Registered Nurse - Primary Care - Adult Behavioral Care Coordinator - RN

Mayo Clinic•Rochester, MN

About The Position

The registered nurse (RN) is accountable for the coordination of nursing care, including direct patient care, patient/family education and transitions of care. The RN supports professional nursing practice across practice settings and across the continuum of care to meet the needs of the patient and family. The RN will function within the Mayo Clinic Nursing Professional Practice Model, which includes accountability for planning, implementing, evaluating and communicating all phases of nursing care for assigned patients. The ANA Nursing: Scope and Standards of Practice provide a basis for the practice of the RN. The RN provides leadership through activities such as preceptor role, informal and formal leadership roles, and quality improvement efforts. The RN delegates patient care according to skill level, experience, patient acuity, fiscal accountability and availability of resources. The RN possesses excellent communication skills; is skillful in mentoring and teaching; and may participate on committees or projects. A subset of employees may be required to drive their personal vehicle as a part of the responsibility of their role.

Requirements

One year of RN experience required.
Excellent communication skills (verbal and written).
Experience working in a team environment.
Computer skills required.
Current RN license by applicable state requirements.
BLS (Basic Life Support) must be valid for 90 days post start date; acceptable certifications include: American Heart Association (AHA)/ Heartcode® BLS, Military Training Network, Red Cross (CPR/AED for Professional Rescuers and Health Care Providers).
Additional state licensure(s) and/or specialty certification/training as required by the work area.

Nice To Haves

Prior experience with electronic medical record systems preferred.
Ability to adapt to unpredictable situations within the work setting.
Demonstrated leadership, effective communicator, and excellent critical thinking skills.
Graduate of a nursing program, as recognized by the Accreditation Commission for Education in Nursing (ACEN), Commission on Collegiate Nursing Education (CCNE), National League for Nursing Commission for Nursing Education Accreditation (NLN CNEA).
All entry-level associate degree registered nurses with a RN start date of April 1, 2020 and after must provide documented evidence of program completion of the baccalaureate degree in nursing from an accredited nursing program within five years from the last day of the month of the RN start date.
All entry-level associate degree registered nurses with a RN start date prior to April 1, 2020 must provide documented evidence of program completion of the baccalaureate degree in nursing from an accredited nursing program as stipulated by the degree requirement program in place at time of hire.

Responsibilities

Conduct comprehensive assessments for patients referred for IBH care coordination, including mental health screening tools (PHQ-9, GAD-7, C-SSRS, etc.) and medication reconciliation.
Determine eligibility for IBH care coordination for bipolar disorder and other conditions, consulting with supervising psychiatrists as needed.
Serve as the Integrated Behavioral Health Care Coordinator within the Collaborative Care Model, maintaining a patient registry, tracking progress, and ensuring systematic follow-up using validated tools.
Partner with primary care providers (PCPs) and psychiatric consultants to implement treatment-to-target strategies, adjusting care plans based on patient response.
Utilize motivational interviewing techniques to set goals and support adherence to treatment plans.
Provide education on mental health conditions, medications, and self-management strategies.
Facilitate communication between PCPs, psychiatric consultants, and other care team members to ensure integrated care delivery.
Participate in systematic case reviews and contribute to care plan development.
Coordinate nursing care, including direct patient care, patient/family education, and transitions of care.
Support professional nursing practice across practice settings and the continuum of care.
Plan, implement, evaluate, and communicate all phases of nursing care for assigned patients.
Delegate patient care according to skill level, experience, patient acuity, fiscal accountability, and availability of resources.
Mentor and teach patients and families.
Participate on committees or projects.
Drive personal vehicle as part of role responsibilities (for a subset of employees).