RN Care Coordination

Allina Health • Fridley, MN

1d • $46 - $72 • 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 support clinically indicated transition planning for medically complex patients leaving the hospital. The position may also perform initial and concurrent level-of-care reviews and insurance authorization activities.

This is a casual, 0.0 FTE position with an 8-hour day shift from 7:30 AM to 4:00 PM and two weekend shifts per month. The role is based at 550 Osborne Rd NE, Fridley, Minnesota. The position supports complex patients across the hospital and Emergency Department, coordinating with patients, families, the healthcare team, community providers, and other resources to promote safe, timely transitions and appropriate use of care resources.

Requirements

• Bachelor's degree in nursing.
• At least 2 years of nursing experience.
• Current Registered Nurse license from the Minnesota Board of Nursing or the Wisconsin Department of Safety and Professional Services.
• Case/Care Management Certification within 2 years of hire, subject to the listed unit-specific alternatives and exceptions.
• Light physical work, including lifting up to 20 pounds occasionally and up to 10 pounds frequently.

Nice To Haves

• For Tier 1: At least 3 years of recent RN nursing experience, including the equivalent of 2 years of full-time acute care nursing experience; at least 2 years of current RNCC experience; and Care Management certification.
• For Tier 2: At least 3 years of recent RN nursing experience, including the equivalent of 2 years of full-time acute care nursing experience, and at least 1 year of current RNCC experience.
• For Tier 3: At least 3 years of recent RN nursing experience, including the equivalent of 2 years of full-time acute care nursing experience.
• For Cancer Institute positions, 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 required.
• For Mother/Baby units, an Obstetric/Fetal-related certification is acceptable in place of Case/Care Management Certification.
• For CKRI, Certified Rehabilitation Registered Nurse (CRRN) certification is acceptable in place of Case/Care Management Certification.

Responsibilities

• Support progression of care for complex patients.
• Complete clinical assessments and participate in patient care rounds to ensure critical interventions and procedures are completed.
• Identify and address potential delays or barriers to care proactively, escalating barriers to leadership for resolution.
• Collaborate with the healthcare team, community care providers, patients, and families to coordinate effective and timely care transitions.
• Provide information and support for palliative care and advanced care planning for patients and families experiencing chronic disease progression.
• Provide age-appropriate patient 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 to prepare for transitions.
• Conduct screening or assessment tests to select patients and coordinate follow-up with community resources in collaboration with providers.
• Participate in care system processes designed 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 clinical 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 patient care based on need.
• Perform other duties as assigned.

Benefits

• Medical and dental benefits.
• 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 to help navigate the Federal Public Service Loan Forgiveness Program.
• Well-being dollars, well-being navigators, programs, activities, resources, personal coaching, and tools.

What This Job Offers

• Career Level: Mid Level