RN Care Coordination

Allina Health System • Fridley, MN

3d • Onsite

About The Position

Allina Health is seeking an RN Care Coordination professional to provide clinical coordination services, including assessment, planning, and intervention. Patients are identified through predictive tools and referrals from providers, staff, or community caregivers to facilitate clinical transition planning for medically complex patients when hospital discharge is medically indicated. The role may also include initial and concurrent level-of-care reviews and insurance authorization activities.

The position supports appropriate progression of care, clinical transitions, discharge planning, and readmission prevention. It collaborates with patients, families, healthcare teams, community care providers, and social workers to ensure timely, coordinated care and appropriate resource use. The role is a casual 0.0 FTE position with an eight-hour day shift from 7:30 a.m. to 4:00 p.m. and two weekend shifts per month. The position is located at 550 Osborne Rd NE, Fridley, Minnesota.

Requirements

• Bachelor's degree in nursing.
• At least 2 years of nursing experience.
• Minnesota Board of Nursing Registered Nurse license or Wisconsin Department of Safety and Professional Services Registered Nurse license.
• Case/Care Management Certification within 2 years of hire, subject to the stated alternatives for Mother/Baby units, the Cancer Institute, or CKRI.
• Tier 1: At least 3 years of recent RN nursing experience, including the equivalent of 2 years of full-time nursing practice in an acute care setting; at least 2 years of current RNCC experience; and Care Management Certification.
• Tier 2: At least 3 years of recent RN nursing experience, including the equivalent of 2 years of full-time nursing practice in an acute care setting; and at least 1 year of current RNCC experience.
• Tier 3: At least 3 years of recent RN nursing experience, including the equivalent of 2 years of full-time nursing practice in an acute care setting.
• For Cancer Institute positions, meet at least one of these requirements: current BLS certification from the American Heart Association; current BLS certification from the American Red Cross; or Allina in-house BLS training within 30 days of hire.
• Ability to perform light work, lifting up to 20 pounds occasionally and up to 10 pounds frequently.

Nice To Haves

• For Cancer Institute positions, Oncology Certified Nurse (OCN) certification is preferred upon hire or within 2 years of hire.

Responsibilities

• Complete clinical assessments and participate in patient care rounds to support critical interventions and optimal patient outcomes.
• Identify and address potential delays or barriers to care progression, escalating barriers to leadership for resolution.
• Collaborate with healthcare teams, community care providers, patients, and families to coordinate effective and timely transitions of care.
• Provide information and support 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 clinical transitions for patients in the hospital and Emergency Department, including anticipated transfers and discharges.
• Assess clinical stability for discharge and oversee clinical transition details; ensure discharge orders are accurate and complete.
• Identify patients and families with complex discharge needs, including rehabilitation services for functional issues, and arrange internal or external transitions.
• Conduct screening or assessment tests to identify patients needing follow-up, communicating those needs to providers and community resources.
• Participate in care-system processes to prevent potentially preventable readmissions, including transition conferences and use of tools to identify and intervene with patients at risk.
• Ensure complete clinical handoffs for at-risk patients, which may include referrals.
• 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, and ensure outpatient complex clinical services and other complex care needs are in place at discharge.
• 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 and coordinate with community and healthcare resources as needed.
• Perform other duties as assigned.

Benefits

• Medical and dental coverage.
• Paid time off and time away.
• Retirement savings plans.
• Life insurance.
• Short-term and long-term disability coverage.
• Voluntary benefits, including vision, legal, and critical illness coverage.
• Tuition reimbursement or continuing medical education, as applicable.
• Student loan support and benefits to navigate the Federal Public Service Loan Forgiveness Program.
• 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