Jobs · Healthcare · New York

Utilization Review Coordinator

Kaleida Health · Buffalo, NY · 1 mo ago
Healthcare$46.44–$59.42/hrFull-time
We need to output HTML fragment with sections: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections if there is real specific content. We need to parse the job posting. Given content: Department: BGMC Utilization Review Location: Buffalo General Medical Center Location of Job: US:NY:Buffalo Work Type: Full-Time Scheduled Work Hours: 8a-4p Shift 1 Job Description: Position responsible for coordinating utilization management/case review efficiently and effectively while aligning current and prospective patients' needs with resources to meet quality, clinical and cost outcomes working to achieve optimal outcomes for the patient. Case review may occur in preadmission, ambulatory surgery, clinic, physician office and impatient setting. Education And Credentials: BS - Bachelor of Science degree in Nursing. Current NYS Registration as a Professional Nurse. Certified Case Manager (CCM) preferred. Experience: 3 years of experience in acute care nursing. 2 years of experience in any combination of: case management, home care and utilization review. Working knowledge of Microsoft Office Suite and Outlook. Use of computer applications related to health care industry. Knowledge of and experience with Interqual Criteria Set and Software Systems preferred. Employees in the job title prior to 3/29/10 are grandfathered and are not required to obtain their BSN. Working Conditions: Essential Weight Requirement - Light (up to 20 lbs) Job Details: Standard Hours Bi-Weekly: 75.00 FTE: 1.000000 Weekend/Holiday Requirement: Yes On Call Required: No With Rotation Work Arrangement: Onsite Union Code: U06 - CWA 1168 BGH RN Requisition ID#: 16676 Grade: RN3 Pay Frequency: Bi-Weekly Salary Range: $ 46.44 - $59.42 Wage will be determined based on factors such as candidate's experience, qualifications, internal equity, and any applicable collective bargaining agreement. Then mission statement etc (DEI) - we need to remove boilerplate: cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. The DEI statement is likely boilerplate; we should remove it. We need to preserve substantive info: description, responsibilities, requirements, qualifications, skills, benefits, pay, schedule. We need to decide which sections to include. - About the role: Could be the job description paragraph. That's substantive. - Responsibilities: The description includes responsibilities: coordinating utilization management/case review, aligning patient needs with resources, achieving optimal outcomes, case review may occur in various settings. Could be a list. - Requirements: Education and credentials, experience, etc. - Qualifications: Possibly overlapping with requirements; but we can separate: Education (BSN, NYS RN, CCM preferred), Experience (3 years acute care nursing, 2 years case management/home care/utilization review), Knowledge of Interqual Criteria Set and Software Systems preferred, Working knowledge of Microsoft Office Suite and Outlook, Use of computer applications related to health care industry, Grandfather clause. - Skills: Could list Microsoft Office, Outlook, Interqual, etc. But we might combine. - Benefits: Not explicitly listed besides maybe union, FTE, etc. There's no explicit benefits like health insurance, retirement. The posting includes Union Code, FTE, etc. Not typical benefits. Might skip Benefits section if no specific benefits. - Pay: Salary Range: $46.44 - $59.42, Pay Frequency: Bi-Weekly. That's specific. So include Pay section. - Schedule: Scheduled Work Hours: 8a-4p Shift 1, Full-Time, Weekend/Holiday Requirement: Yes, On Call Required: No, With Rotation? Actually "With Rotation" blank? It says With Rotation Work Arrangement: Onsite. So schedule includes shift, weekend/holiday requirement, on-call. So include Schedule section. We need to avoid filler like "commensurate with experience". Not present. We need to use

for section headings. Use
  • for any list of duties/requirements/benefits, and

    for prose. We need to output only HTML fragment, no /, no markdown. We need to preserve all substantive info; do not invent or summarize away detail. We need to remove duplicated lines, boilerplate. Let's extract details: Job Description paragraph: "Position responsible for coordinating utilization management/case review efficiently and effectively while aligning current and prospective patients' needs with resources to meet quality, clinical and cost outcomes working to achieve optimal outcomes for the patient. Case review may occur in preadmission, ambulatory surgery, clinic, physician office and impatient setting." We can turn that into prose

    . Responsibilities: Could be bullet list: - Coordinate utilization management/case review efficiently and effectively. - Align current and prospective patients' needs with resources to meet quality, clinical, and cost outcomes. - Work to achieve optimal outcomes for the patient. - Conduct case review in preadmission, ambulatory surgery, clinic, physician office, and inpatient settings. But we need to preserve all substantive info; we can keep the same content but as list. Requirements: Education and Credentials: BS - Bachelor of Science degree in Nursing. Current NYS Registration as a Professional Nurse. Certified Case Manager (CCM) preferred. Experience: 3 years of experience in acute care nursing. 2 years of experience in any combination of: case management, home care and utilization review. Working knowledge of Microsoft Office Suite and Outlook. Use of computer applications related to health care industry. Knowledge of and experience with Interqual Criteria Set and Software Systems preferred. Employees in the job title prior to 3/29/10 are grandfathered and are not required to obtain their BSN. We could separate into Requirements (education, licensure) and Qualifications (experience, skills). But guidelines: Use sections only when posting has real specific content. We can have both Requirements and Qualifications if we have distinct content. Let's define: Requirements: Education and Credentials (BSN, NYS RN, CCM preferred). Qualifications: Experience (3 years acute care nursing, 2 years case management/home care/utilization review), Knowledge of Interqual Criteria Set and Software Systems preferred, Working knowledge of Microsoft Office Suite and Outlook, Use of computer applications related to health care industry, Grandfather clause. Skills: Could be Microsoft Office, Outlook, Interqual, etc. But we might combine with Qualifications. Better to have: - About the role (description) - Responsibilities (list) - Requirements (education/licensure) - Qualifications (experience, knowledge, skills) - Pay (salary range, frequency) - Schedule (hours, weekend/holiday, on-call) We should not include Benefits if no specific benefits. Now we need to format. We'll produce:

    About the role

    Position responsible for coordinating utilization management/case review efficiently and effectively while aligning current and prospective patients' needs with resources to meet quality, clinical and cost outcomes working to achieve optimal outcomes for the patient. Case review may occur in preadmission, ambulatory surgery, clinic, physician office and inpatient setting.

    Responsibilities

    • Coordinate utilization management/case review efficiently and effectively.
    • Align current and prospective patients' needs with resources to meet quality, clinical, and cost outcomes.
    • Work to achieve optimal outcomes for the patient.
    • Conduct case review in preadmission, ambulatory surgery, clinic, physician office, and inpatient settings.

    Requirements

    • Bachelor of Science degree in Nursing (BSN).
    • Current New York State registration as a Professional Nurse.
    • Certified Case Manager (CCM) preferred.

    Qualifications

    • Three years of experience in acute care nursing.
    • Two years of experience in any combination of case management, home care, and utilization review.
    • Working knowledge of Microsoft Office Suite and Outlook.
    • Use of computer applications related to the health care industry.
    • Knowledge of and experience with Interqual Criteria Set and Software Systems preferred.
    • Employees in the job title prior to March 29, 2010 are grandfathered and are not required to obtain a BSN.

    Pay

    Salary range: $46.44 – $59.42 per hour. Pay frequency: bi‑weekly.

    Schedule

    • Full‑time position.
    • Scheduled work hours: 8 a.m. – 4 p.m., Shift 1.
    • Weekend/holiday requirement: Yes.
    • On‑call required: No.
    We need to ensure we didn't miss any substantive info: FTE 1.0, Standard Hours Bi-Weekly 75.00 (that's 75 hours per two weeks? Actually 75 hours biweekly is 37.5 hours per week, which matches 8a-4p (8 hours) *5 =40? Wait 8a-4p is 8 hours, but maybe they have a 30 min lunch unpaid? 7.5 hours per day *10 =75 hours biweekly. So schedule includes 7.5 hour days. We could include that detail: Standard Hours Bi-Weekly: 75.00. Also FTE: 1.000000. Could be part of schedule. We should include that in Schedule section: Standard hours bi-weekly: 75.00 (equivalent to 37.5 hours per week). FTE: 1.0. Also Union Code etc not needed. We need to preserve all substantive info; we missed FTE and standard hours. Let's add. Schedule bullets could include: Standard hours bi‑weekly: 75.00 (≈37.5 hours per week). FTE: 1.0. Also Work Type: Full-Time (already covered). Could add. Let's incorporate. Now check for any other substantive info: Location: Buffalo General Medical Center, Buffalo, NY. Could be part of About the role? Usually location is metadata; but we could include in About the role as a sentence? The instruction says do NOT put Job ID/requisition numbers as headings — fold minor metadata into a short

    or drop it. Location is minor metadata; we could fold into a short

    under About the role or maybe a separate paragraph. But we already have About the role paragraph; we could add location info there. However we must preserve ALL substantive information; location is substantive. So we should include it. We could add a sentence: "Located at Buffalo General Medical Center in Buffalo, NY." Let's add to About the role paragraph. Also Department: BGMC Utilization Review. Could be included. Work Type: Full-Time (we have in Schedule). Could add. We need to avoid duplication. Let's craft About the role paragraph: "Position responsible for coordinating utilization management/case review efficiently and effectively while aligning current and prospective patients' needs with resources to meet quality, clinical and cost outcomes working to achieve optimal outcomes for the patient. Case review may occur in preadmission, ambulatory surgery, clinic, physician office and inpatient setting. Located at Buffalo General Medical Center in Buffalo, NY (Department: BGMC Utilization Review)." That preserves location and department. Now we need to ensure we didn't include any boilerplate like mission statement. We removed. Now check for any other specifics: "Job Details Standard Hours Bi-Weekly : 75.00 FTE: 1.000000 Weekend/Holiday Requirement: Yes On Call Required : No With Rotation Work Arrangement : Onsite Union Code :

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