Fairview Health Services-posted 21 days ago
Mid Level
Saint Paul, MN
5,001-10,000 employees
Hospitals

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.

  • 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.
  • 3 years specialty experience doing care coordination or
  • 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 (American Heart Assoc or Red Cross) this requirement does not apply to dept 8901 Ambulatory Care Coordination within 30 Days
  • Licensed RN with four year Baccalaureate Degree
  • 2 years RN experience in the specialty area or previous care coordination experience
  • Specialized knowledge of the specialty and conditions of served population
  • Fairview offers a generous benefit package including but not limited to medical, dental, vision plans, life insurance, short-term and long-term disability insurance, PTO and Sick and Safe Time, tuition reimbursement, retirement, early access to earned wages, and more!
© 2024 Teal Labs, Inc
Privacy PolicyTerms of Service