Within the contract negotiations, 2004, the UMHS Professional Development Framework was created for all staff nurses interested in professional advancement in their roles. The Role Specific Nurses, because of their unique roles and responsibilities, were addressed by the following language: “Further discussion will occur as to whether and how employees in the pay grade N-3, such as Flight Nurses and Practice Management Coordinators, could or should be included in the Professional Development Framework Model”.

Following implementation of the Professional Development Framework in 2006, an assessment of the four role specific titles was undertaken. This assessment confirmed the perspective that the work of the Role Specific nurses was not sufficiently described in the Framework Behaviors.  The Domains, Subheadings, and Behaviors that were developed during Fall 2007 moved through Negotiations 2008 with minimal revision. The behaviors reflecting leadership/contribution and "off the unit" contributions were reordered and bolded for improved clarity. The teams agreed that advancement would be made based on a preponderance of evidence of all behaviors in total,rather than within each domain. In 2014 the Practice Management Coordinator behaviors were retired as the new "RN Case Manager" role behaviors were under development. In February 2015 the new RN Case Manager behaviors were approved by the Joint Implementation Team and put in place so that nurses in this role would be given the opportunity to advance.