Jobs · Healthcare · California

RN Case Manager - Case Management - Days (8a-5p) - FT - Orange

UCI Health · Orange, CA · 1 mo ago
On-siteHealthcareFull-time
We need to produce HTML fragment with sections: h3 for headings like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Use ul/li for lists, p for prose. Do not repeat job title as heading. No Job ID etc. Remove boilerplate: cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, application instructions. Include only sections when posting has real specific content. Avoid filler like "commensurate with experience". No Pay/Schedule/Benefits unless stated. The posting includes "Total Rewards" describing benefits: medical insurance, sick and vacation time, retirement savings plans, discounts and perks. So we can have Benefits section with those items. No explicit Pay or Schedule. So we omit those. We need sections: About the role (maybe from "Who We Are" and "Your Role on the Team Position Summary"? Actually "Who We Are" is about organization; "Your Role on the Team Position Summary" describes role. Could combine as About the role? The instruction: use h3 for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). So we need to decide which sections present. We have content: Who We Are (organization description). Could be "About the role"? Actually "About the role" would be description of role, not organization. But we have "Your Role on the Team Position Summary" which is role summary. So we can make a section "About the role" with that summary. Responsibilities: The position summary includes many duties: high level assessment and reassessment process, set priorities, plan, organize, implement care goal-directed toward self-care outcomes; collaborates with interdisciplinary approach; advocates for patient self-determination; practices cultural competence; monitors and coordinates resource utilization; evaluates services; performs utilization review functions using InterQual criteria; intervenes to enhance patient quality outcomes; ensures clinical information clear and complete reflecting severity of illness through interfacing with physicians to improve documentation. Those are responsibilities. Requirements: maybe "Required Qualifications" list: Must possess skill, knowledge, ability essential; must possess complete understanding of acuity levels for specific patient population; must demonstrate customer service skills appropriate to the job; Minimum 5 years of clinical experience and 1 year of previous Case Management experience or a UCI employee who meets the clinical requirements and has a BSN; Familiarity of Joint Commission, CMS, CDPH and CCS requirements; Excellent written and verbal communication skills in English; Current RN License; Computer literacy and proficiency; All external candidates must have a Bachelor of Science in Nursing; Ability to manage multiple concurrent projects and maintain a work pace appropriate to the workload; Ability to facilitate and lead interdisciplinary rounds; Ability to establish and maintain effective working relationships across the Health System. Qualifications: maybe "Preferred Qualifications": Knowledge of University policies and procedures; Knowledge of California Children's Services benefits authorization process (CCS); CCM, ACM or Case Management credentialing; Bilingual skills. Skills: maybe combine some? But we already have skills in required qualifications. Could separate but we can keep as Skills section for things like communication, computer literacy, etc. However we need to avoid duplication. The instruction: prefer a few substantive sections over many thin ones. So we could combine Required Qualifications and Preferred Qualifications into a "Qualifications" section with sublists? But we need to use h3 for section headings only; we can have subheadings? Not specified; only h3 for section headings. We could have separate sections: Requirements (maybe for required) and Qualifications (for preferred). Or we could have "Requirements" for required, "Preferred Qualifications" as a separate section. But we need to decide. We also have "Total Rewards" => Benefits. We have no explicit Pay or Schedule, so omit. We need to preserve all substantive information; do not invent or summarize away detail. So we must keep all details from the posting, but we can format as lists. We must remove boilerplate: EEO, closing statement, consideration for work authorization, conditions of employment (background check etc.)? The instruction says remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. Conditions of employment includes legal stuff; likely considered boilerplate? It's about conditions of employment (background check, vaccination, etc.) Might be considered legal boilerplate; but it's part of job posting. The instruction says remove legal/EEO/equal-opportunity/scam-warning boilerplate. Conditions of employment includes background check, vaccination policies, etc. Might be considered legal. Safer to remove that whole block. Also remove "Closing Statement" EEO block. Also remove "Consideration for Work Authorization Sponsorship". Also remove "Conditions Of Employment" block. Also remove "Total Rewards" we keep as Benefits. Also remove "Who We Are" maybe we keep as About the role? Actually "Who We Are" is about organization, not role. Could be considered "About the role"? Not exactly. But we could include an "About the role" section that includes the role summary only, not the organization description. The "Who We Are" could be considered background about employer; maybe we can include as a brief paragraph under About the role? But the instruction says use h3 for section headings like About the role, Responsibilities, etc. It didn't forbid including organization description under About the role. However "About the role" likely refers to role description, not company. But we could still include the "Who We Are" as a paragraph under About the role? Might be okay but could be considered not role-specific. However we need to preserve ALL substantive information; we cannot discard the "Who We Are" unless it's boilerplate. It's not boilerplate; it's substantive about the employer. So we need to include it somewhere. Perhaps we can create a section "About UCI Health" but not in allowed headings list. The allowed headings list is examples; we could still use other headings? The instruction: "use

for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule)." It implies we should use those headings when appropriate, but we could also use other headings? It says use h3 for section headings (e.g. ...). Likely they expect us to use those headings only. So we need to map content to those headings. Where does "Who We Are" fit? Could be under "About the role"? Not ideal but maybe we can treat it as "About the role" includes both role and organization? Might be okay. Alternatively we could treat "Who We Are" as a preamble not needing a heading; we could just put it as a

before any headings. The instruction: "Use

for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule)." It doesn't forbid having a leading paragraph without heading. So we could start with a

containing the Who We Are description, then headings for role summary etc. That would preserve info. Thus structure:

Who We Are UCI Health is one of California's largest academic health systems ... (full paragraph).

Then

About the role

with the Position Summary paragraph. Then

Responsibilities

with
  • items extracted from the responsibilities sentences. Then

    Requirements

    with
    • items from Required Qualifications. Then

      Preferred Qualifications

      (or Qualifications?) but we have allowed heading "Qualifications". Could use that for preferred? Actually we have both Required Qualifications and Preferred Qualifications. We could use

      Requirements

      for required, and

      Qualifications

      for preferred. That matches allowed headings. Then

      Skills

      maybe we could list skills like communication, computer literacy, etc. But those are already in required qualifications. To avoid duplication, we could not have a separate Skills section; we can omit if no specific skills beyond those already listed. However we have "Excellent written and verbal communication skills in English", "Computer literacy and proficiency", "Ability to manage multiple concurrent projects", "Ability to facilitate and lead interdisciplinary rounds", "Ability to establish and maintain effective working relationships". Those could be considered skills. But we already have them under Requirements. Might be okay to not have separate Skills. Then

      Benefits

      with
      • items from Total Rewards: medical insurance, sick and vacation time, retirement savings plans, access to a number of discounts and perks. We must not include Pay or Schedule. We must not include any filler like "commensurate with experience". Not present. Now we need to ensure we preserve all substantive information from the posting, except removed boilerplate. Let's extract the Who We Are paragraph exactly: "UCI Health is one of California's largest academic health systems and the clinical enterprise of the University of California, Irvine. Established on July 1, 1976, UCI Health has grown into a 1,461-bed health system that includes UCI Health - Orange, UCI Health - Irvine, four Community Network hospitals and a growing network of ambulatory care centers across Orange and Los Angeles counties. As Orange County’s only academic health systems, UCI Health is home to the only National Cancer Institute-designated comprehensive cancer center based in the county, the region’s only American College of Surgeons-verified Level I adult and Level II pediatric trauma center, American College of Emergency Physicians Gold Level 1 Geriatric Emergency Department and a nationally recognized regional burn center verified by the American Burn Association. Powered by UC Irvine, UCI Health serves 5.6 million people across Orange County, western Riverside County and southeast Los Angeles County through excellence in patient care, research and medical education." We need to keep that exactly. Now Position Summary paragraph: "Incumbent is responsible for a high level assessment and reassessment process for the patient/family to set priorities, plan, organize, and implement care that is goal-directed toward self-care outcomes. Collaborates with an interdisciplinary approach to care facilitation to promote and coordinate the delivery of high quality, individualized, safe and cost-effective patient care, and transitions of care. Advocates for patient self-determination and choice. Practices cultural competence in evaluations and planning with awareness and respect for patient and family diversity. Monitors and coordinates resource utilization throughout the health system and evaluates services provided. Performs the appropriate utilization review functions utilizing medical staff-approved decision support criteria (InterQual Intensity of Service, Severity of Illness criteria). Concurrently intervenes to enhance patient quality outcomes where appropriate. Ensures clinical information in the medical record is clear and complete reflecting the patient’s true severity of illness through interfacing with physicians to improve the overall quality of the clinical documentation." We'll put that as

        under About the role. Now Responsibilities: we could break each sentence into li items. Let's list: - Conduct high level assessment and reassessment process for the patient/family to set priorities, plan, organize, and implement care that is goal-directed toward self-care outcomes. - Collaborate with an interdisciplinary approach to care facilitation to promote and coordinate the delivery of high quality, individualized, safe and cost-effective patient care, and transitions of care. - Advocate for patient self-determination and choice. - Practice cultural competence in evaluations and planning with awareness and respect for patient and family diversity. - Monitor and coordinate resource utilization throughout the health system and evaluate services provided. - Perform appropriate utilization review functions utilizing medical staff-approved decision support criteria (InterQual Intensity of Service, Severity of Illness criteria). - Intervene to enhance patient quality outcomes where appropriate. - Ensure clinical information in the medical record is clear and complete reflecting the patient’s true severity of illness through interfacing with physicians to improve the overall quality of the clinical documentation. Now Required Qualifications list: - Must possess the skill, knowledge, and ability essential to the successful performance of assigned duties - Must possess complete understanding of acuity levels for specific patient population - Must demonstrate customer service skills appropriate to the job - Minimum 5 years of clinical experience and 1

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