benefits, Schedule. Physical Requirements maybe could be part of Requirements or separate? The instruction list of allowed headings does not include Physical Requirements, but we could include it under Requirements or maybe as a separate section not in list? The instruction says: Use
for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). It gives examples but not exclusive? It says "Use
for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule)." Likely they expect only those headings. So we should map content to those headings. Physical Requirements could go under Requirements or maybe Skills? Probably under Requirements (as part of job requirements). We'll include physical requirements within Requirements section as a list. We need to avoid filler like "commensurate with experience". Not present. We need to output only HTML fragment, no /, no markdown fences. Let's extract content. POSITION SUMMARY: The RN Case Manager is fully engaged in providing quality/no harm, customer service and stewardship by utilizing advanced clinical skills in the assessment, planning, intervention and evaluation of patient care in accordance with Federal Conditions of Participation, State of Florida regulations, and The Joint Commission (TJC) accreditation standards. The RN Case Manager uses sound clinical judgment, working collaboratively with the interdisciplinary team, patient, family, and significant support personnel to achieve optimal clinical outcomes through effective utilization of resources and discharge planning for all hospital admissions. That's prose. Primary Accountabilities: list of bullet-like sentences separated by periods. We'll convert each sentence to
- .
Let's list them:
- Initiates care transition at time of admission, developing and revising individualized discharge plans (as indicated by assessment/reassessment and response to treatment) to meet patient needs during their hospital stay, manage their length of stay, promote efficient utilization of resources, and plan for a safe discharge.
- Identifies at-risk populations using approved screening tool and following established referral processes for safe transition to next level care to prevent readmission.
- Practices autonomously, consistent with evidence-based standards.
- Serves as a case management resource expert for compliance with Medicare IM letter, 3008, 1823 PASSR, and DCF mandatory legal reporting, etc.
- Works with the Utilization Department, Physician Advisors, Hospitalists, Emergency and other physicians to ensure appropriate, cost-effective care with the best patient outcomes.
- Proactively identifies and either resolves or escalates delays and obstacles to discharge.
- Identifies reimbursement factors influencing choice of post-hospital providers and obtains authorizations as required, either directly or in collaboration with the payer’s case manager.
- Evaluates overall patient daily plan for effectiveness and involves patient and family in formulating plan goals.
- Works collaboratively and maintains active communication with physicians, nursing, physician advisor, and other members of the interdisciplinary care team to effect timely, appropriate patient resource management and patient transition.
- Demonstrates professional accountability through supporting patient’s rights, informed consents and advanced directives.
- Initiates appropriate referrals to ethics committee, clinical social worker, risk management or legal services as appropriate.
Now Work Experience MINIMUM QUALIFICATIONS:
Education: Associate Degree in Nursing
Licensure: Current, valid State of Florida RN license or endorsement.
Certification: Current American Heart Association Basic Life Support Healthcare Provider Completion Card upon hire and maintained.
Work Experience: At least three (3) years of clinical experience in an acute care hospital.
Knowledge/Skills/Abilities:
Strong analytical, data management and computer skills.
Excellent interpersonal communication and negotiation skills.
Demonstrated critical thinking in resolving or escalating barriers.
Ability to work autonomously and prioritize multiple tasks and role components.
Ability to exercise sound judgment in interactions with physicians, payers, patients and their families.
Flexibility to meet needs in sometimes high demand and stressful situations.
Preferred Qualifications:
Education: BSN or Bachelor’s Degree in related field.
Certification: CCM or ACM.
Work Experience: Case Management experience in a acute care hospital.
Knowledge/Skills/Abilities:
Knowledge of care transitions, utilization management, case management, performance improvement and managed care reimbursement.
Comprehensive knowledge of continuum-of-care post-acute community resources.
PHYSICAL REQUIREMENTS (Sedentary):
Majority of time involves sitting or standing; occasional walking, bending, stooping.
Long periods of computer time or at workstation.
Light work that may include lifting or moving objects up to 20 pounds with or without assistance.
May be exposed to inside environments with varied temperatures, air quality, lighting and/or low to moderate noise.
Communicating with others to exchange information.
Visual acuity and hand-eye coordination to perform tasks.
Workspace may vary from open to confined.
May require travel to various facilities within and beyond county perimeter; may require use of personal vehicle.
Benefits: The paragraph about Health First diversity etc.
Schedule: Full-Time Shift Times : 800am430pm (looks like 8:00am-4:30pm). We'll keep as given.
Now we need to map to sections.
About the role: position summary.
Responsibilities: primary accountabilities.
Requirements: minimum qualifications (education, licensure, certification, work experience, knowledge/skills/abilities). Could also include physical requirements? Might be better to include physical requirements under Requirements as a sublist.
Qualifications: preferred qualifications.
Skills: maybe we could separate knowledge/skills/abilities from minimum and preferred? But we already have them in Requirements and Qualifications. The instruction list includes Skills as a possible heading. Could we create a Skills section that aggregates the knowledge/skills/abilities from both minimum and preferred? But that would duplicate content. Better to follow the examples but only include sections with real content. We have content for Requirements (minimum) and Qualifications (preferred). We could also have Skills section that includes the knowledge/skills/abilities from both? But that would be redundant. The instruction says "Prefer a few substantive sections over many thin ones." So we might combine minimum and preferred into Requirements and Qualifications, and maybe not need Skills. However we have knowledge/skills/abilities listed under both; we could keep them within those sections.
Thus sections: About the role, Responsibilities, Requirements, Qualifications, Benefits, Schedule.
We need to use
- for any list of duties/requirements/benefits. So for Responsibilities we need a
- . For Requirements we need a
- . For Qualifications similarly.
For Benefits we have prose (the Health First paragraph). Not a list, so
. For Schedule we have a short statement; could be
. Now we need to ensure we preserve all substantive information. Let's extract each piece exactly. Position summary text: "The RN Case Manager is fully engaged in providing quality/no harm, customer service and stewardship by utilizing advanced clinical skills in the assessment, planning, intervention and evaluation of patient care in accordance with Federal Conditions of Participation, State of Florida regulations, and The Joint Commission (TJC) accreditation standards. The RN Case Manager uses sound clinical judgment, working collaboratively with the interdisciplinary team, patient, family, and significant support personnel to achieve optimal clinical outcomes through effective utilization of resources and discharge planning for all hospital admissions." We'll keep that as
. Primary accountabilities list: we need to keep each sentence exactly as in posting. Let's copy them. Check punctuation: each ends with a period. We'll keep. Now Minimum Qualifications: Education: Associate Degree in Nursing Licensure: Current, valid State of Florida RN license or endorsement. Certification: Current American Heart Association Basic Life Support Healthcare Provider Completion Card upon hire and maintained. Work Experience: At least three (3) years of clinical experience in an acute care hospital. Knowledge/Skills/Abilities: Strong analytical, data management and computer skills. Excellent interpersonal communication and negotiation skills. Demonstrated critical thinking in resolving or escalating barriers. Ability to work autonomously and prioritize multiple tasks and role components. Ability to exercise sound judgment in interactions with physicians, payers, patients and their families. Flexibility to meet needs in sometimes high demand and stressful situations. We'll treat each line as
- . For the "Knowledge/Skills/Abilities:" line, it's a heading; we could either include it as a
- or treat as a subheading. But instruction says use
- for any list of duties/requirements/benefits. So we can make each bullet a
- . The "Knowledge/Skills/Abilities:" could be a
- as well, but it's not a bullet item; it's a category. However we could keep it as a
- for simplicity, but that might be odd. Better to treat it as a
- with the label and then subsequent lines as sub-items? But we cannot nest
- inside
- without extra markup; but we could just include them as separate
- items. The instruction didn't forbid having a
- that is a category heading. It's okay. Thus we will have
- Education: Associate Degree in Nursing , etc. Similarly for Preferred Qualifications: Education: BSN or Bachelor’s Degree in related field. Certification: CCM or ACM. Work Experience: Case Management experience in a acute care hospital. Knowledge/Skills/Abilities: Knowledge of care transitions, utilization management, case management, performance improvement and managed care reimbursement. Comprehensive knowledge of continuum-of-care post-acute community resources. Now Physical Requirements: we need to include somewhere. Could add as a
- under Requirements as well. Let's add after the knowledge/skills/abilities items. Physical Requirements (Sedentary): Majority of time involves sitting or standing; occasional walking, bending, stooping. Long periods of computer time or at workstation. Light work that may include lifting or moving objects up to 20 pounds with or without assistance. May be exposed to inside environments with varied temperatures, air quality, lighting and/or low to moderate noise. Communicating with others to exchange information. Visual acuity and hand-eye coordination to perform tasks. Workspace may vary from open to confined. May require travel to various facilities within and beyond county perimeter; may require use of personal vehicle. We'll treat each as
- . Now Benefits paragraph: "At Health First, diversity and inclusion are essential for our
- for each sub-item? Could break into sub-sections? But we can just make a
- with each qualification as
- . For Qualifications similarly.
For Benefits we have prose (the Health First paragraph). Not a list, so
- for any list of duties/requirements/benefits. So for Responsibilities we need a