Registered Nurse Hospital Care Coordination

Allina Health • Minneapolis, MN

2d • $49 - $82 • Onsite

About The Position

Allina Health is a not-for-profit health system serving individuals, families, and communities throughout Minnesota and western Wisconsin. This registered nurse role provides clinical coordination services, including assessment, planning, and intervention. Patients are identified through predictive tools and referrals from providers, staff, or community caregivers to support clinical transition planning for medically complex patients when hospital transition is medically indicated. The role may also include initial and concurrent level-of-care reviews and insurance authorization activities.

The position is a 0.8 FTE role with 8-hour day shifts and an occasional weekend rotation, specified as every sixth weekend in the position details. It is within System CM Hospital Care Management and is covered by the MNA-01-Abbott Northwestern RN-RAN union contract. The posted address is 2800 10th Ave Receiving Dock, Minneapolis, MN 55407-1311.

The role supports safe, timely care progression and discharge planning through clinical assessment, interdisciplinary collaboration, utilization review, and coordination with patients, families, providers, and community resources. It also supports readmission prevention, appropriate length-of-stay management, care transitions, and compliance with payer and regulatory requirements.

Requirements

• Bachelor's degree in nursing.
• At least 2 years of nursing experience.
• Current Registered Nurse license from the Minnesota Board of Nursing or Wisconsin Department of Safety and Professional Services.
• Case/Care Management Certification within 2 years of hire, subject to the stated unit-specific alternatives and exceptions.
• The position details specify at least three years of recent RN nursing experience and the equivalent of two years of full-time nursing experience in an acute care setting for the listed tiers.
• The position details specify at least two years of RNCC experience for Tier 1 and at least one year of RNCC experience for Tier 2.
• Light physical work, including lifting up to 20 pounds occasionally and up to 10 pounds frequently.

Nice To Haves

• For Cancer Institute positions, an Oncology Certified Nurse (OCN) certification is preferred upon hire or within 2 years of hire.
• For Cancer Institute positions, current BLS certification from the American Heart Association or American Red Cross, or Allina in-house BLS training within 30 days of hire, is listed as an alternative qualification.
• For CKRI positions, Certified Rehabilitation Registered Nurse (CRRN) certification is an acceptable alternative to Case/Care Management Certification.
• For Mother/Baby units, an Obstetric/Fetal-related certification is acceptable in place of Case/Care Management Certification.

Responsibilities

• Support the progression of care for complex patients.
• Complete clinical assessments and participate in patient care rounds to help ensure critical interventions and procedures are completed.
• Identify and help eliminate potential delays or barriers to care progression, escalating barriers to leadership for resolution.
• Collaborate with the healthcare team, community care providers, patients, and families to support effective and timely care transitions.
• Provide information and support activities related to palliative care and advance care planning for patients and families experiencing chronic disease progression.
• Provide age-appropriate care based on the population served.
• Coordinate appropriate clinical transitions for patients in the hospital and Emergency Department.
• Collaborate with the interdisciplinary team to plan anticipated transfers or discharges.
• Serve as a subject matter expert on integrated post-discharge care and services offered by the system.
• Assess clinical stability for discharge and oversee clinical details of transitions.
• Ensure discharge orders are accurate and complete.
• Identify patients and families with complex discharge issues and arrange rehabilitation services for functional needs as appropriate.
• Conduct screening or assessment tests to identify patients and communicate follow-up needs to community resources in collaboration with providers.
• Participate in care-system processes intended to prevent potentially preventable readmissions.
• Plan and participate in transition conferences with patients and families.
• Use tools and technology to identify and intervene with patients at risk for readmission.
• Ensure complete clinical handoffs for at-risk patients, including referrals when appropriate.
• Collaborate with the healthcare team to promote appropriate length of stay and use tools and technology to support length-of-stay management.
• Facilitate timely referrals and transfers of information.
• Ensure outpatient complex clinical care services and other complex care needs are in place at discharge.
• Demonstrate appropriate clinical resource management and adhere to commercial and regulatory requirements.
• Support level-of-care activities using established inpatient guidelines and internal and external utilization criteria.
• Collaborate with Social Workers to identify reimbursement and discharge-planning trends or concerns.
• Ensure timely interventions for patients admitted under observation status.
• Provide information and assistance for identified financial or social needs.
• Maintain knowledge of government and private payer networks and services.
• Collaborate with community and healthcare resources to coordinate care based on patient needs.
• Perform other duties as assigned.

Benefits

• Medical and dental coverage.
• PTO/time away.
• Retirement savings plans.
• Life insurance.
• Short-term and long-term disability.
• Voluntary benefits, including vision, legal, and critical illness coverage.
• Tuition reimbursement or continuing medical education, as applicable.
• Student loan support benefits to help navigate the Federal Public Service Loan Forgiveness Program.
• Well-being resources, including well-being dollars, dedicated well-being navigators, programs, activities, articles, videos, personal coaching, and tools.

What This Job Offers

• Job Type: Part-time
• Career Level: Mid Level