Care Coordinator RN

Fairview Health Services•Minneapolis, MN

5d•Hybrid

About The Position

Fairview is seeking a Care Coordinator RN to join the Surgical Specialties team at M Health Fairview Clinics & Surgery Center. This is a casual, hybrid position, with approximately 50% remote work available following successful completion of orientation and training. This role offers variable day shifts, with start and end times based on department and patient care needs, generally falling between 7:00 a.m. and 6:00 p.m. As a casual position, scheduled hours will vary based on staffing and operational needs. This opportunity provides excellent flexibility, with no weekends, no holidays, and no on-call requirements, making it an ideal role for an experienced RN seeking a balance of meaningful patient care, autonomy, and work-life flexibility. This position focuses on an area of a specific medical specialty or chronic care condition (i.e. endoscopy, enterostomal therapy, mental health, total parenteral nutrition, bone marrow transplant). Serves as a resource and educator to patient, medical and hospital staff within the specialty. Coordinates care efforts for a safe, effective, efficient and patient centered transition along the health continuum. Provides pro-active disease management using evidence based practices. Acts as a liaison between patient/family, medical staff and others involved in treatment, promoting patient centered care based on jointly determined health care goals and priorities.

Requirements

3 years specialty experience doing care coordination
5 years licensed RN with five years of clinical experience and ability to learn new specialty area
MN Registered Nurse (RN) License
Basic Life Support

Nice To Haves

Licensed RN with four year Baccalaureate Degree (BSN)
2 years RN experience in the specialty area or previous care coordination experience
Specialized knowledge of the specialty and conditions of served population
EPIC

Responsibilities

Accesses, analyzes, plans and provides follow-up care.
Facilitates timely referrals and fosters positive relations with community providers.
Evaluates and documents status and follows patient progress through phone calls, test results and report preparation. Evaluates quality of nursing care via patient rounds.
Identifies problems that are specific to the clinical specialty.
Provides pro-active disease management using evidence based practices.
Serves as a liaison between patient/family, medical staff and others involved in treatment, promoting patient centered care based on jointly determined health care goals and priorities
Collaborates with appropriate staff to provide coordinated transition of care across the healthcare continuum.
Facilitates timely referrals and fosters positive relations with community providers.
Provides direct patient care in the area of specialty.
Establishes individual nursing care plans.
Provides education, counseling, medication management, and general health information to patients and patient representatives.
Triages patient concerns and responds to patient concerns between visits under provider direction, to reduce relapse or inpatient care.
Functions as a resource to patient care units, outpatient clinics and medical staff regarding the clinical specialty.
Identifies need and assists in writing and implementing policies and procedures.
Provides education services to patients and their families and other hospital staff regarding the clinical specialty. Develops content, resource materials and coordinates the educational plan.
Serves on task forces and committees related to the clinical specialty.
Keeps up to date on technological advances and new pharmaceutical products.
Consults with other areas regarding specialty.
Assists with research projects which may include collection data, data analysis and evaluation. May identify research projects.
Manages database to track patient outcomes and other specific categories as directed by physician.
Promotes program and assists with marketing efforts. Oversees or manages prior authorization process and results verification process to ensure positive image.
Provide effective educational material.
Serves as a community liaison.
Performs other duties including Performance Goals developed by manager and employee and reported in the employee’s Performance Review as part of UMPhysicians’ Performance Management tools
Develops and maintains critical competencies listed in this job description and the competencies drop down list in the employee’s online performance management tool.