RN Case Manager - Inpatient

We need to output HTML fragment with sections for headings: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections if posting has real specific content. We must not repeat job title as heading. Must not include Job ID etc. We need to extract content: The posting includes: - Employment Status Full time Shift Day/Evening (United States of America) Facility 1906 Belleview Ave SE - Roanoke Requisition Number R162823 RN Case Manager - Inpatient (Open) How You’ll Help Transform Healthcare Monday - Friday, 8am-4:30pm - Then description of role (multiple paragraphs). This is responsibilities. - Then "What We Require" with Education, Experience, Licensure, certification, etc. That's requirements/qualifications. - Then "Compensation Range $76,689.60 - $115,044.80 Employee pay is based on a variety of factors..." That's Pay. - Then "Benefits, Pay And Well-being At Carilion Clinic" with description of benefits. - Schedule: "Monday - Friday, 8am-4:30pm" is schedule. - Also "Employment Status Full time Shift Day/Evening" maybe schedule. We need sections: About the role (maybe a brief summary), Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We must not create sections with filler like "commensurate with experience". We have actual content. We need to decide what goes where. About the role: Could be the introductory paragraph: "The RN Case Manager provides case management for assigned patient populations..." That's more responsibilities. But we can put a short summary: maybe the first paragraph after "How You’ll Help Transform Healthcare". However we need to avoid duplication. We could treat "How You’ll Help Transform Healthcare" as About the role heading. Then Responsibilities: list of duties (the long description). Could be bullet list. Requirements: Education, Experience, Licensure, certification, etc. Qualifications: maybe the "Other Minimum Qualifications" list. Skills: maybe the list of competencies: knowledge and competency in areas: satisfactory completion of orientation; positive interpersonal oral communication skills; effective written communication skills; integrity; innovation; team player; courteous; ability to resolve complaints/problems; customer-focused philosophy of service delivery; ability; willingness to work as an integral member of a multi-skilled team. Also demonstrate knowledge and competency in; computer literacy; community and system resources; effective interpersonal relations; assertiveness; flexibility; perseverance; diplomacy and negotiation. That could be Skills. Benefits: the paragraph about benefits. Pay: compensation range. Schedule: Monday - Friday, 8am-4:30pm. We must not include duplicated lines. The posting repeats responsibilities twice; we need to preserve all substantive information but not duplicate. We should combine unique content. Let's extract unique responsibilities: From first block: - Provides case management for assigned patient populations. - Utilizes clinical expertise, communication and problem-solving skills to achieve optimal clinical and resource outcomes. - Promotes cost-effective care by minimizing fragmentation, maximizing coordination, and facilitating patient/family movement through the health care organization. - Performs patient needs assessments upon admission and at regular intervals, facilitating referrals and providing linkages to health, wellness, and post-acute care resources across the health care continuum. - Promotes interdisciplinary collaboration and teamwork to progress the plan of care and discharge plan. - Promotes appropriate length of stay, resource management, and care transitions to the next level of care. - Must comply with all federal and state regulations surrounding the discharge process. - Must possess knowledge of growth and development appropriate to age group served and incorporate plan to meet needs into plan of care. Then later block adds: - Collaborates with Utilization Review Nurse. - Maintains regular contact with assigned Utilization Review Nurse throughout the day. - Uses InterQual software to support accurate patient statuses according to ongoing medical necessity. - Aids in the delivery of regulatory letters and patient notices related to insurance coverage/non-coverage, using support staff as appropriate. - Ensures documentation accurately reflects the patient’s condition, co-morbidities, treatment and procedures that support the most appropriate admission status and DRG assignment. - Communicates with patients/families to ensure understanding financial implications of discharge plans. - Facilitates an interdisciplinary approach to patient care. - Actively participates in Interdisciplinary Team Meetings on assigned units, sharing meaningful and professional knowledge to the team discussion regarding progression of care. - Provides feedback to the health care team verbally and via chart entries regarding the patient's progress toward reaching expected outcomes or about barriers to the plan. - Manages changes to the plan as necessary. - Maintains effective communications with all disciplines to promote timely and appropriate discharges. - Daily communication with Social Work and Utilization Review: includes case reviews, morning touchpoints, and ongoing throughout the workday. - Coordinates care and services within the case managed population. - Performs face-to-face assessments of patients/families when appropriate to identify individualized needs in collaboration with SW. CM will review assigned census beginning each day with their SW partner to determine patient statuses and needs for the day. - Documentation in the medical record is completed in the appropriate time frame, accurately reflecting the plan of care and CM interventions. - Complies with CMS regulations related to discharging planning documentation. - Coordinates referrals of post-acute services such as home health (HH), hospice, and durable medical equipment (DME). - Directs liaison activities to appropriately integrate with the patient and into the health care continuum. - Facilitates appropriate referrals surrounding high-cost medications for all patients, insured or uninsured. - Works with other disciplines along with support staff to obtain prior authorizations and/or co-pay information to ensure medication needs are met for discharge and do not create a barrier. - Ensures coordination of care when patients are transferred: acute hospital to acute hospital, and jails/prisons. - Communicates with outside nursing or case management staff as appropriate for smooth transition. - Advocates for the patient and family throughout the entire episode of care. - Participates in departmental and system performance improvement Initiatives. - Contributes to Carilion Clinic’s performance improvement activities by engaging with predictive analytic software. - Collects and analyzes relevant patient care and fiscal data. - Analyzes and evaluates the effect of case management on quality outcomes and fiscal parameters. - Complies with all departmental policies and practices and fosters teamwork and professionalism. - Summary List of Daily Tasks / Expectations of the Nurse Case Manager Role (list): - Participate in Unit-based IDR morning and afternoon huddles - Coordinate referrals for DME, HH, Hospice - Utilize predictive analytic software (example: JVION) - Complete face-to-face patient assessments - Communicate with assigned UR nurse and SW partner - Reassess patients and document status of referrals, movement on barriers - Aids in the delivery of regulatory letters (IM, HINN) - Integrates InterQual information during unit huddles and throughout workday as appropriate - Provides Medication Assistance to patients identified in need (RX Help, CMAP) - Initiates Medication Investigations (need for authorization, obtain co-pay information) - Communicate post-acute care needs of inmates during transitions back to jail - Assist in acute-acute and transitions of care - Maintain awareness and anticipate unit-based patient needs - Provide hand-off communication of unit needs to peers during weekday/weekend transitions We need to include these as bullet list under Responsibilities. Now Requirements: Education: Registered Nurse. Bachelor's degree required. 5 years of RN experience in a hospital setting may be considered in lieu of a bachelor's degree. Experience: Three years of recent experience in a clinical health care setting with responsibilities reflecting direct management of patient care including planning, coordination, and delivery of needed services such as education, psychosocial support, discharge planning and utilization management. Supervisory or leadership experience is preferred. Licensure, certification, and/or registration: Current licensure in Virginia as a Registered Nurse. Life Support: AHA BLS- HCP required within 6 months of hire. Other Minimum Qualifications: Must demonstrate knowledge and competency in the following areas: satisfactory completion of orientation; positive interpersonal oral communication skills; effective written communication skills; integrity; innovation; team player; courteous; ability to resolve complaints/problems; customer-focused philosophy of service delivery; ability; willingness to work as an integral member of a multi-skilled team. Also demonstrate knowledge and competency in; computer literacy; community and system resources; effective interpersonal relations; assertiveness; flexibility; perseverance; diplomacy and negotiation. We could split: Requirements (Education, Experience, Licensure) and Qualifications (Other Minimum Qualifications). Skills maybe the list of competencies (the same as Other Minimum Qualifications). But we need to avoid duplication. Perhaps we treat Requirements as Education, Experience, Licensure. Qualifications as Other Minimum Qualifications (knowledge and competency). Skills maybe not needed separately; but we could still include Skills if we have distinct content. The Other Minimum Qualifications already includes skills like communication, integrity, etc. Could treat that as Skills. But we need to follow instruction: Use headings only when posting has real specific content. We have content for Education, Experience, Licensure, Other Minimum Qualifications. We could make sections: Requirements (Education, Experience, Licensure) and Qualifications (Other Minimum Qualifications). Skills maybe not needed. But the instruction list includes Skills as possible heading; we can omit if not distinct. Benefits: we have paragraph about benefits. Pay: compensation range. Schedule: Monday - Friday, 8am-4:30pm. Also Employment Status Full time Shift Day/Evening maybe part of schedule. We'll output HTML fragment with sections:

About the role

... maybe a brief summary: The RN Case Manager provides case management for assigned patient populations, utilizing clinical expertise, communication and problem-solving skills to achieve optimal clinical and resource outcomes, promoting cost-effective care, etc. But we risk duplication with responsibilities. However we can write a short summary not repeating bullet points. Use the first sentence(s) that are not already in bullet list? The first paragraph: "The RN Case Manager provides case management for assigned patient populations. Utilizes clinical expertise, communication and problem-solving skills to achieve optimal clinical and resource outcomes. Promotes cost-effective care by minimizing fragmentation, maximizing coordination, and facilitating patient/family movement through the health care organization. Performs patient needs assessments upon admission and at regular intervals, facilitating referrals and providing linkages to health, wellness, and post-acute care resources across the health care continuum. Promotes interdisciplinary collaboration and teamwork to progress the plan of care and discharge plan. Promotes appropriate length of stay, resource management, and care transitions to the next level of care. Must comply with all federal and state regulations surrounding the discharge process. Must possess knowledge of growth and development appropriate to age group served and incorporate plan to meet needs into plan of care." That's essentially responsibilities but we can keep as About the role paragraph. Then Responsibilities:

• ... list items. We need to ensure we don't repeat the same content as About the role. It's okay if some overlap but we should try to avoid duplication. However the instruction says preserve ALL substantive information; do NOT invent or summarize away detail. It doesn't forbid overlap, but we should avoid repeating same sentences verbatim? It says remove duplicated lines. So we should not duplicate exact lines. The About the role paragraph contains sentences that also appear in responsibilities list. To avoid duplication, we could make About the role a very short summary not containing those exact sentences. For example: "The RN Case Manager provides case management for assigned patient populations, focusing on care coordination, discharge planning, and resource management." That's not verbatim from posting? It's a paraphrase, which would be summarizing away detail, which is not allowed. We must preserve ALL substantive information; we cannot paraphrase or summarize away detail. So we must include the exact sentences somewhere. If we put them in About the role, we cannot also put them in Responsibilities as same sentences. But we could split: About the role could be a short introductory sentence