Workers Compensation - Telephonic Nurse Case Manager (Remote)

We need to output HTML fragment with sections: About the role? The posting includes "Company Details" at start, then "Responsibilities", "Qualifications", "Education", "Additional Company Details", "Benefits", "Base Salary Range". Also "Additional Requirements" (Domestic U.S. travel required). Also "Sponsorship Details". We need to decide which sections to include based on real content. We must not repeat job title as heading. Use

for section headings: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We need to map content to these headings. - About the role: Could be the company details description? The "Company Details" paragraph describing BMMS. That seems like about the role/company. Use

About the role

with paragraph(s) summarizing that content. - Responsibilities: Already a heading in source. Use

Responsibilities

with

• list of duties. - Qualifications: There's a "Qualifications" section with bullet-like sentences. Also "Education" separate. Could combine under Qualifications? But we have separate headings: Qualifications, Skills, Education? Not listed but we have Skills heading. We could put education under Qualifications or maybe under Qualifications we include education bullet. However we have separate "Education" heading not in allowed list; we could fold into Qualifications or Skills. The allowed headings are: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. So we can put education under Qualifications (maybe as part of qualifications). Skills could be separate: communication skills, computer skills, bilingual etc. - Requirements: Could include "Additional Requirements" (travel) and maybe "Additional Company Details" (not intended to be all-inclusive) but that's not a requirement. Also "Sponsorship Details" (Sponsorship not Offered) could be a requirement? Probably not. We'll put travel requirement under Requirements. - Benefits: Already present: "Benefits: Health, Dental, Vision, Life, Disability, Wellness, Paid Time Off, 401(k) and Profit-Sharing plans." - Pay: Base Salary Range: 75k-88k. Also note about actual salary determined by factors. We'll include that. - Schedule: Not mentioned. Could be omitted if no content. We should not create empty sections. So we omit Schedule. - Requirements: Also maybe include "Minimum 2 years of experience in workers compensation insurance and medical case management preferred" etc. That's qualifications actually. But we can split: Qualifications: experience, education, certifications. Skills: communication, computer, bilingual, self-motivation, etc. Requirements: travel, sponsorship not offered? Might be better to put travel under Requirements, sponsorship not offered maybe as a note but could be omitted as boilerplate? It's not boilerplate? It's a specific detail about sponsorship. Could be included under Requirements as a note. We must preserve ALL substantive information; do not invent or summarize away detail. So we need to include all details from the posting, except boilerplate like EEO, unsolicited resumes, etc. Also remove duplicated lines. Let's extract substantive content: Company Details paragraph(s): - "Berkley Medical Management Solutions (BMMS) provides a different kind of managed-care service for W.R. Berkley Corporation. We believe focusing on an injured worker’s successful and speedy return to work is good for people and good for Berkley’s insurance operating units. BMMS was first started in 2014 by reimagining the relationship between medical need and technology to deliver the best outcome for injured workers and Berkley’s operating units. Our goal was clear: combine solid clinical practices, proven return-to-work strategies and robust software into one system for seamless management of workers’ compensation cases. To get it right, we started with a flexible technology platform that allowed for impressive customization without sacrificing the ability for expansion and continued innovation. We deploy integrated systems to give W.R. Berkley Companies recommendations and professional services for managing each individual case in an efficient and appropriate manner. The power of our technology takes medical bill-review services and clinical advisory services to a new level. Our unique marriage of technology, software platforms, data analytics and professional services ensures we provide Berkley’s operating units with reliable results, and reduced time and expenses associated with case management." Responsibilities bullet points (as sentences): - "As a Telephonic Nurse Case Manager, you will assess, plan, coordinate, monitor, evaluate and implement options and services to facilitate timely medical care and return to work outcomes of injured workers." - "Coordinate and implement medical case management to facilitate case closure" - "Timely and comprehensive communication with with employers, adjusters and the injured workers." (note duplicate "with") - "Assess appropriate utilization of medical treatment and services available through contact with physicians and other specialist to ensure cost effective quality care" - "Review and analyze medical records and assess data to ensure appropriate case management process occurs while providing recommendations to achieve case progress and movement to closure" - "Responsible for assigned caseloads, which may vary in numbers, territory and/or by state jurisdiction" - "Acquire and maintain nursing licensure for all jurisdictions as business needs require" - "Coordinate services to include home services, durable medical equipment, IMEs, admissions, discharges, and vocational services when appropriate and evaluate cost effectiveness and quality of services" - "Document activities and case progress using appropriate methods and tools following best practices for quality improvement" - "Reviewing job analysis/job description with all providers to coordinate and implement disability case management. This includes coordinating job analysis with employer to facilitate return to work." - "Engage and participate in special projects as assigned by case management leadership team" - "Occasionally attend on site meetings and professional programs" - "Foster a teamwork environment" - "Maintaining and updating evidence based medical guidelines (such as Official Disability Guidelines, MD Guidelines and all required state regulated guidelines) in reference to the injured worker treatment plan and work status." - "Obtain and maintain applicable state certifications and/or licensures in the state where job duties are performed." - "Obtain case management professional certification (CCM) within 2 years of hire date" - "Earn Continuing Education Units to maintain certifications and licensures" Qualifications bullet points: - "Minimum 2 years of experience in workers compensation insurance and medical case management preferred" - "Minimum of 4 years medical/surgical clinical experience required" - "Exhibit strong communication skills, professionalism, flexibility and adaptability" - "Possess working knowledge of medical and vocational resources available to the Workers’ Compensation industry" - "Demonstrate evidence of self-motivation and the ability to perform case management duties independently" - "Demonstrate evidence of computer and technology skills" - "Oral and written fluency in both Spanish and English a plus" Education bullet: - "Education Graduate of an accredited school of nursing and possess a current RN license. *RN compact license preferred, CCM preferred, Bachelor of Nursing preferred*" Additional Company Details (the note about not all-inclusive list, EEO, unsolicited resumes) - we need to remove boilerplate: EEO, unsolicited resumes. The line: "The above job description is not intended to be an “all-inclusive” list of the duties and responsibilities of the job described, nor is it intended to be such a listing of the skills and abilities required to do the job. Rather, it is intended only to describe the general nature of the job." That's substantive? It's a disclaimer but not boilerplate? It's generic but maybe we keep? The instruction: "Remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions." This disclaimer is not exactly EEO but it's a generic statement; could be considered boilerplate? It's not EEO but it's a typical disclaimer. I'd say remove it as it's not substantive about the role. Also "The Company is an equal employment opportunity employer." That's EEO, remove. "We do not accept any unsolicited resumes from external recruiting agencies or firms." That's application instruction? Remove. Benefits: "The company offers a competitive compensation plan and robust benefits package for full time regular employees Benefits: Health, Dental, Vision, Life, Disability, Wellness, Paid Time Off, 401(k) and Profit-Sharing plans." Pay: "Base Salary Range: 75k-88k The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment." Additional Requirements: "Domestic U.S. travel required (up to 10% of time)" Sponsorship Details: "Sponsorship not Offered for this Role" We need to decide where to put sponsorship not offered. Could be under Requirements as a note. Now we need to output HTML fragment with headings

  and appropriate

  • for lists,

    for prose. We must not repeat job title as heading. No markdown. We'll structure:

    About the role

    ...company details paragraph...

    Responsibilities

    • ... each responsibility ...

    Qualifications

    • ... experience ...
    • ... medical/surgical clinical experience ...
    • ... strong communication skills ...
    • ... working knowledge of medical and vocational resources ...
    • ... self-motivation ...
    • ... computer and technology skills ...
    • ... Oral and written fluency in both Spanish and English a plus
    But we also have Education details; could be included under Qualifications as a separate li: "Graduate of an accredited school of nursing and possess a current RN license. RN compact license preferred, CCM preferred, Bachelor of Nursing preferred". We'll include that.

    Skills

    Maybe we separate skills like communication, computer, bilingual etc. But we already put those under Qualifications. Could move some to Skills. Let's decide: Qualifications: experience, education, licensure, certifications. Skills: communication, professionalism, flexibility, adaptability, medical/vocational knowledge, self-motivation, computer/tech skills, bilingual. That seems reasonable. Thus:

    Qualifications

    • Minimum 2 years of experience in workers compensation insurance and medical case management preferred
    • Minimum of 4 years medical/surgical clinical experience required
    • Graduate of an accredited school of nursing and possess a current RN license. RN compact license preferred, CCM preferred, Bachelor of Nursing preferred
    • Obtain case management professional certification (CCM) within 2 years of hire date
    • Earn Continuing Education Units to maintain certifications and licensures
    • Acquire and maintain nursing licensure for all jurisdictions as business needs require
    • Obtain and maintain applicable state certifications and/or licensures in the state where job duties are performed
    But note some of those are also responsibilities (licensure). However they appear under Qualifications? Actually they appear under Responsibilities list: "Acquire and maintain nursing licensure for all jurisdictions as business needs require" and "Obtain and maintain applicable state certifications and/or licensures in the state where job duties are performed." Those are responsibilities but also could be qualifications. To avoid duplication, we should keep them where they appear: under Responsibilities. The Responsibilities list already includes those items. So we should not duplicate them elsewhere. So we keep them only under Responsibilities. Thus Qualifications: experience, education, certifications (CCM within 2 years, CEU). Also maybe "Minimum 2 years experience..." etc. Skills: communication, professionalism, flexibility, adaptability, medical/vocational resources knowledge, self-motivation,